Severe myocarditis Manage in hospital w advanced cardiac expertise If severe concurrent lung injury hemodynamic compromise MIS A or severe myocardial infiltrates fulminant myocarditis on bx steroids balanced against infection risk If reduced LVEF Treat HF

<b>Severe myocarditis:</b> Manage in hospital w/ advanced cardiac expertise. If severe concurrent lung injury, hemodynamic compromise, MIS-A, or severe myocardial infiltrates/fulminant myocarditis on bx: steroids (balanced against infection risk). If reduced LVEF: Treat HF. If cardiogenic shock: mechanical circ support. Avoid vigorous physical activity x3-6mo; repeat cardiac testing (ECG, echo, ambulatory rhythm monitor, CMR) at 3-6mo.