{"id":9600,"date":"2021-12-28T00:50:15","date_gmt":"2021-12-27T22:50:15","guid":{"rendered":"https:\/\/meddists.com\/learn\/clinical\/internal-medicine\/cardiology\/debrecen-university\/myocarditis\/"},"modified":"2021-12-28T11:47:11","modified_gmt":"2021-12-28T09:47:11","slug":"myocarditis","status":"publish","type":"page","link":"https:\/\/meddists.com\/learn\/clinical\/internal-medicine\/cardiology\/myocarditis\/","title":{"rendered":"Myocarditis"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Myocarditis is the inflammation of the myocardium.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>The inflammation can be diffuse or local; it may involve the pericardium, leading to myopericarditis.<\/li><li>Cardiomyocyte necrosis is evident by elevated cardiac enzymes.<\/li><li>It can be acute (days to weeks), subacute (weeks to months), or chronic (over a few months).<\/li><li>Most commonly appears in young male patients.<\/li><\/ul>\n\n\n<span class=\"block-heading\" id=\"header_1\">\n<h4 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title1\">Etiology<\/h4>\n<\/span><span class=\"block-content\" id=\"contents_1\">\n\n\n<ul class=\"wp-block-list\"><li>Infections<ul><li>Parvovirus B19<\/li><li>Coxsackie<\/li><li>HHV-6<\/li><li>SARS-CoV-2<\/li><\/ul><\/li><li>Drugs<\/li><li>Toxins<\/li><li>Autoimmune<\/li><\/ul>\n\n\n<\/span><span class=\"block-heading\" id=\"header_2\">\n<h4 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title1\">Clinical presentations<\/h4>\n<\/span><span class=\"block-content\" id=\"contents_2\">\n\n\n<p class=\"wp-block-paragraph\">Some patients display minimal symptoms, while others may end with arrhythmias, heart failure, and sudden cardiac death.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Infective myocarditis typically presents with fever, malaise, along with other symptoms based on the pathogen.<\/li><li>In myopericarditis, chest pain radiating to the neck and shoulders.<\/li><\/ul>\n\n\n<\/span><span class=\"block-heading\" id=\"header_3\">\n<h4 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title1\">Giant-cell myocarditis<\/h4>\n<\/span><span class=\"block-content\" id=\"contents_3\">\n\n\n<p class=\"wp-block-paragraph\">A severe form of myocarditis with unknown etiology (probably autoimmune).<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Presents with cardiogenic shock and ventricular arrhythmias.<\/li><li>Histologically, giant multinucleated cells are seen (hence the name).<\/li><\/ul>\n\n\n<\/span><span class=\"block-heading\" id=\"header_4\">\n<h4 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title1\">Diagnosis<\/h4>\n<\/span><span class=\"block-content\" id=\"contents_4\">\n\n\n<ul class=\"wp-block-list\"><li>CBC, culture, serology, virological tests<\/li><li>Cardiac enzymes (CK-MB, cTn, NT-proBNP)<\/li><li>ECG (ST and T changes)<\/li><li>Echocardiography<\/li><li>Biopsy (rare)<\/li><\/ul>\n\n\n<\/span><span class=\"block-heading\" id=\"header_5\">\n<h4 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title1\">Treatment<\/h4>\n<\/span><span class=\"block-content\" id=\"contents_5\">\n\n\n<ul class=\"wp-block-list\"><li>Treatment of the heart failure and arrhythmias<ul><li>Diuretics, ACEi\/ARBs<\/li><li>Intraaortic balloon pump or left-ventricle assist device<\/li><li>Heart transplant<\/li><\/ul><\/li><li>Treatment of the cause<ul><li>In viral endocarditis, the treatment is supprotive<\/li><li>In autoimmune, corticosteroids<\/li><\/ul><\/li><\/ul>\n<\/span><div id=\"the_titles\" style=\"display:none;\"><h4 class=\"wp-block-heading\" class=\"wp-block-heading\">Etiology<\/h4><h4 class=\"wp-block-heading\" class=\"wp-block-heading\">Clinical presentations<\/h4><h4 class=\"wp-block-heading\" class=\"wp-block-heading\">Giant-cell myocarditis<\/h4><h4 class=\"wp-block-heading\" class=\"wp-block-heading\">Diagnosis<\/h4><h4 class=\"wp-block-heading\" class=\"wp-block-heading\">Treatment<\/h4><\/div>","protected":false},"excerpt":{"rendered":"<p>Myocarditis is the inflammation of the myocardium. The inflammation can be diffuse or local; it may involve the pericardium, leading to myopericarditis. Cardiomyocyte necrosis is evident by elevated cardiac enzymes. It can be acute (days to weeks), subacute (weeks to months), or chronic (over a few months). Most commonly appears in young male patients. Etiology [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":410,"menu_order":9,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-9600","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Myocarditis &#8211; Meddists<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/meddists.com\/learn\/clinical\/internal-medicine\/cardiology\/myocarditis\/\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/meddists.com\\\/learn\\\/clinical\\\/internal-medicine\\\/cardiology\\\/myocarditis\\\/\",\"url\":\"https:\\\/\\\/meddists.com\\\/learn\\\/clinical\\\/internal-medicine\\\/cardiology\\\/myocarditis\\\/\",\"name\":\"Myocarditis &#8211; 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