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
Fill in the Blanks: Q: “The diagnosis of type 2 MI is associated with a _____ prognosis. ___% of patients will live five years after their diagnosis.” The answer is a) POOR and b) a staggering 40%. I did not know that. However, what I am aware of is the ambiguity around Type 2 MIs and […]
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 […]