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Viral Myocarditis-Incidence, Diagnosis and Management #MMPMID32127272
Olejniczak M; Schwartz M; Webber E; Shaffer A; Perry TE
J Cardiothorac Vasc Anesth 2020[Jun]; 34 (6): 1591-1601 PMID32127272show ga
Viral myocarditis has an incidence rate of 10 to 22 per 100,000 individuals. The presentation pattern of viral myocarditis can range from nonspecific symptoms of fatigue and shortness of breath to more aggressive symptoms that mimic acute coronary syndrome. After the initial acute phase presentation of viral myocarditis, the virus may be cleared, resulting in full clinical recovery; the viral infection may persist; or the viral infection may lead to a persistent autoimmune-mediated inflammatory process with continuing symptoms of heart failure. As a result of these 3 possibilities, the diagnosis, prognosis, and treatment of viral myocarditis can be extremely unpredictable and challenging for the clinician. Herein, the incidence, etiology, definition and classification, clinical manifestation, diagnosis, pathogenesis, prognosis, and treatment of viral myocarditis are reviewed, and how acute clinical care teams might differentiate between viral myocarditis and other acute cardiac conditions is discussed.
J+Cardiothorac+Vasc+Anesth 2020 ; 34 (6): 1591-1601
