Myocarditis

Acute myocarditis must be considered in patients with recent onset of cardiac failure or arrhythmia. Fulminant myocarditis is a distinct entity characterized by sudden onset of severe congestive heart failure or cardiogenic shock, usually following a flu-like illness, parvovirus B19, human herpesvir...

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Bibliographic Details
Published in:La revue de medecine interne 2017-08, Vol.38 (8), p.531-538
Main Authors: Hékimian, G, Combes, A
Format: Article
Language:fre
Subjects:
Acute Disease
Diagnosis, Differential
Echocardiography - methods
Heart Failure - diagnosis
Heart Failure - etiology
Heart Failure - therapy
Humans
Immunologic Factors - therapeutic use
Myocarditis - diagnosis
Myocarditis - epidemiology
Myocarditis - etiology
Myocarditis - therapy
Virus Diseases - complications
Virus Diseases - diagnosis
Virus Diseases - therapy
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Summary:Acute myocarditis must be considered in patients with recent onset of cardiac failure or arrhythmia. Fulminant myocarditis is a distinct entity characterized by sudden onset of severe congestive heart failure or cardiogenic shock, usually following a flu-like illness, parvovirus B19, human herpesvirus 6, coxsackie virus and adenovirus being the most frequently viruses responsible for the disease. In this setting, early recognition of patients rapidly progressing to refractory cardiac failure and their immediate transfer to a medical-surgical center experienced in mechanical circulatory support is warranted. Treatment of acute myocarditis relies on conventional heart failure therapy. Immunosuppression of autoreactive myocarditis or immuno-stimulants such as interferons for chronic viral myocarditis could be of interest but their potential therapeutic role requires further investigation.
ISSN:1768-3122
DOI:10.1016/j.revmed.2016.12.022