What Is the Treatment of Acute Myocarditis?
Acute myocarditis commonly presents with chest pain. Uncomplicated cases are managed empirically, with the approach tailored to the specific clinical picture — including whether features of pericarditis are present and whether arrhythmia risk needs to be addressed.
Clinical Goals
Resolution of chest pain and control of symptoms.
Treatment Approach (Partial Overview)
Management is built around anti-inflammatory therapy for chest pain control, with additional agents considered in specific presentations. Selected patients — including those with particular laboratory findings — also receive targeted therapy to address potential arrhythmias.
Full agent selection, sequencing, and duration available in the complete protocol below.
References
DOI: 10.1093/eurheartj/ehaf192
- Uncomplicated cases of myocarditis usually present with chest pain and can be empirically treated with aspirin or non-steroidal anti-inflammatory drugs (NSAIDs) for the control of chest pain, if needed.
- Concomitant use of colchicine is safe in patients with myopericarditis, preventing recurrences.
- NSAIDs (together with proton pump inhibition) should be considered in patients with associated symptoms of pericarditis to reduce symptoms.
- Colchicine should be considered in patients with myopericarditis to reduce recurrences.
- β-Blockers, with a continuation for at least 6 months, should be considered in patients with acute myocarditis, especially those with troponin elevation, to control symptoms and prevent arrhythmias.
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