Heart failure & cardiomyopathies

Eosinophilic myocarditis: systematic review

HeartPublished Systematic review

Authors' conclusion

EMB is the mainstay for diagnostic testing for EM. CMR is potentially helpful for screening in appropriate clinical scenarios. Regarding treatment, there is no consensus regarding the optimal dosage of corticosteroids.

Study context

Population
Patients with eosinophilic myocarditis (EM); MEDLINE and EMBASE from inception to 10 September 2022239 articles, incl
Participants
274 patients
Comparison
Endomyocardial biopsy (EMB)-diagnosed vs cardiac MRI (CMR)-diagnosed EM
Outcome
Diagnostic method
Methodological detailsPRISMA
  • PRISMA

Pooled result

As reported in the abstract

Further pooled results

Presentation

Median age (years)
45
Dyspnoea
50.0%
Chest pain
39.4%

Aetiology

Idiopathic
28.8%
Eosinophilic granulomatosis polyangiitis
19.3%
Drug-induced
13.1%
Hypereosinophilic syndrome
12.8%

Treatment

Glucocorticoids the primary treatment, with variable dosages and regimens

Original publication

Eosinophilic myocarditis: systematic review. Heart. Published 14 November 2023. doi:10.1136/heartjnl-2023-323225

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