Safety Pearls and Pitfalls

  • Myocarditis has a significant morbidity and mortality and may present as sudden death in a previous healthy individual (Grade of Evidence 1b)
  • The clinical presentation of myocarditis is varied and can result in diagnostic difficulty and delay (Grade of Evidence 2c)
  • There are many causes of myocarditis and a thorough clinical history and examination are mandatory
  • There is no single diagnostic test that will confirm a diagnosis of myocarditis in the ED
  • Patients suspected of having acute myocarditis should not be discharged home from the ED even if they are physiologically stable
  • Treatment of myocarditis is largely supportive and this may involve aggressive cardiorespiratory resuscitation in the ED
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