Is “borderline” myocarditis really myocarditis?

Immunosuppressive treatment for myocarditis and borderline myocarditis in children with ventricular ectopic rhythm.

OBJECTIVES To ascertain the responsiveness to immunosuppressive treatment of myocarditis and borderline myocarditis in children with ventricular ectopic rhythm (that is, all ventricular arrhythmia except benign premature ventricular contractions). To determine the impact of the diagnostic information provided by an endomyocardial biopsy specimen in these patients. BACKGROUND The therapeutic v...

Myocarditis.

Viral myocarditis remains a prominent infectious-inflammatory disease for patients throughout the lifespan. The condition presents several challenges including varied modes of clinical presentation, a range of timepoints when patients come to attention, a diversity of approaches to diagnosis, a spectrum of clinical courses, and unsettled perspectives on therapeutics in different patient setting...

MYOCARDITIS AND CARDIOMYOPATHY Chagas myocarditis and syncope

A 37-year-old gentleman was transferred to the University of Virginia Health System for cardiac evaluation after presenting to an outside hospital following a syncopal event. The patient immigrated from Honduras 6 years ago. Witnesses at the patient’s workplace report that he dropped suddenly to the floor and was unconscious for approximately 30 seconds without tonic-clonic seizure activity. Th...

How Should We Diagnose Myocarditis, and Is its Recognition Really Clinically Relevant?

A lthough the clinical spectrum of acute myocarditis varies from cardiogenic shock to asymptomatic electrocardiographic abnormalities during community viral outbreaks, its 3 most common clinical presentations are chest pain mimicking acute myocardial infarction, ventricular arrhythmias, and heart failure due to new-onset dilated cardiomyopathy (DCM) (1,2). Cardiac magnetic resonance (CMR) imagi...

Myocarditis in Forensic Medicine Myocarditis in Forensic Medicine