3.8 Review

Fulminant myocarditis

Journal

NATURE CLINICAL PRACTICE CARDIOVASCULAR MEDICINE
Volume 5, Issue 11, Pages 693-706

Publisher

NATURE PUBLISHING GROUP
DOI: 10.1038/ncpcardio1331

Keywords

cardiogenic shock; heart failure; inflammation; myocarditis; viral infection

Funding

  1. NHLBI NIH HHS [K08 HL076440] Funding Source: Medline

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Fulminant myocarditis is an inflammatory process that occurs in the myocardium and causes acute-onset heart failure. If patients with fulminant myocarditis are aggressively supported in a timely manner, nearly all can have an excellent recovery. In this Review, we discuss the clinical and histological distinguishing features of fulminant myocarditis and contrast this disease entity with nonfulminant myocarditis. The epidemiology, pathophysiology, clinical presentation, methods of diagnosis, management options and prognosis of fulminant myocarditis are reviewed in detail.

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