Wrist and Hand Conditions

Myocarditis
Is frequently the result of a viral infection most
commonly caused by either coxsackie virus (B) or
echovirus.
Characteristic symptoms of myocarditis include a
prodromal viral illness followed by progressive exercise
intolerance and congestive symptoms of dyspnea,
cough, and orthopnea.
When evaluating an athlete with an acute illness, a
tachycardia out of proportion to other systemic features
should alert the clinician to the possibility of
myocarditis.
On physical examination, an audible S3 gallop or soft
apical murmur as well as signs of congestive heart
failure may be present.
ECG may show low-voltage complexes, diffuse STsegment
and T-wave changes, and sinus tachycardia.