What factors can affect prognosis for myocarditis?

Bottom line:  Fulminant myocarditis may be associated with a better prognosis than patients with acute myocarditis.

Summary:  McCarthy RE, et al.  Long-term outcome of fulminant myocarditis as compared with acute (nonfulminant) myocarditis.  N Engl J Med. 2000 Mar 9;342(10):690-5.

Study of 147 patients, all with biopsy-confirmed myocarditis.  Fulminant myocarditis was observed in 15 (10%) of the patients based on clinical findings, such as presence of severe hemodynamic compromise, rapid onset of symptoms, and fever.  Patients followed for average of 5.6 years.  RESULTS:  Among patients with fulminant myocarditis, 93% were alive without heart transplant 10 years after biopsy compared to 45% of the patients with acute myocarditis.

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About Amy

Clinical Informationist at EUH Branch Library
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