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from Section 3.1 - Cardiac and Circulatory Failure
Published online by Cambridge University Press: 27 July 2023
Key Learning Points
1. A high degree of clinical suspicion is required to effectively diagnose and treat myocarditis.
2. Endomyocardial biopsy (EMB) is required to attain a certain diagnosis and direct effective management.
3. Supportive care is the mainstay of medical management if the diagnosis is unclear, and may necessitate the use of inotropic drugs and mechanical assist devices.
4. Complex diagnostic and management issues require a multidisciplinary approach – intensivist, cardiologist, pathologist (trained in myocardial pathology), clinical immunologist and infectious disease specialist.
5. Suspect myocarditis in young patients (<35 years old) with unexplained heart failure or arrhythmia.
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