Myocarditis

Question 1

What is myocarditis

Answer 1

Inflammation of the Myocardium sometimes as a result of Pericarditis in which it is referred as Myopericarditis

Question 2

What are some causes of Myocarditis

Answer 2

Coxsackie virus
Diptheria
Auto immune
-SLE
-Sarcoid
-Scleroderma
-Wegener's

Question 3

What are the symptoms of myocarditis

Answer 3

Chest pain
Fatigue
Palpitations
Heart fail symptoms
Sudden death

Question 4

What are the signs of Myocarditis

Answer 4

Common=

• Signs of heart fail
• S3 and S4
• Pericardial rub if myopericarditis

Question 5

How would you investigate Myocarditis

Answer 5

ECG - ST and T changes
Troponin - raised
Echo - Ventricular dysfunction
MRI - Shows inflammation
Endomyocardial biopsy - GOLD STANDARD

Question 6

What is the GOLD STANDARD test for myocarditis

Answer 6

Endomyocardial biopsy

Question 7

How would you manage Myocarditis

Answer 7

Treat cause and complications

Avoid exercise