Early treatment with NSAIDs, colchicine, and high-dose aspirin, alongside point-of-care ultrasound evaluation, is crucial for optimal recovery in patients presenting with myopericarditis.
Emergency physicians should initiate early treatment for myopericarditis to reduce inflammation for improved patient outcomes while still considering ACS in all patients presenting with chest pain. Point-of-care ultrasound can identify a pericardial effusion or acute heart failure to guide management. Patients with myocardial involvement can develop permanent heart damage but can exhibit excellent recovery with appropriate treatment, which includes nonsteroidal anti-inflammatories, colchicine, and high-dose ASA.
Coaxum et al. (Tue,) studied this question.