Viral Myocarditis
Conditions
Brief summary
Presentation, Clinical Course and Patterns of Myocardial Damage due to Viral Myocarditis
Detailed description
1. Determine the pattern of myocarditis in hospitalized patients with acute HF within the last 3 months. 2. Determine the pattern of broad spectrum cardiotropic viruses in patients with acute HF within the last 3 months. These viruses like enteroviruses, adenoviruses and parvo B19 virus, HBV, HCV and Covid 19 virus due to its increased prevelance nowadays.
Interventions
ELIZA, Extraction of nucleic acid ,Determination of viral genome by using PCR, Quantitative real-time PCR to assess viral load ,Immunohistochemistry analysis of EMB.
Sponsors
Study design
Eligibility
Inclusion criteria
All patients admitted with symptoms , signs and echocardiographic finding suggesting myocarditis within 3 months from start of the symptoms. as acute heart failure, arrhythmias, typical chest pain with ST segment deviation in ECG . dilated cardiomyopathy associated with normal Coronary Angiography, history of upper respiratory tract infection within the last 3 months.
Exclusion criteria
1. Patients with significant coronary artery disease. 2. Patient with family history suggesting familial DCMP 3. Critically ill patients. 4. Patients who refuse to do coronary angiography . . 5. Patients with severe valvular heart disease. 6. Pregnant women 7. Patients with raised renal chemistry. 8. Echocardiographic finding showing LVEDD more than 6.5cm
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Determine the pattern of myocarditis in hospitalized patients with acute HF within the last 3 months | 6 months | All patients admitted with symptoms , signs and echocardiographic finding suggesting myocarditis within 3 months from start of the symptoms. as acute heart failure, arrhythmias, typical chest pain with ST segment deviation in ECG . dilated cardiomyopathy associated with normal Coronary Angiography, history of upper respiratory tract infection within the last 3 months. All will be investigated for determine the pattern of viral myocarditis in those patients |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| determination of the caustive organism | 6 months | 1\. Determine the pattern of broad spectrum cardiotropic viruses in patients with acute HF within the last 3 months. These viruses like enteroviruses, adenoviruses and parvo B19 virus, HBV, HCV and Covid 19 virus due to its increased prevelance nowadays. |
Countries
Egypt