what is acute myocarditis
inflammation of the myocaridum
often assoc w pericardial inflammation
causes of myocarditis
idiopathic viral: enterovirus, adenovirus bacterial: staph, strep spirochates: leptospirosis protozoa drugs: penicillin, carbamazapine, methyldope, spironolactone toxins: cocaine, lithium, alcohol immune: SLE, sarcoid, Kawasaki
myocarditis presentation
ACS like symptoms
heart failure symptoms
palpitations
tachycardia
myocaditis tests
ECG bloods: CRP, ESR, troponin viral serology ECHO endomyocardial biopsy*****
myocarditis ECG changes
ST changes
T wave inversion
atrial arrythmias
QT prolongation
myocarditis Mx
supportive
treat underlying cause
what is dilated cardiomyopathy
a dilated flabby heart of unknown cause