Infective Myocarditis: Thinking Beyond Borders-Infective Myocarditis: Thinking Beyond Borders

Video Transcription

Video Summary

In the session titled "Infective Myocarditis: Thinking Beyond Borders," Dr. Cristiano Pisani discusses updates on Chagas disease, specifically arrhythmias related to it. Despite being an old disease, Chagas remains prevalent, and Dr. Pisani highlights new treatment methods, such as ventricular tachycardia (VT) ablation and primary prevention strategies. He emphasizes the importance of epicardial access during VT ablation, as endocardial-only approaches have higher failure rates. Recent data from their institution indicates that epicardial access is essential, and yet Chagas patients generally experience worse outcomes compared to those with ischemic heart conditions or others.<br /><br />In the second segment, Dr. Kalambur Narasimhan talks about arrhythmias linked to tuberculosis myocarditis. He outlines its manifestations, such as sinus tachycardia, VT, and atrial fibrillation, emphasizing strategies for reducing arrhythmia exacerbations post-treatment initiation, like adopting a course of steroids.<br /><br />Dr. Gopinath Kabra addresses COVID-19's impact on arrhythmias and myocarditis, noting a significant increase in myocarditis cases post-infection. He stresses that while COVID infection raises the risk of atrial and ventricular arrhythmias, new-onset AFib’s presence does not independently increase mortality risk after adjustment for comorbidities. Proper management includes addressing arrhythmia triggers and long-term monitoring.<br /><br />Lastly, Dr. Ashley Chin discusses endomyocardial fibrosis, particularly its prevalence in certain geographic regions and its challenging clinical presentation, often leading to heart failure and arrhythmias. Highlighting limited funding and research linked to this neglected disease, Dr. Chin advocates for increased attention and resources to better understand and treat it effectively. Overall, the session underscores the complexities and global nature of heart diseases linked to various pathogens, advocating for integrated and innovative approaches in management and research.

Keywords

Infective Myocarditis

Chagas Disease

Arrhythmias

Ventricular Tachycardia

Epicardial Access

Tuberculosis Myocarditis

COVID-19 Impact

Endomyocardial Fibrosis

Heart Failure

Global Health