- Causes are Coxsackie or adenoviral infection, Trypanosoma cruzi, Streptococcus (rheumatic carditis), diphtheria, toxoplasmosis, Lyme disease, toxins and autoimmune conditions
- presents with fatigue, palpitations, chest pain, dyspnea and fulminant congestive heart failure
- ECG: ST and T wave abnormalities and arrhythmias. Heart block in diphtheritic myocarditis, Lyme disease and Chagas disease
- cardiac enzymes elevated
- treatment: identify and treat underlying cause, bed rest and treatment for heart failure. Often resolves completely
How t differentiate effectively btw restrictive cardiomyopathy vs contrictive pericarditis??
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Differences
- absence of LVH in constrictive pericarditis
- absent of calcification on CXR, prominent apical impulse and conduction abnormality in restrictive cardiomyopathy
Great and easy-to-understand tutorial, thnx!
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