Acute myopericarditis as a cause of isolated right ventricular failure

Wendy Ying, Miguel Pinilla-Vera, Sammy Zakaria

Research output: Contribution to journalArticle

Abstract

Myopericarditis is characterized by pericardial and myocardial inflammation and is a known cause of chest pain and heart failure. It is primarily associated with biventricular or left ventricular dysfunction. We describe an unusual case of a 57-year-old woman with myopericarditis causing isolated right ventricular (RV) failure. She initially presented with chest pain and cardiogenic shock and was found to have acute RV dysfunction with a normally functioning left ventricle. After excluding more common causes of RV failure, she was diagnosed with acute myopericarditis. In this report, we discuss the differential diagnoses and work-up of acute RV failure, as well as review prior cases of RV-predominant myocarditis/myopericarditis. We highlight the importance of recognizing isolated RV failure as a possible, but rare, presentation of myopericarditis.

Original languageEnglish (US)
Pages (from-to)171-178
Number of pages8
JournalFuture Cardiology
Volume16
Issue number3
DOIs
StatePublished - May 2020

Keywords

  • cardiac tamponade
  • cardiogenic shock
  • chest pain
  • heart failure
  • myopericarditis
  • right ventricular failure

ASJC Scopus subject areas

  • Molecular Medicine
  • Cardiology and Cardiovascular Medicine

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