Perimyocarditis--a diagnostic dilemma with good prognosis
Thörneby, A.; Dellborg, M.
Lakartidningen 97(15): 1818-1821
2000
ISSN/ISBN: 0023-7205 PMID: 10815409 Document Number: 517566
Ninety-five patients diagnosed as having perimyocarditis were followed up after a median follow-up time of 66 months. Ninety patients were alive and one patient had died a noncardiac death. Forty-one patients (44%) had leakage of markers of myocardial damage (CKMB or CK) in the acute stage. Seventy-nine patients (83%) were reached for a telephone interview. Sixty patients were in class I, 16 patients were in class II and two patients were in NYHA class III. There was no relation between leakage of myocardial markers and functional class. We conclude that uncomplicated perimyocarditis is a benign disease with excellent prognosis for longterm survival. Leakage of myocardial markers is common, but does not seem to be associated with worse prognosis.