Myocarditis
Conditions
Brief summary
To study the value of heart rate lowering therapy pharmacological rest on the short term in cases of myocarditis without LV dysfunction.
Interventions
heart rate lowering therapy
Sponsors
Study design
Eligibility
Inclusion criteria
* Adults: ≥18 years of age. * Presentation: at least one of the following: * Myopericarditis/ACS-like * MINOCA * Arrhythmias: brady or tachyarrhythmias. * Unexplained compensated acute cardiomyopathy (excluded ischemic, valvular, hypertensive, metabolic, and toxic causes of cardiomyopathy as indicated clinically). * TTE: LVEF\>40% * CMR-confirmed myo(peri)carditis (Lake Louise criteria)
Exclusion criteria
* • Rheumatic carditis. * Connective tissue diseases (-ve ANA). * Cancer chemotherapy. * Toxicity from immunotherapy. * Vaccine-related myocarditis. * Presence of coronary artery disease. * Peripartum (occurring during the last month of pregnancy or within 5 months after delivery) * ECG: atrial fibrillation/flutter. * Resuscitated sudden death. * Early/initial phase of decompensated heart failure. * Tamponade complicating pericarditis unless successfully managed.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Value of Heart Rate Lowering Therapy in Acute Myocarditis | baseline | To study the value of heart rate lowering therapy pharmacological rest on the short term in cases of myocarditis without LV dysfunction. |
Countries
Egypt