Myocarditis 

5 Principles of
Myocarditis:
1. Build ...
385
Description

Myocarditis 



5 Principles of

Myocarditis:

1. Build clinical suspicion

2. Decide on EMBx

3. Manage acute cardiac injury

4. Manage chronic cardiac sequelae

5. Treat myocarditis



Clinical Presentation:

 - Fever, Rash, Myalgias, Fatigue, Resp/Gl sx

Fulminant:

 - Acute HF, Cardiogenic shock, Arrythmias, Pericarditis, Tamponade

EKG Findings:

 - AV block, Aberrancy, VT/VF, Myocardial injury (ST elevation), Low voltage



Treatment:

 - Lymphocytic Myocarditis: role of steroids +/- azathioprine unclear

 - Giant Cell Myocarditis: steroids, calcineurin inhibitor, anti-metabolite

 - Immune Checkpoint Inhibitors: cessation of inciting therapy, steroids, ARB/sacubitril-valsartan, PPM placement

 - Necrotizing Eosinophilic Myocarditis: identify precipitating agent, steroids, AC



CardioNerds Podcast @cardionerds



#Myocarditis #diagnosis #management #cardiology #summary #biopsy
Contributed by

Dr. Gerald Diaz
@GeraldMD
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - 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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