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Related Concept Videos

Myocarditis II: Clinical Features and Diagnostic Tests01:27

Myocarditis II: Clinical Features and Diagnostic Tests

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Myocarditis is an inflammation of the heart muscle. The symptoms vary widely, encompassing asymptomatic presentations to severe, acute manifestations.Clinical PresentationAsymptomatic cases: In some instances, myocarditis may be asymptomatic, with the infection resolving without intervention. These cases often go undetected unless discovered incidentally through diagnostic imaging or tests conducted for other reasons.General Early Symptoms: Early symptoms of myocarditis are non-specific and can...
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Myocarditis III: Medical Management01:14

Myocarditis III: Medical Management

13
Myocarditis: Comprehensive Medical ManagementMyocarditis, the heart muscle inflammation, requires a comprehensive medical management strategy that addresses the underlying cause, provides supportive care, manages symptoms, and reduces cardiac workload.Infections and Autoimmune CausesAdminister appropriate antimicrobial therapy when an infectious agent causes myocarditis. For instance, penicillin treats infections caused by Group A Streptococcus. In cases where autoimmune processes are...
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Myocarditis I: Introduction01:21

Myocarditis I: Introduction

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Myocarditis is inflammation of the myocardium, which is the muscular layer of the heart.EtiologyMyocarditis has a diverse etiology, including a wide range of infectious and non-infectious causes:Infectious CausesViral: Common viruses include Coxsackie A and B, adenovirus, parvovirus B19, enteroviruses, and influenza A.Bacterial: Examples include infections caused by Streptococcus, Staphylococcus, and Mycoplasma species.Rickettsial: Infections like Rocky Mountain spotted fever can result in...
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Pericarditis I: Introduction01:22

Pericarditis I: Introduction

16
Pericarditis is defined as the inflammation of the pericardium, the thin, sac-like membrane surrounding the heart. This condition can cause significant chest pain and other symptoms, often necessitating medical intervention. The pericardium has two layers: the inner visceral layer and the outer parietal layer, separated by a small amount of fluid that reduces friction during heartbeats.Types of PericarditisPericarditis can be classified into several types based on the duration and nature of the...
16
Pericarditis III: Medical Management01:17

Pericarditis III: Medical Management

22
The primary objectives of managing pericarditis are to determine the underlying cause, provide effective therapy for treatment and symptom relief, and promptly detect signs and symptoms of cardiac tamponade. The following outlines the essential aspects of medical management for pericarditis:ObjectivesDetermine the Cause: Identifying the underlying cause of pericarditis is crucial for targeted treatment. Causes include viral infections, autoimmune diseases, post-cardiac injury syndrome, and...
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Myocarditis IV: Nursing Management01:22

Myocarditis IV: Nursing Management

17
Myocarditis is an inflammatory condition of the myocardium requiring meticulous nursing management for optimal patient outcomes. Effective management begins with a thorough assessment of the patient's medical history, paying close attention to past infections, autoimmune disorders, travel history, and exposure to toxins or drugs. Recent viral infections and systemic diseases are particularly relevant due to their potential role in triggering myocarditis.Physical Examination and MonitoringThe...
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COVID-19 Vaccine-Induced Acute Perimyocarditis: A Case Report.

Vishal Phogat1, Subash Nepal2, Satya Siva Prasad Gadula1

  • 1Medicine, Upstate University Hospital, Syracuse, USA.

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Summary

Perimyocarditis, inflammation of the heart lining and muscle, can occur after COVID-19 mRNA vaccines. This rare case highlights potential vaccine-associated perimyocarditis in adolescents.

Keywords:
acute myopericarditiscovid 19covid 19 vaccine complicationmrna-covid-19 vaccineperimyocarditisvaccine associated complicationsvaccine associated myocarditis

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Area of Science:

  • Cardiology
  • Immunology
  • Vaccinology

Background:

  • Perimyocarditis involves inflammation of both the pericardium and myocardium.
  • It presents similarly to acute pericarditis but includes myocardial damage, indicated by elevated troponin and reduced ejection fraction (<55%).
  • Management typically follows protocols for acute myocarditis, with viral infections being the common cause.

Observation:

  • Vaccine-associated myocarditis, though infrequent, has been reported with COVID-19 mRNA vaccines.
  • This report details a rare instance of perimyocarditis in a healthy adolescent male.
  • The condition developed subsequent to receiving his first COVID-19 mRNA vaccine booster dose.

Findings:

  • The patient experienced perimyocarditis following vaccination.
  • This case represents a rare adverse event associated with COVID-19 mRNA vaccination.
  • Myocardial involvement was confirmed by elevated cardiac biomarkers and impaired left ventricular function.

Implications:

  • This case underscores the importance of monitoring for cardiac adverse events post-vaccination.
  • Further research may be needed to fully understand the incidence and mechanisms of vaccine-associated perimyocarditis.
  • Clinical awareness is crucial for timely diagnosis and management of this rare condition.