p.18 抽出テキスト

Elevated troponin

Admit to ward

(Class I)

See inpatient algorithmc Outpatient follow-up

Patient with symptoms and signsa of myocarditis presenting to the outpatient clinic

First-line assessment with history, physical examination, ECG, transthoracic echocardiography,

laboratory assessmentb

(Class I)

Outpatient treatment Cardiovascular magnetic resonancee

(Class I) Refer to hospital

Obstructive CADd Treat CAD See inpatient

algorithmc

Low risk Diagnosis

Complete risk classificationg Further work-up Further assessmentf

Possible Rejected/unlikely

Definitive

Intermediate risk High risk

Figure 6 Diagnostic algorithm and triage for outpatient myocarditis. CAD, coronary artery disease; CRP, C-reactive protein; ECG, electrocardiogram; N, no; NT-proBNP, N-terminal prohormone of brain natriuretic peptide; Y, yes. aSee Table 6. bLaboratory testing including troponin, NT-proBNP, C-reactive protein, differential blood count. cSee Figure 5. dInvasive coronary angiography or computed tomography angiography depending on clinical likelihood/probability. eDepending on clinical situation (heart failure, arrhythmias) admit to ward. fSee Table 9. gSee Table 7.

ESC Guidelines                                                                                                                                                                                          3969

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