Vnitr Lek 2005, 51(5):510-517

Acute myocarditis, prevalence, diagnosis and treatment in local hospital

M. Belicová^*, J. Dvorský, Ľ. Vladár, M. Mokáň

I. interná klinika Jeseniovej lekárskej fakulty UK a Martinskej fakultnej nemocnice, Martin, Slovenská republika, prednosta prof. MUDr. Marián Mokáň, DrSc.

Clinical diagnosis of acute myocarditis is one of the greatest problems of contemporary cardiology, determined by wide clinical and laboratory polymorphysm of disease. Reliable, accurate diagnostic tests able to exclude or confirm diagnosis are not available yet.


Aim of the study:
Description of the prevalence, diagnosis and treatment of patients with acute myocarditis.


Patients:
From 1^st July 2002 to 30^th June 2003 12 patients (9 males) of age 24-49 years were hospitalised with the diagnosis of acute myocardidis.

Results:
8 patients had chest pain; these patients had changes on ECG. 4 patients had heart failure; these patients had changes on echocardiography. All patients had elevation of level of troponin T and 50% of them elevation of level of creatinkinase. All patients had fever.

Conclusion:
Acute myocarditis on the ECG was manifested by changes of the repolarization stage ST-T which simulated acute non Q and Q myocardial infarction or pericarditis. Echocardiography reveal localized kinetic disorders with dilated or not dilated chambers of heart.

Keywords: myocarditis; cardiomyopathy; cytokines; heart failure

Received: February 11, 2004; Accepted: August 23, 2004; Published: May 1, 2005  Show citation