Evidence for success of definitive therapy with immunosuppressive agents is lacking. A consensus does exist that therapy for fulminant presentations is unwise. Withdrawal of offending toxins in non infectious cases does appear beneficial. This is most valuable in the circumstance of ethanol. Supportive therapies are the bulwark of management.
True myocarditis is something that is uncommonly encountered.
It s consequences, however, in terms of dilated cardiomyopathy, are very, very common. On biopsy, myocarditis appears as myocytes in a sea of inflammatory cells reflecting an active inflammation with destruction of myocardial tissue. Myocarditis is a nonischemic inflammatory disease of the myocardium. Myocarditis and myocardial infarction will cause inflammation. But here there s no evidence of epicardial or even penetrating vessel obstruction.