Myocarditis history and symptoms: Difference between revisions
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{{Myocarditis}} | {{Myocarditis}} | ||
{{CMG}}; '''Associate Editor-In-Chief:''' {{CZ}}; [[Varun Kumar]], M.B.B.S. | |||
{{CMG}}; '''Associate Editor-In-Chief:''' {{CZ}} | |||
==Overview== | ==Overview== | ||
The | The symptoms associated with myocarditis are varied, and relate either to the actual inflammation of the [[myocardium]], or the weakness of the heart muscle that is secondary to the inflammation. | ||
== | ==History== | ||
Patients present with acute decompensation of cardiac function in patients with low cardiac risk or no obvious underlying cause. Demographics and clinical course should be taken into consideration in diagnosis of [[myocarditis]]. | |||
A history of recent (2-4 weeks) viral illness may often be elicited in a large number of patients with myocarditis. Cardiac specific symptoms may become apparent usually in the subacute virus-clearing phase. | |||
Myocarditis is often | In hypersensitive myocarditis, patients may give a history of using offending drug. | ||
==Symptoms== | |||
Symptoms of myocarditis include:<ref name=Feldman>Feldman AM, McNamara D. Myocarditis. ''[[New England Journal of Medicine|N Engl J Med]]'' 2000;343:1388-98. PMID 11070105.</ref> | |||
* [[Chest pain]] is often described as stabbing, pleuritic or sharp in character. In a series, 78% of patients were diagnosed with myocarditis when they presented with chest pain<ref name="pmid11693753">{{cite journal| author=Sarda L, Colin P, Boccara F, Daou D, Lebtahi R, Faraggi M et al.| title=Myocarditis in patients with clinical presentation of myocardial infarction and normal coronary angiograms. | journal=J Am Coll Cardiol | year= 2001 | volume= 37 | issue= 3 | pages= 786-92 | pmid=11693753 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11693753 }} </ref>. | |||
* [[Pedal edema]] in volume overload states. | |||
* [[Breathlessness]] | |||
* [[Dyspnea on exertion]] | |||
* [[Orthopnea]] in pulmonary congestion. | |||
* [[Palpitation]]s | |||
* [[Syncope]] in setting of high grade [[AV block]] | |||
* [[Fever]] (especially when infectious, e.g. in [[rheumatic fever]]) | |||
* [[Joint pains]], and [[fatigue]] as seen in viral illness. | |||
* [[Cynosis]] may also be seen in severe cases. | |||
* [[Sudden death]] (in young adults, myocarditis causes up to 20% of all cases of [[sudden death]])<ref>Eckart RE, Scoville SL, Campbell CL, Shry EA, Stajduhar KC, Potter RN, Pearse LA, Virmani R. Sudden death in young adults: a 25-year review of autopsies in military recruits. ''Ann Intern Med'' 2004;141:829-34. PMID 15583223.</ref>. This probably can be attributed to [[ventricular tachycardia]] or [[ventricular fibrillation|fibrillation]]. | |||
==References== | ==References== | ||
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[[Category: Cardiology]] | [[Category: Cardiology]] | ||
[[Category:Signs and symptoms]] | |||
[[Category:Up to date]] | |||
[[Category:Up to date cardiology]] | |||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Revision as of 20:58, 19 August 2011
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]; Varun Kumar, M.B.B.S.
Overview
The symptoms associated with myocarditis are varied, and relate either to the actual inflammation of the myocardium, or the weakness of the heart muscle that is secondary to the inflammation.
History
Patients present with acute decompensation of cardiac function in patients with low cardiac risk or no obvious underlying cause. Demographics and clinical course should be taken into consideration in diagnosis of myocarditis.
A history of recent (2-4 weeks) viral illness may often be elicited in a large number of patients with myocarditis. Cardiac specific symptoms may become apparent usually in the subacute virus-clearing phase.
In hypersensitive myocarditis, patients may give a history of using offending drug.
Symptoms
Symptoms of myocarditis include:[1]
- Chest pain is often described as stabbing, pleuritic or sharp in character. In a series, 78% of patients were diagnosed with myocarditis when they presented with chest pain[2].
- Pedal edema in volume overload states.
- Breathlessness
- Dyspnea on exertion
- Orthopnea in pulmonary congestion.
- Palpitations
- Syncope in setting of high grade AV block
- Fever (especially when infectious, e.g. in rheumatic fever)
- Joint pains, and fatigue as seen in viral illness.
- Cynosis may also be seen in severe cases.
- Sudden death (in young adults, myocarditis causes up to 20% of all cases of sudden death)[3]. This probably can be attributed to ventricular tachycardia or fibrillation.
References
- ↑ Feldman AM, McNamara D. Myocarditis. N Engl J Med 2000;343:1388-98. PMID 11070105.
- ↑ Sarda L, Colin P, Boccara F, Daou D, Lebtahi R, Faraggi M; et al. (2001). "Myocarditis in patients with clinical presentation of myocardial infarction and normal coronary angiograms". J Am Coll Cardiol. 37 (3): 786–92. PMID 11693753.
- ↑ Eckart RE, Scoville SL, Campbell CL, Shry EA, Stajduhar KC, Potter RN, Pearse LA, Virmani R. Sudden death in young adults: a 25-year review of autopsies in military recruits. Ann Intern Med 2004;141:829-34. PMID 15583223.