Myocarditis

Question 1

What is the most common viral cause of myocarditis?

Answer 1

Cocksckie B virus

Question 2

What is the gold standard investigation?

Answer 2

Endomyocardial biopsy

Question 3

What is the most common worldwide cause of myocarditis?

Answer 3

Trypanosoma cruzie

Question 4

Which bacterial infections cause myocarditis?

Answer 4

Diphtheria

Clostridia

Neisseria gonorrhoeal

Question 5

Which drugs can cause myocarditis?

Answer 5

Clozapine

Mesalazine

Immune checkpoint inhibitors

Question 6

What is raised in myocarditis?

Answer 6

Troponin
Creatine kinaseinfalmmatory markers

Question 7

What is first line investigation for myocarditis?

Answer 7

Cardiac MRI to confirm and indicate extent of inflammation and differentiate from PERICARDITIS

Question 8

What is the presentation of myocarditis?

Answer 8

Pleuritic chest pain with a recent history of viral illness

-> it is important to consider pericarditis as a differential

Question 9

What are the ECG findings for myocarditis?

Answer 9

Sinus tachycardia
ST changes
T wave in ersion