myocarditis

What is QRS fragmentation, and what does it mean?

Last month’s case was an example of a missed MI due to anchoring bias based on the patient’s prior history of pulmonary fibrosis. In this month’s brief summary, we are reminded that myocarditis is another cause of chest pain that must be considered, especially in younger patients.

Some great pearls by the coach!

A Social Visit or Your Most Dangerous Presentation Tonight?

Adult myocarditis… This condition can be difficult to diagnose and manage. Read on for pearls and pitfalls for evaluating and treating myocarditis.

A 18-year-old male presents with chest pain and shortness of breath for several days. Approximately one week prior he was suffering from myalgia, congestion, sore throat, and fever and was diagnosed with an upper respiratory infection. Today his vitals are HR 132, RR 28, BP 92/48, T 37.8 C, and Sats 95% on RA. What should you consider, and what are your next steps?

Isn’t it just another upper respiratory infection? When should you consider myocarditis in the patient with URI symptoms?