{"version":1,"type":"rich","provider_name":"Libsyn","provider_url":"https:\/\/www.libsyn.com","height":90,"width":600,"title":"Podcast 875: A Pediatric Case of Myopericarditis","description":"Contributor: Meghan Hurley MD Educational Pearls:   Pericarditis is inflammation of the pericardial sac, which can arise from infectious or non-infectious etiologies   Myocarditis is inflammation of the myocardium, which may accompany pericarditis   Pericarditis clinical findings include:    Diffuse concave ST elevation, classic for acute pericarditis with myocardial involvement. More common in younger male patients   Elevated high-sensitivity troponin - higher levels may occur in young healthy patients   Ultrasound may show pericardial effusions    POCUS may be helpful in assessing left ventricular ejection fraction (LVEF) via E-point septal separation (EPSS)    Elevation in EPSS correlates with decreased LVEF    Treatments:    Anti-inflammatories including NSAIDs and colchicine   Monitor inflammation   Repeat ultrasounds    Risk factors in this patient\u2019s case:    mRNA COVID vaccine - the risk of myocarditis from vaccination is significantly lower than that from COVID-19 infection   Preceding infection    References 1. Gao J, Feng L, Li Y, et al. A Systematic Review and Meta-analysis of the Association Between SARS-CoV-2 Vaccination and Myocarditis or Pericarditis. Am J Prev Med. 2023;64(2):275-284. 2. Imazio M, Gaita F, LeWinter M. Evaluation and treatment of pericarditis: A systematic review. JAMA - J Am Med Assoc. 2015;314(14):1498-1506. doi:10.1001\/jama.2015.12763 3. Mckaigney CJ, Krantz MJ, La Rocque CL, Hurst ND, Buchanan MS, Kendall JL. E-point septal separation: A bedside tool for emergency physician assessment of left ventricular ejection fraction. Am J Emerg Med. 2014;32(6):493-497. doi:10.1016\/j.ajem.2014.01.045 Summarized by Jorge Chalit, OMSII | Edited by Meg Joyce &amp;amp; Jorge Chalit, OMSII ","author_name":"Emergency Medical Minute","author_url":"https:\/\/www.emergencymedicalminute.com","html":"<iframe title=\"Libsyn Player\" style=\"border: none\" src=\"\/\/html5-player.libsyn.com\/embed\/episode\/id\/28457894\/height\/90\/theme\/custom\/thumbnail\/yes\/direction\/forward\/render-playlist\/no\/custom-color\/fa102a\/\" height=\"90\" width=\"600\" scrolling=\"no\"  allowfullscreen webkitallowfullscreen mozallowfullscreen oallowfullscreen msallowfullscreen><\/iframe>","thumbnail_url":"https:\/\/assets.libsyn.com\/secure\/item\/28457894"}