Myocarditis

Question 1

Define myocarditis?

Answer 1

Inflammation of the myocardium- Inflammatory cardiomyopathy

Question 2

what are the causes of myocarditis?

Answer 2

• Infectious
• Drugs - cocaine
• Metals
• Radiation

Coxsackie B virus is the most common cause of myocarditis in Europe

Question 3

what are the signs and symptoms of myocarditis?

Answer 3

• Flu-like prodrome
• Chest pain (worse when lying down)
• SOB
• Palpitations

Question 4

what are the investigations for myocarditis?

Answer 4

ECG: non-specific ST and T wave changes

Cardiac biomarkers: CK and troponin

• Serum CK elevated
• Serum Ck-MB mildly elevated
• Serum troponin elevated

Echo- Global/ regional LV motion abnormalities and dilation