Table 1.
Acute phase | Potential late sequelae | |
---|---|---|
Clinical presentation | Instrumental findings | |
Fever, chest pain, dyspnea, syncope HF with normal or dilated left ventricle and reduced EF HF with normal or dilated left ventricle and arrhythmias Cardiogenic shock Sudden cardiac death |
Elevated troponin/BNP/CRP/IL6 ECG: ST segment abnormalities, T wave inversion, arrhythmias Echocardiography: normal-sized or dilated left ventricle with normal or reduced EF; pericardial effusion CMR: global or regional anomalies of T2 signal, late gadolinium enhancement Histology: immune cell infiltrates, fibrosis, myocytolysis |
Left/right ventricular dysfunction Tachyarrhythmias High degree of heart block Chronic pericardial effusion Sudden cardiac death Recovery |
EF ejection fraction, BNP brain natriuretic peptide, CMR cardiac magnetic resonance, CRP C reactive protein, ECG electrocardiogram, HF heart failure, IL6 interleukin 6