Myocarditis: emergency department recognition and management.
Myocarditis is an acute inflammatory syndrome involving the heart and related structures. In many instances, the presentation is obvious, and appropriate treatment and disposition follow accordingly. In other situations, patients present with viral illness of the respiratory or gastrointestinal tracts (or both) or nonspecific symptoms such as fatigue and weakness,leading the clinician astray. Management is largely supportive, including aggressive cardiorespiratory support.
Department of Emergency Medicine, University of Virginia Health Sciences Center, Box 800699, Charlottesville, VA 22908-0699, USA. wb4z@virginia.edu
William J
WJ
Brady
Jeffrey D
JD
Ferguson
Edward A
EA
Ullman
Andrew D
AD
Perron
D000208:Acute Disease; D001281:Atrial Fibrillation / Q000209:etiology; D015984:Causality; D002908:Chronic Disease; D015897:Comorbidity; D003937:Diagnosis, Differential; D018450:Disease Progression; D004417:Dyspnea / Q000209:etiology; D004452:Echocardiography; D004562:Electrocardiography; D004635:Emergency Medicine / Q000379:methods*; D004638:Emergency Treatment / Q000379:methods*; D006327:Heart Block / Q000209:etiology; D016027:Heart Transplantation; D006801:Humans; D008279:Magnetic Resonance Imaging; D018908:Muscle Weakness / Q000209:etiology; D009205:Myocarditis / Q000145:classification / Q000175:diagnosis* / Q000453:epidemiology / Q000209:etiology / Q000628:therapy*; D011379:Prognosis; D011654:Pulmonary Edema / Q000209:etiology; D012770:Shock, Cardiogenic / Q000209:etiology; D013616:Tachycardia, Sinus / Q000209:etiology; D017180:Tachycardia, Ventricular / Q000209:etiology; D014057:Tomography, X-Ray Computed