Presentation
We describe a patient presenting with a ventricular tachycardia, presumably originating in the right ventricle (RV). [ncbi.nlm.nih.gov]
Presentation with heart failure predicted IGCM, and presentation with heart block or more than nine weeks of symptoms predicted CS. [onlinejacc.org]
Number 11-05: Cardiac Sarcoidosis - A Severe Presentation. [scmr.org]
Cardiovascular
- Cardiac Signs and Symptoms
The diagnosis of CS may be easy if cardiac signs or symptoms develop in a patient with a known diagnosis of extra-cardiac disease, but is particularly challenging in isolated CS. [escardio.org]
Workup
(See Etiology, Clinical, and Workup.) [emedicine.medscape.com]
Echocardiogram and cardiac MRI are the main imaging tests used in the workup of myocarditis. [clinicaladvisor.com]
QT, RR, ST Intervals
- ST Elevation
Diagnostic clues: Signs of CHF, possibly a pericardial friction rub, EKG showing nonspecific ST changes and sometimes low voltages (due to myocardial edema), sometimes signs of pericarditis (i.e. diffuse ST elevations), and can have frank ST elevations [errolozdalga.com]
Markers of myocardial damage ( troponin or creatine kinase cardiac isoenzymes) are elevated. [10] The ECG findings most commonly seen in myocarditis are diffuse T wave inversions; saddle-shaped ST-segment elevations may be present (these are also seen [en.wikipedia.org]
Like acute MI, myocarditis may be associated with regional ST elevations and Q waves. Myocarditis should be suspected in young patients who present with a possible MI but have a normal coronary angiogram. [textbookofcardiology.org]
EKG is abnormal about half the time, with sinus tachycardia and nonspecific ST-T abnormalities being the most common finding. ST elevations or depressions, PR depression, pathologic Q waves, arrhythmias, or heart block may also be present. 2. [clinicaladvisor.com]
Treatment
Not everyone who has the disease needs treatment. If you do, prednisone, a type of steroid, is the main treatment. [icdlist.com]
The disease may therefore respond to treatment aimed at attenuating T cell function. [wikidoc.org]
Treatment... Night Sweats (In Men and Women) Causes, Remedies, and Treatments Night sweats are severe hot flashes that occur at night and result in a drenching sweat. The causes of night sweats in most... [medicinenet.com]
It is usually fatal without treatment, and may respond to aggressive medical and surgical therapy. [histopathology-india.net]
Prior data concerning epidemiology, outcome with contemporary treatment and ICDs, and the effect of novel diagnostic methods is scarce and I set out to study these questions. [myocarditisfoundation.org]
Prognosis
In majority of cases, lung sarcoidosis is a self-limiting disease whereas cardiac involvement carries a poorer prognosis due to heart failure and malignant arrhythmias. [myocarditisfoundation.org]
Prognosis and Therapy: 1) Lymphocytic (Viral) Myocarditis – prognosis is variable, but many patients will spontaneously recover. The benefit of immunosuppression and IVIG is unclear, again since many patients recover on their own. [errolozdalga.com]
Natural History, Complications and Prognosis Complications Giant cell myocarditis is generally characterized by progressive congestive heart failure, and is frequently associated with refractory ventricular arrhythmias. [wikidoc.org]
In amyloidosis and hypertrophic cardiomyopathy, myocarditis may affect prognosis. [textbookofcardiology.org]
The prognosis of patients with subclinical cardiac sarcoidosis is controversial. [consultqd.clevelandclinic.org]
Etiology
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]
Cardiac sarcoidosis (CS) is a multisystem granulomatous disorder of unknown etiology with frequent cardiac involvement. We describe a patient presenting with a ventricular tachycardia, presumably originating in the right ventricle (RV). [ncbi.nlm.nih.gov]
VL - 21 IS - 1 N2 - Cardiac sarcoidosis (CS) is a multisystem granulomatous disorder of unknown etiology with frequent cardiac involvement. [unboundmedicine.com]
