Detection and Management of Myocarditis and Fulminant Myocarditis

Abstract

Myocarditis is commonly caused due to systemic viral infection with cardiotropic nature. In the acute phase this disorder could cause lethal hemodynamic or arrhythmic disorders. Newest studies showed that the use of guideline-directed medical care in the care of myocarditis will lead to better outcomes. This condition varies in presentation ranging from mild to life-threatening such as cardiogenic shock. With the current advances in early detection and circulatory support using extracorporeal membrane oxygenation (ECMO) myocarditis could be managed very well. Cases of myocarditis related to COVID-19 has been reported however as per this time there has no confirmed pathological evidence regarding direct causation between COVID-19 and myocarditis however in these severely ill patients’ elevations in cardiac biomarkers (cTn BNP and NTproBNP) occurs and the administration of immunosuppressant could increase the chance of remission. Keyword: Myocarditis fulminant COVID-19.