Myocarditis and dilated cardiomyopathy
Myocarditis and dilated cardiomyopathy
Diagnosis and management
Stephane Heymans Dep. of Cardiology, Maastricht University Medical Centre
? Viral myocarditis ? Dilated cardiomyopathy ? Diagnosis ? Treatment
What is viral myocarditis ? "Sleeping" viruses Injury
Herpesvirus
Immunogenetic background
Environment
? Additional virus ? Illness
What is a viral myocarditis... cough of the heart !
Herpesvirus Parvovirus Epstein BV Enterovirus
Immunogenetic background
Environment
? Additional virus ? Heart failure
Virus persistence 6 months after acute myocarditis relates to heart failure
Kuhl, Circulation 2005
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