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Acute myocarditis — RACP Written MCQ

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HardCardiologyAcute myocarditisRACP Written

A 24-year-old man develops chest pain, fever and palpitations 5 days after an influenza-like illness. ECG shows diffuse ST-T changes, troponin is 1,200 ng/L and echocardiography shows LVEF 45% without regional wall-motion abnormality. Coronary risk is low. What is the most appropriate investigation?

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Correct answer: C — Cardiac MRI

Cardiac MRI is useful for suspected myocarditis because it can identify myocardial oedema and non-ischaemic late gadolinium enhancement patterns.

Reference: National Heart Foundation of Australia; Therapeutic Guidelines: Cardiovascular