EM Ottawa - By Maria Doubova & Lucy Karp - April 28, 2022
Chest pain is one of the most common presentations to the emergency department (ED) and includes a wide differential diagnosis. In today’s post, we will review a less common cause of chest pain seen in the ED: pericarditis and myocarditis. We will also review considerations for these disease processes as it pertains to COVID-19…
Take Home Points- Keep myocarditis on the differential diagnosis for young patients presenting with chest pain and dyspnea. Have a low threshold to order a troponin in the workup of these patients.
- The prognosis following a diagnosis of myocarditis is highly dependent on the underlying etiology.
- Investigate for post-vaccine myocarditis in patients within 42 days of COVID-19 mRNA vaccination.
- Most patients have good prognosis following the disease.
- Fill out the Adverse Events form for these patients.