29. Myocarditis - etiology, classification, clinical presentation, diagnostic approaches and management.

Question 1

what are the causes of myocarditis ?

Answer 1

virus - cocksackvirus B1-B5

bacterial - corynebacterium diptheriae , borella burgdoferi , hemophilus

]non infectious - rheumatic fever , scleroderma , toxic myocarditis - alchol

Question 2

what is the symptoms of myocarditis ?

Answer 2

usually asymptomatic
but thoracic pain
palpitations
dyspnea

Question 3

what is the clinical manifestations of myocarditis ?

Answer 3

arrythmia

AV block - syncope

Question 4

what are the diagnostic approaches for myocarditis ?

Answer 4

ST-T changes
ventricular and supra ventricular arrythmia

lab - cardica enzymes are increased
CK-MB , tropoinin
BNP increased - beginning hint of heart insufficiency
virus serology

myocardial biopsy by coronary angiography

Question 5

what is the therapy of myocarditis

Answer 5

restrain from aerobic physical efforts
NSAIDS - ibuprofen
enoxaperin
naproxen

in LV dilation - ACE-I diurtics
in arrythmia depening on what type