In the treatment of arrhythmias, there are not recommended any specific procedures yet. Their treatment with instrument techniques is problematic because arrhythmias may disappear themselves after the acute disease phase [43] and thus in references, rather a little bit reserved posture is recommended in the question of indication of instrument correction of arrhythmias during the acute phase of the disease [100]. This treatment is mostly used in Lyme´s carditis, cardiac sarcoidosis, GCM and Chagas disease. Indication for the temporary pacemaker is AV block of the 2nd or 3rd degree [57, 62, 92, 93, 98, 127]. ICD is indicated after cardiac arrest as a result of ventricular fibrillation or ventricular tachycardia, especially in cardiac sarcoidosis and GCM [57, 62, 127].
There are no specific recommendations even for treatment of thromboembolism in myocarditis and thus it follows recommendations of cardiological societies. Increased risk of thromboembolism is for example in eosinophilic myocarditis. Japanese Circulation Society even recommends the use of anticoagulants in eosinophilic myocarditis and a prevention of thromboembolism [127].
Author of the opening picture: Jer5150
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References:
43) M, HOLICKÁ a ŠPINAR J. Myokarditidy. ACTA MEDICINAE. 2013, 2013(7), 68-74.
57) A., CHAUDHRY a et al. Modern day management of giant cell myocarditis. International Journal of Cardiology. 2015, 2015(178), 82-84.
62) H., BIRNIE a et al. HRS Expert Consensus Statement on the Diagnosis and Management of Arrhythmias Associated With Cardiac Sarcoidosis. Heart Rhythm. 2014, 11(7), 1304–1323.
92) JR., RASSI a et al. Chagas disease. Lancet. 2010, 375(-), 1388-1402.
93) H., MALIK a et al. The Epidemiology, Clinical Manifestations, and Management of Chagas Heart Disease. Clin. Cardiol. 2015, 38(9), 565-569.
98) KINDERMANN, I. a et al. Update on Myocarditis. Journal of the American College of Cardiology. 2012, 59(9), 779-792.
100) KREJČÍ, J. Myokarditidy a zánětlivé kardiomyopatie. Kardiologická Revue Interní Medicína. 2015, 17(4), 288-294.
127) JCS Joint Working Group. Guidelines for Diagnosis and Treatment of Myocarditis (JCS 2009). Circulation Journal. 2011, 75(-), 734-743.
