Sunday, May 1, 2022

Pericarditis and Myocarditis

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.
Take Home Points (in the setting of Covid-19)
  • 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.