What is the common presentation of Myocarditis?

• usually young patient with an acute history
• chest pain
• dyspnoea
• arrhythmias

What is the management of Myocarditis?

• treatment of underlying cause e.g. antibiotics if bacterial cause
• supportive treatment e.g. of heart failure or arrhythmias

What are the main causes of Myocarditis?

• viral: coxsackie B, HIV
• bacteria: diphtheria, clostridia
• spirochaetes: Lyme disease
• protozoa: Chagas' disease, toxoplasmosis
• autoimmune
• drugs: doxorubicin

What is the pathophysiology of Myocarditis?

inflammation of the myocardium

What are the common complications of Myocarditis?

• heart failure
• arrhythmia, possibly leading to sudden death
• dilated cardiomyopathy: usually a late complication

What is seen on blood tests in Myocarditis?

• ↑ inflammatory markers in 99%
• ↑ cardiac enzymes
• ↑ BNP

What is seen on ECG in Myocarditis?

• tachycardia
• arrhythmias
• ST/T wave changes including ST-segment elevation and T wave inversion