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Miocardita (TRATAMENT (ETIOLOGIC (acyclovir, antibiotic), inotrop,…
Miocardita
TRATAMENT
inotrop
diuretic
antiaritmice
ECMO
device ventricular
transplant cardiac
ETIOLOGIC
acyclovir
antibiotic
IMUNOMODULATOARE
ANALIZE
CPK-MB
troponina T/I, BNP, proBNP
VSH, CPR
complement, il1, il6
ac. antimiozina
EVIDENTIERE VIRUS
ac. virali
cultura
PCR, IHC, BEM
ECG
NESPECIFIC
tahicardie,
microvoltaj
, hipertroie ventriculara
unde
T inversate
supradenivelare concava ST
blocuri
tulburari de ritm
clasificare Lieberman
fulminante
soc cardiogen / FiV
BEM: multiple focare
posibila recuperare totala
acuta clasica
IC progresiva
BEM: miocardita activa / borderline
evolutie spre CMD
cronica persistenta
cronica activa
ETIOLOGIE
viral
Coxackie B
Parvo B19
Herpes V6
CMV / EBV
Rotavirus
imune
Kawasaki
LES
AIJ
IBD
Takayasu
toxice
antraciclina
izniazida
cefalosporina
radiatii
RX
CARDIOMEGALIE
CONGESTIE VENOASA
PLEUREZIE
BEM
nu sub 10kg / instabilitate hemodinamica
! rezultate fals negative
EVOLUTIE = CMPD non-ischemica
insuficeinta cardiaca
ECOCORD 98% anormala dar
nespecifice
CM
dilatativa
hipertrofica
restrictiva
ischemica
implicare virala la 1:5 pacienti
RMN