Lieberman et al developed a clinicopathologic classification for patients with myocarditis. The authors are from the Johns Hopkins University in Baltimore.
Categories of myocarditis:
(3) chronic active
(4) chronic persistent
onset of cardiac symptoms
severe left ventricular dysfunction; cardiogenic shock
left ventricular dysfunction with congestive heart failure
death or complete recovery
incomplete recovery or dilated cardiomyopathy
multifocal acute myocardial inflammation
active or borderline myocarditis
normal left ventricular function; chest pain or palpitations
symptoms other than heart failure
ongoing or resolving myocarditis; fibrosis with giant cells
ongoing or resolving myocarditis
• The inflammatory cell infiltrate in active myocarditis usually consists mostly of lymphocytes.
• The extent of myocyte necrosis correlates with myocardial function.
Immunosuppressive therapy is sometimes helpful in acute myocarditis, but not in the other types.
NOTE: The categories resemble the categories previously used for viral hepatitis.
To read more or access our algorithms and calculators, please log in or register.
Purpose: To classify a patient with myocarditis using the clinicopathologic scheme of Lieberman et al.
Specialty: Cardiology, Infectious Diseases, Immunology/Rheumatology
Objective: laboratory tests, severity, prognosis, stage
ICD-10: I09.0, I51.4,