Clinical Profile and Predictors of Mortality of Myocarditis in Tertiary Care Hospital
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 5
Abstract
Introduction: Clinical profile of myocarditis has not been well characterized in our local population. Aims and Objectives: To study the clinical profile and predictors of mortality of myocarditis in a territiary care hospital. Materials and Methods: It was a prospective single-center observational study done from November 2010 to October 2012. All patients who were diagnosed and admitted as myocarditis were included in the study. Results: A total of 30 patients were diagnosed as myocarditis. Mean age of the patients was 35 ± 13.1 years, with male to female ratio of 1.3:1. The most common presenting symptom was breathlessness and chest pain while as most common sign was tachycardia. Two-third of patients had congestive heart failure and one-half had left ventricular (LV) dysfunction. Inpatient hospital mortality was 16.6%. Advanced New York Heart Association (NYHA) Class IV (P = 0.0004), hypotension (P = 0.0026), and LV ejection fraction <35% (P = 0.0018) were found to be significantly higher in non-survivors as compared to survivors. Conclusion: Patients presenting with advanced NYHA Class, hypotension and those having severe LV dysfunction are more likely to die; hence, need very careful and aggressive management.
Authors and Affiliations
Aamir Rashid, Najeeb Rasool, Shahood Ajaz, Mohmad Iqbal Wani
Keywords
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