ECG reveal a normal sinus rhythm, incomplete RBBB, diffuse nonspecific ST-T segment changes and PVC's. He is currently being transferred to Jackson Memorial in Miami for further evaluation. The best diagnosis I could muster from the physician might be a viral myocarditis. Apparently he is a potential transplant candidate. Any prognostic ideas or intelligent questions for the next physician team would be appreciated.
Viral myocarditis is a infection of the heart that leads to heart failure.
The mode of transmission is unknown and in the majority of cases the viral agent is also unknown. About a third of patients with viral myocarditis get worse, a third stay the same and a third get better. There is no way to tell what group an individual is in except to wait and see. There is no treatment of viral myocarditis per se. The symptoms and the heart failure are treated with ACE inhibitors, diuretics, and digoxin.