Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold ...
980
Description

Myocarditis

Diagnosis 

• Endomyocardial biopsy (gold standard, rarely performed) 

• Clinical presentation 

• Cardiovascular MRI 

Clinical 

• Excessive fatigue, exercise intolerance 

• Chest pain, pericarditis 

• Unexplained sinus tachycardia 

• S3, S4 or summation gallop 

• Abnormal ECG, echocardiogram 

• Dysrhythmia, heart block 

• Heart failure 

• Elevated troponin 

• Cardiogenic shock, sudden cardiac death 

Management 

• Supportive 

• Heart failure therapy as needed 

• Antidysrhythmics as needed 

• Antlviral (lymphocytic myocarditis) 

• Immunosuppressants (chronic myocarditis) 

• IVIG (Giant cell, eosinophilic) 



#Myocarditis #Diagnosis #Management #Cardiology
Contributed by

Dr. Gerald Diaz
@GeraldMD
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG:  https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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