Myocarditis classification

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Varun Kumar, M.B.B.S.

Clinicopathological classification

• Fulminant myocarditis - Occurs after a viral prodrome. May present as acute severe cardiovascular compromise with ventricular dysfunction. The prognosis is good if the patients survive acute illness.

• Acute myocarditis - Presents with less distinct onset of illness with ventricular dysfunction. They may progress to dilated cardiomyopathy.

• Chronic active myocarditis - Has a less distinct onset of illness, with clinical and histologic relapses and development of ventricular dysfunction. Histologically, chronic inflammatory changes with mild to moderate fibrosis may be noted.

• Chronic persistent myocarditis - It is of less distinct onset. It is characterized with persistent histologic infiltration and myocyte necrosis without ventricular dysfunction despite the presence of symptoms.