The Journal of the American College of Cardiology has issued a White Paper outlining the indications for cardiac MRI in patients with suspected myocarditis. Indications include: symptoms (CP, SOB, palpitations, etc), signs of myocardial injury (ventricular dysfunction, ECG changes, or elevated biomarkers), and suspected viral etiology (recent viral illness, previous myocarditis, no evidence of CAD) (article). Cardiac MRI is rapidly becoming the imaging test of choice in patients with suspected myocarditis.
|Dyspnea ororthopnea or palpitations or effort intolerance/malaise or chest pain
||Ventricular dysfunction or new or persisting ECG abnormalities orelevated troponin
||History of recent systemic viral disease or previous myocarditis or absence of risk factors for coronary artery disease or age <35 yrs orsymptoms not explained by coronary stenosis on coronary angiogram orrecent negative ischemic stress test
What comes to mind when you think of getting CME? I bet most of you would say sitting in an auditorium, whether that be during your local grand rounds or at our professional society meeting, like Hospital Medicine 16 in sunny San Diego this past March. Hanging out in the Twitterverse? Probably not so much… […]
As a nurse practitioner in hospital medicine I have multiple opportunities to interact with all sorts of physician hospitalist colleagues, hospital medicine group leaders, quality officers etc. Often their interactions with me take on a certain wary curiosity, like I am some exotic monkey or another creature that is unfamiliar to them. If I am […]
By reading the headlines recently, practitioners would not know if they saved or tanked the healthcare system. One day disaster looms, the next we have moderated growth and business can continue as usual (and by business, I mean doing the correct things correctly). A new study, along with some recent data, helps shed some light […]