• Myocarditis - Usually see EKG abnormalities, troponemia.  Godl standard of diagnosis is biopsy.  However, usually only biopsy very sick patients (cardiogenic shock, arrhythmias) or if patient has concomitant collagen vascular disease.
  
  

  Posted 05/17/17 11:35:43 AM by Emily Miller

• Plasma cells are very very rare to see in biopsy of the heart.  If seen, likely an indication of a more rare process such as IgG4 disease
  
  

  Posted 05/17/17 11:36:33 AM by Emily Miller

• For patient's with chronic heart disease who come in with decompensated heart failure, typically continue medications such as beta blockers and ACEI.  Patient's benefit from continuing these medications to maintain support fir remodeling.  
  
  

  Posted 05/17/17 11:37:58 AM by Emily Miller

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