Diagnosis and treatment of viral myocarditis.

Abstract:

:Myocarditis, an inflammatory disease of heart muscle, is an important cause of dilated cardiomyopathy worldwide. Viral infection is also an important cause of myocarditis, and the spectrum of viruses known to cause myocarditis has changed in the past 2 decades. Several new diagnostic methods, such as cardiac magnetic resonance imaging, are useful for diagnosing myocarditis. Endomyocardial biopsy may be used for patients with acute dilated cardiomyopathy associated with hemodynamic compromise, those with life-threatening arrhythmia, and those whose condition does not respond to conventional supportive therapy. Important prognostic variables include the degree of left and right ventricular dysfunction, heart block, and specific histopathological forms of myocarditis. We review diagnostic and therapeutic strategies for the treatment of viral myocarditis. English-language publications in PubMed and references from relevant articles published between January 1, 1985, and August 5, 2008, were analyzed. Main keywords searched were myocarditis, dilated cardiomyopathy, endomyocardial biopsy, cardiac magnetic resonance imaging, and immunotherapy.

journal_name

Mayo Clin Proc

journal_title

Mayo Clinic proceedings

authors

Schultz JC,Hilliard AA,Cooper LT Jr,Rihal CS

doi

10.1016/S0025-6196(11)60670-8

subject

Has Abstract

pub_date

2009-11-01 00:00:00

pages

1001-9

issue

11

eissn

0025-6196

issn

1942-5546

pii

S0025-6196(11)60670-8

journal_volume

84

pub_type

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