Myocarditis

Author:

DE LA CHAPELLE CLARENCE E.1,KOSSMANN CHARLES E.1

Affiliation:

1. From the Departments of Medicine of the College of Medicine and the Post-Graduate Medical School, New York University; the Third (New York University) and Fourth (New York University) Medical Divisions of Bellevue Hospital; and Lenox Hill Hospital, New York, N. Y.

Abstract

A review of selected papers on myocarditis published during the past decade and an analysis of some original data together with personal experiences have been presented. All of these indicate that the clinical diagnosis of myocarditis is made far too infrequently as contrasted with the high incidence of this disease as recognized by pathologists. It is estimated that approximately 10 per cent of all patients coming to necropsy will demonstrate some evidence of myocarditis. The discrepancy between the clinical and the pathologic incidences can possibly be ascribed to two factors, namely, (a) the relatively innocent nature of the clinical and laboratory findings in many cases, and (b) the apparent reluctance of the clinician to make the diagnosis. It is likely that a correct diagnosis of myocarditis will be made more often and cardiac catastrophies avoided if the clinician will consider the possibility of the diagnosis, particularly in the course of all types of infectious diseases.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine

Reference10 articles.

1. Nonrheumatic inflammatory diseases of the heart, C. Myocarditis. In Gould, S. E.: Pathology of the Heart, ed. 1. Springfield, Ill;SAPHIR;Charles C Thomas,1953

2. GORE I. AND SAPHIR 0.: Myocarditis. A classification of 1402 cases. Am. Heart J. 34: 827 1947.

3. Sudden and unexpected deaths of young soldiers;RITZ A. R.;Arch. Path.,1946

4. CORRELATION BETWEEN ACTIVE RHEUMATIC LESIONS IN THE LEFT AURICULAR APPENDAGE AND ELSEWHERE IN THE HEART

5. MYOCARDIAL CHANGES IN FATAL DIPHTHERIA

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