Is Recurrent Myopericarditis Recurrent Viral Myopericarditis?

  • Semiha Terlemez Gazi Üniversitesi Tıp Fakültesi
  • Fatma Canbeyli
  • Vildan Atasayan
  • Serdar Kula
  • Ayşe Deniz Oğuz
  • Fatma Sedef Tunaoğlu

Abstract

Myopericarditis is an illness with normally favorable prognosis and mostly seen in young adults. It is known that myopericarditis can be recurrent. However, it cannot be clarified why it is recurrent. We are presenting two cases including a 16-year-old and a17-year-old patients gone through myopericarditis for 3 times. We did a detailed research to introduce etiological reasons in two patients. We studied infectious reasons, autoimmune diseases, immunological and rheumatic diseases including mainly viral pathogens. During the myopericarditis  attacks of patients, no pathological finding was identified other than being monocytosis in full blood counts, moderate sedimentation, CRP  increase and raised troponin in laboratory data. We determined all viral pathogens known as agent as negative in both patients of ours. We think that patients particularly with more than one recurrent myopericarditis should be evaluated with a different perspective.

References

Spodick DH. Myopericarditis/perimyocarditis. In The pericardium. A comprehensive textbook. New York: Marcel Dekker, Inc.; 1997.

Imazio M, Cooper LT. Management of myopericarditis. Expert RevCardiovasc Ther 2013; 11:193–201.

Maestroni S, Di Corato PR, Cumetti D, et al. Recurrent pericarditis: autoimmune or 2012;12(1):60-65.

Hyttinen L, Kaipiainen-Seppänen O, Halinen M. Recurrent myopericarditis in association with Crohn’s disease. J Intern Med. 2003;252(3):386-388.

Park EH, Kim BJ, Huh JK, et al. Recurrent mesalazine-induced myopericarditis in a patient with ulcerative colitis. J Cardiovasc Ultrasound. 2012;20(3):154-156.

Freeman HJ, Salh B. Recurrent myopericarditis with extensive ulcerative colitis. Can J Cardiol. 2010;26(10):549-550.

Khavandi A, Whitaker J, Elkington A, Probert J, Walker PR. Acute streptococcal myopericarditis mimicking myocardial infarction. Am J Emerg Med. 2008;26(5):638.e1-638.e2. doi:10.1016/j.ajem.2007.10.030.

Lee TH, Goldman L. Evaluation of the patient with acute chest pain. N Engl J Med. 2000;342(16):1187–95

Wang K, Asinger RW, HJL M. ST-segment elevation in conditions other than acute myocardial infarction. N Engl J med. 2003;349(22):2128–35.

Theleman KP, Kuiper JJ, Roberts WC. Acute myocarditis (predominately lymphocytic) causing sudden death without heart failure. Am J Cardiol. 2001;88:1078–83.

Imazio M, Brucato A, Spodick DH, Adler Y. Prognosis of myopericarditis as determined from previously published reports.J Cardiovasc Med (Hagerstown). 2014;15(12):835-9

Divoky L, Wilford RD. A case of seasonal recurrent myopericarditis. J Am Osteopath Assoc. 2014;114(1):52-5.

Imazio M, Brucato A, Barbieri A, et al. Good prognosis for pericarditis with and without myocardial involvement: results from a multicenter prospective cohort study. Circulation 2013; 128:42–49.

Machado S, Roubille F, Gahide G, et al. Can troponin elevation predict worse prognosis in patients with acute pericarditis? Ann Cardiol Angeiol (Paris) 2010; 59:1–7.

Freeman HJ, Salh B. Recurrent myopericarditis with extensive ulcerative colitis. Can J Cardiol. 2010 ;26(10):549-50.

Hyttinen L, Kaipiainen-Seppänen O, Halinen M. Recurrent myopericarditis in association with Crohn's disease. J Intern Med. 2003;253(3):386-8.

Imazio M, Trinchero R.Myopericarditis: Etiology, management, and prognosis. Int J Cardiol. 2008 23;127(1):17-26.

Hammer Y, Bishara J, Eisen A, Iakobishvili Z, Kornowski R, Mager A. Seasonal patterns of acute and recurrent idiopathic pericarditis. Clin Cardiol. 2017;40(11):1152-1155

Published
2020-06-11