Myocarditis

From Anvita Health Wiki

Contents 1 Etiology 2 Clinical-manifestations 3 Laboratory 4 Diagnostic-procedures 5 Management 6 More General Terms 7 Additional Terms 8 References

Etiology

• (see etiology of myocarditis)

• infectious

• viral
• bacterial
• fungal
• parasitic

• non- infectious

• connective tissue diseases
• thyrotoxicosis
• thrombotic thrombocytopenic purpura ( TTP)
• pheochromocytoma
• peripartum
• radiation
• pharmaceutical agents
• Kawasaki disease
• giant cell myocarditis
• sarcoidosis
• spider bites
• wasp stings
• scorpion bites

Clinical-manifestations

• preceeding acute viral syndrome
• acute biventricular dysfunction
• ventricular arrhythmias
• may mimic acute coronary insufficiency

Laboratory

• serum creatine kinase MB ( serum CK-MB) may be elevated
• cardiac-specific troponin-I may be elevated
• myocardial biopsy

• myocarditis in a patient who resides in an area where Trypanosoma cruzi is endemic
• eosinophilia & trichinosis is suspected

Diagnostic-procedures

• electrocardiogram:

• ventricular arrhythmias
• T-wave inversions
• ST segment changes may occur

Management

• ACE inhibitor
• rest
• salt & fluid restriction
• diuretics
• no benefit of corticosteroids, azathioprine or cyclosporine
• complete functional recovery in most patients

More General Terms

• heart disease (cardiac disease)
• inflammation

Additional Terms

• etiology of myocarditis

References

1. Medical Knowledge Self Assessment Program (MKSAP) 11, American College of Physicians, Philadelphia 1998
2. Journal Watch 21(9):70, 2001 Sarda et ak J Am Coll Cardiol 37:786, 2001

myocarditis