23rd September 2021

A 55-year-old lady presents to ED complaining of chest pain

A 55-year-old lady presents to ED complaining of chest pain. Following the appropriate investigations and a biopsy, she is diagnosed with myocarditis six days after admission. Despite IV fluids, diuretics, analgesia and avoidance of exertion, she is becoming progressively unwell. A repeat ECHO shows worsening EF compared to the admission ECHO.

Select the SINGLE most appropriate management option from the list below for a patient with non-resolution of myocarditis despite maximal medical treatment. Select ONE option only.