Myocarditis physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-In-Chief: Varun Kumar M.B.B.S., Maliha Shakil, M.D. [2]

Overview

The physical examination in patients with myocarditis may reveal tachycardia, a cardiac gallop, mitral regurgitation due to left ventricular dilation, and pedal edema suggestive of cardiac failure. A pericardial friction rub may be noted in presence of concomitant pericarditis, a condition sometimes referred to as myopericarditis.[1]

Physical Examination

General appearance

Patients with mild cases of myocarditis may have a non-toxic appearance. Patients with acute onset or advanced disease may present with signs of cardiac dysfunction.[1]

Vital signs

Heart

Lungs

Abdomen

Ascites may be observed if heart failure and fluid overload is present.

Extremities

Pedal edema may be observed if congestive heart failure and fluid overload are present.

Physical Examination Findings Specific to Various Underlying Causes

References

  1. 1.0 1.1 1.2 Magnani JW, Dec GW (2006). "Myocarditis: current trends in diagnosis and treatment.". Circulation. 113 (6): 876–90. PMID 16476862. doi:10.1161/CIRCULATIONAHA.105.584532.  Unknown parameter |http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom= ignored (help)

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