Acute myopericarditis presenting as effusive-constrictive pericarditis– a case report

Authors

  • Dipal Krishna Adhikary Assistant Professor, Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka
  • Md Nazmul Hasan Resident, Phase-B, Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka
  • Md Abu Siddique Professor, Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka
  • Sajal Krishna Banerjee Professor and Chairmen, Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka
  • ATM Iqbal Associate Professor, Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka
  • Md Nazmul Hasan Medical Officer, Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka
  • Md Rasul Amin Assistant Professor, Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka

DOI:

https://doi.org/10.3329/bmj.v44i3.27378

Keywords:

Myopericarditis, e!usive-constrictive pericarditis, increased troponins

Abstract

Myopericarditis is primarily a pericardial inflammatory syndrome occurring when clinical diagnostic criteria for pericarditis are satisfied and concurrent mild myocardial involvement is documented by elevation of biomarkers of myocardial damage (i.e. increased troponins). Limited clinical data on the causes of myopericarditis suggest that viral infections are among the most common causes in developed countries. Cardiotropic viruses can cause pericardial and myocardial in!ammation via direct cytolytic or cytotoxic effects and/or subsequent immune-mediated mechanisms. Many cases of myopericarditis are subclinical. In other patients, cardiac symptoms and signs are over shadowed by systemic manifestations of infection or inflammation. The increased sensitivity of troponin assay and contemporary widespread use of troponins has greatly increased the reported number of cases. Management is similar to that reported for pericarditis, generally with a empiric anti-inflammatory drugs mainly aimed to control symptoms. Rest and avoidance of physical activity beyond normal sedentary activities has been recommended for 6 months is recommended as for myocarditis. At present, there is no evidence that troponin elevation confers worse prognosis (i.e. a greater risk of recurrence, death or transplantation) in patients with preserved left ventricular function. Usually complete remission is seen in 3 to 6 months. We report here a case of a 18 year young man with acute myopericarditis who presented with transient effusive-constrictive pericarditis.

Bangladesh Med J. 2015 Sep; 44 (3): 165-167

Downloads

Download data is not yet available.
Abstract
829
PDF
725

Author Biography

Dipal Krishna Adhikary, Assistant Professor, Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka



Downloads

Published

2016-04-17

How to Cite

Adhikary, D. K., Hasan, M. N., Siddique, M. A., Banerjee, S. K., Iqbal, A., Hasan, M. N., & Amin, M. R. (2016). Acute myopericarditis presenting as effusive-constrictive pericarditis– a case report. Bangladesh Medical Journal, 44(3), 165–167. https://doi.org/10.3329/bmj.v44i3.27378

Issue

Section

Case Reports