Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical • Excessive fatigue, exercise intolerance • Chest pain, pericarditis • Unexplained sinus tachycardia • S3, S4 or summation gallop • Abnormal ECG, echocardiogram • Dysrhythmia, heart block • Heart failure • Elevated troponin • Cardiogenic shock, sudden cardiac death Management • Supportive • Heart failure therapy as needed • Antidysrhythmics as needed • Antlviral (lymphocytic myocarditis) • Immunosuppressants (chronic myocarditis) • IVIG (Giant cell, eosinophilic) #Myocarditis #Diagnosis #Management #Cardiology
