Viral Cardiac Infections

  • Brian F. BirnbaumEmail author
  • Charles E. Canter


Viral infections can affect the pediatric heart in a multitude of ways. The two most common viral cardiac processes are myocarditis and pericarditis. Numerous viruses have been implicated in these disease states. In addition to direct viral effects on the myocardium and pericardium, inflammatory mediators also play a role in these conditions. A high index of suspicion, thorough history and physical examination, along with directed laboratory testing, electrocardiography and echocardiography are necessary for the diagnosis and management of myocarditis and pericarditis. Occasionally, more advanced studies such as magnetic resonance imaging (MRI) and endomyocardial biopsy may be useful. Finally, human immunodeficiency virus (HIV) can have a number of cardiac related effects. Children with HIV, require routine cardiac monitoring and counseling.


Human Immunodeficiency Virus Cardiac Magnetic Resonance Late Gadolinium Enhancement Pericardial Effusion Acute Decompensated Heart Failure 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.Children’s Mercy Hospital and Clinics, University of Missouri-Kansas CityKansas CityUSA
  2. 2.St. Louis Children’s Hospital, Washington University in St. LouisSt. LouisUSA

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