Srpski arhiv za celokupno lekarstvo,
Journal Year:
2023,
Volume and Issue:
151(7-8), P. 457 - 461
Published: Jan. 1, 2023
Introduction.
Acute
myocarditis
is
a
serious
inflammatory
condition
of
the
myocardium.
Clinically,
symptoms
may
differ
from
case
to
case,
and
as
such
can
pose
significant
diagnostic
dilemma.
Here
we
present
acute
focal
with
markedly
elevated
troponins,
in
which
diagnosis
was
finally
made
using
cardiac
magnetic
resonance
(CMR).
Case
outline.
A
male
patient,
26-year-old,
without
cardiovascular
risk
factors
presented
severe
chest
pain,
diaphoresis,
pallor,
dyspnea.
Blood
pressure
160/110
mmHg,
electrocardiogram
(ECG)
showed
ST-segment
elevation
inferior
leads.
In
laboratory
there
an
extreme
Troponin.
Inferior-posterior-lateral
STEMI
suspected,
initial
treatment
given
according
that
suspicion.
The
patient
then
sent
catheterization
for
further
evaluation,
absence
coronary
artery
disease.
working
myocardial
infarction
non-obstructive
arteries
(MINOCA)
established.
To
distinguish
MINOCA
other
causes
injury
CMR
done,
its
finding
consistent
inferolateral
localization.
Further
consisted
beta
blockers,
angiotensin-converting-enzyme
inhibitors
avoidance
strenuous
activity
next
six
months.
fully
recovered
had
no
complications
ECG
only
showing
flat
T-wave
D3
lead.
Conclusion.
Focal
unusual
manifestation
disease
confuse
physicians,
especially
if
it
occurs
along
markers
ST-elevation,
but
young
any
known
comorbidity,
this
must
be
considered.
Here,
useful
tool.
Clinical Research in Cardiology,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Aug. 26, 2024
Abstract
Objectives
To
investigate
the
burden
of
disease
myocarditis
in
Germany
and
identify
similarities
differences
with
or
without
COVID-19.
Methods
All
patients
hospitalized
were
included
this
nationwide
retrospective
analysis.
Data
retrieved
from
Federal
Statistical
Office
(DESTATIS)
for
years
2007
to
2022.
The
primary
endpoint
was
hospital
mortality.
Results
A
total
88,159
analyzed.
Annual
cases
increased
5100
6593
2022
(
p
<
0.001
trend)
higher
incidence
during
winter
months.
Incidence
per
100,000
inhabitants
6.2
rising
7.8
trend).
Hospital
mortality
remained
constant
at
an
average
2.44%
=
0.164
From
2020
2022,
1547/16,229
(9.53%)
both,
COVID-19
(incidence
0.62/100,000
180/100,000
hospitalizations
COVID-19).
These
differed
significantly
most
patient
characteristics
had
a
rate
compared
(12.54%
vs.
2.26%,
respectively,
0.001).
Conclusions
Myocarditis
slowly
over
past
16
remaining
unchanged.
combined
low,
but
high.
Journal of Clinical Medicine,
Journal Year:
2024,
Volume and Issue:
13(23), P. 7111 - 7111
Published: Nov. 24, 2024
Background:
Myocarditis
is
a
serious
disease
that
has
drawn
increasing
attention
due
to
its
association
with
COVID-19
and
vaccination.
This
study
investigates
the
epidemiology
of
myocarditis
beyond
pandemic,
including
incidence
outcomes
over
time.
Methods:
We
analyzed
population-wide
retrospective
data
from
Admitted-Patient-Data-Collection
database
patients
admitted
hospitals
in
New
South
Wales
(NSW),
Australia,
diagnosis
2001
2022.
The
myocarditis,
changing
classification
time,
complications
time
were
all
calculated.
Results:
There
4071
diagnosed
their
first
episode
median
age
42
years
old,
66%
male.
NSW
tripled
20-years
8.3
per-100,000-persons
by
Reactive
(i.e.,
within
30-days
respiratory
or
digestive
illness)
accounted
for
38%
presentations
myocarditis.
Post
subset
reactive
42%
admissions
since
onset
pandemic
Australia.
Eight
percent
had
background
history
malignancy,
6%
autoimmune
disease.
In-hospital
mortality
was
4.5%
during
entire
period
but
been
falling
11%
per
year.
During
follow
up,
most
readmissions
occurred
6-months;
5.1%
recurrence
at
6-months
compared
only
6.7%
5-years.
Conclusions:
an
important
condition
Australia
markedly
characteristics
post
era.
Heart Views,
Journal Year:
2024,
Volume and Issue:
25(4), P. 236 - 240
Published: Oct. 1, 2024
Myocarditis
is
an
inflammatory
condition
affecting
the
myocardium
and
may
have
different
etiologies.
Patients
usually
present
with
chest
pain
elevated
levels
of
cardiac
enzymes,
mainly
troponin.
Cardiac
magnetic
resonance
(CMR)
imaging
has
emerged
as
cornerstone
test
in
diagnosis
myocarditis.
In
this
article,
we
CMR
findings
cases
Srpski arhiv za celokupno lekarstvo,
Journal Year:
2023,
Volume and Issue:
151(7-8), P. 457 - 461
Published: Jan. 1, 2023
Introduction.
Acute
myocarditis
is
a
serious
inflammatory
condition
of
the
myocardium.
Clinically,
symptoms
may
differ
from
case
to
case,
and
as
such
can
pose
significant
diagnostic
dilemma.
Here
we
present
acute
focal
with
markedly
elevated
troponins,
in
which
diagnosis
was
finally
made
using
cardiac
magnetic
resonance
(CMR).
Case
outline.
A
male
patient,
26-year-old,
without
cardiovascular
risk
factors
presented
severe
chest
pain,
diaphoresis,
pallor,
dyspnea.
Blood
pressure
160/110
mmHg,
electrocardiogram
(ECG)
showed
ST-segment
elevation
inferior
leads.
In
laboratory
there
an
extreme
Troponin.
Inferior-posterior-lateral
STEMI
suspected,
initial
treatment
given
according
that
suspicion.
The
patient
then
sent
catheterization
for
further
evaluation,
absence
coronary
artery
disease.
working
myocardial
infarction
non-obstructive
arteries
(MINOCA)
established.
To
distinguish
MINOCA
other
causes
injury
CMR
done,
its
finding
consistent
inferolateral
localization.
Further
consisted
beta
blockers,
angiotensin-converting-enzyme
inhibitors
avoidance
strenuous
activity
next
six
months.
fully
recovered
had
no
complications
ECG
only
showing
flat
T-wave
D3
lead.
Conclusion.
Focal
unusual
manifestation
disease
confuse
physicians,
especially
if
it
occurs
along
markers
ST-elevation,
but
young
any
known
comorbidity,
this
must
be
considered.
Here,
useful
tool.
