Myocarditis - Giant Cell

Etiology

  • Idiopathic d/o
  • Often have other autoimmune dz: IBD, thyroid, myasthenia
  • Dx by endomyocardial bx and exclusion other causes

Symptoms

  • Acute
  • Rapid
  • High mortality
  • Severe and progressive CHF sx from depressed LV fxn
  • Often accompanied by ventricular dysrhythmias (pre syncope, syncope, palpitations)
  • Also high grade A-V block--> bradycardia

Physical Exam Findings

  • Findings of CHF
  • Sometimes bradycardia