Coronary angiogram has a role mainly in ruling out ischemia as an etiology. Cardiac MRI is being used more and more and is good at detecting myocardial damage and edema which can point you towards myocarditis. [errolozdalga.com]
[…] has been suggested for GCM, based on the antimyosin GCM Lewis rat model and a high prevalence of associated autoimmune disorders, especially inflammatory bowel disease Diagrams / tables Images hosted on other servers: Etiology of Myocarditis Clinical [pathologyoutlines.com]
Epidemiology
Prior data concerning epidemiology, outcome with contemporary treatment and ICDs, and the effect of novel diagnostic methods is scarce and I set out to study these questions. [myocarditisfoundation.org]
The cellular infiltrate contains lymphocytes, histiocytes, and collections of eosinophils (arrowheads) (hematoxylin and eosin, x400) Epidemiology and Demographics Giant cell myocarditis often affects young otherwise healthy individuals. [wikidoc.org]
[…] eosinophilic and giant cell myocarditis (GCM) Terminology GCM has been termed idiopathic GCM, pernicious myocarditis, Fiedler myocarditis, acute idiopathic interstitial myocarditis, giant cell granulomatous myocarditis, and granulomatous myocarditis Epidemiology [pathologyoutlines.com]
Epidemiology The exact incidence of myocarditis is unknown. One study suggested that myocarditis is the cause of sudden cardiac death in 8.6% of cases and is identified in up to 9% of routine post-mortem examinations [ 1 ]. [patient.info]
Epidemiology of sarcoidosis : recent advances and future prospects. Semin Respir Crit Care Med 2007; 28:22–35. 5. Song Z, Marzilli L, Greenlee BM, et al. [journals.lww.com]
Pathophysiology
Pathophysiology Data from a Lewis Rat model and from observational human studies suggest that giant cell myocarditis is mediated by T lymphocytes. The disease may therefore respond to treatment aimed at attenuating T cell function. [wikidoc.org]
[…] myocarditis, Fiedler myocarditis, acute idiopathic interstitial myocarditis, giant cell granulomatous myocarditis, and granulomatous myocarditis Epidemiology Incidence difficult to determine as most cases are believed to be subclinical or underdiagnosed Pathophysiology [pathologyoutlines.com]
Myocarditis, defined as inflammatory disease of the myocardium, has a first phase of direct or indirect tissue damage due to infection, followed by an autoimmune phase. 3 Corticosteroids would thus be expected to affect the pathophysiological process. [elsevier.pt]
Pathophysiology Dilated cardiomyopathy represents the final common morphologic outcome of various biologic insults. The combination of myocyte injury and necrosis associated with myocardial fibrosis results in impaired mechanical function. [clevelandclinicmeded.com]
Our observation that CS and IGCM have distinct natural histories suggests that they may also be pathophysiologically distinct. [onlinejacc.org]
Prevention
Treatable - 0% Emergent - ED Care Needed - Preventable/Avoidable - 0% Emergent - ED Care Needed - Not Preventable/Avoidable - 0% Primary diagnosis of injury 0% Primary diagnosis of mental health problems 0% Primary diagnosis of substance abuse 0% Primary [medicbind.com]
Rapidly find the answers you need with separate sections on diseases and disorders, differential diagnosis, clinical algorithms, laboratory results, and clinical preventive services, plus an at-a-glance format that uses cross-references, outlines, bullets [books.google.de]
Pagina 487 - Diphtheria, tetanus, and pertussis: recommendations for vaccine use and other preventive measures. Recommendations of the Immunization Practices Advisory Committee (ACIP). [books.google.it]
[…] and Atkins KA described that in developed countries infectious causes of heart muscle inflammation are uncommon in immunocompetent individuals. [3] Patients with Acquired immunodeficiency syndrome ( AIDS ), transplant associated immunosupression to prevent [ispub.com]
This may provide a minimally invasive approach to preventing adverse remodeling after MI. a large multicenter series of heart failure patients. [kundoc.com]