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Emergency: requires immediate attention
Myopericarditis
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Other Resources UpToDate PubMed
Emergency: requires immediate attention

Myopericarditis

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Contributors: Benjamin L. Mazer MD, MBA, Ryan Hoefen MD, PhD
Other Resources UpToDate PubMed

Synopsis

Inflammation of the pericardium similar to pericarditis but with involvement of the adjacent myocardial layer, usually presenting with chest pain, fever, and shortness of breath. Myocardial involvement is identified by elevated plasma cardiac enzyme (eg, troponin) levels. Friction rub is the characteristic finding on auscultation.

Myocarditis and pericarditis share common causes: viral infection, bacterial infection, autoimmune disease, and drug side effects. Children and young adults more often have myocardial involvement during pericarditis.

NSAIDs are the primary treatment for myopericarditis. Unlike pure myocarditis, myopericarditis does not typically lead to poor cardiovascular outcomes, such as heart failure.

Codes

ICD10CM:
I30.9 – Acute pericarditis, unspecified

SNOMEDCT:
11176009 – Acute myopericarditis

Differential Diagnosis & Pitfalls

Best Tests

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References

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Last Updated: 07/13/2016
Copyright © 2019 VisualDx®. All rights reserved.
Emergency: requires immediate attention
Myopericarditis
Print 1 Images
Myopericarditis : Chest pain, Pericardial effusion, Pericardial friction rub, Dyspnea
Copyright © 2019 VisualDx®. All rights reserved.