Skip to main content
. 2021 Aug 9;8:721333. doi: 10.3389/fcvm.2021.721333

Table 2.

Select studies highlighting use of various immunosuppression strategies in myocarditis.

Study Patients Criteria Immunosuppression Outcomes Conclusion
The Myocarditis Treatment Trial (4) 111 Histopathological diagnosis and Left Ventricular Ejection Fraction (LVEF) <0.45 Prednisone with cyclosporine or azathioprine Change in LVEF 28 weeks No statistical difference in EF or survival
GCM Treatment Trial (66) 12 Biopsy-proven GCM with <3 months of symptoms Steroids and cyclosporine +/– muromonab-CD3 EMB and LVEF in 4 weeks Statistically significant decrease in inflammatory cells and no statistical difference in EF
Rabbit anti-thymocyte globulin (RATG) at Harefield Hospital (67) 6 Histopathological diagnosis RATG + methylprednisolone Mean LVEF improvement Mean LVEF improvement 29%
Intervention in Myocarditis and Acute Cardiomyopathy (IMAC) trial (68) 62 Histopathological diagnosis (cellular inflammation not necessary, GCM excluded), LVEF <0.4, <6 months of symptoms without CAD or valvular disease IVIG LVEF change at 6 and 12 months No statistical difference in change in EF compared to placebo