TY - CHAP M1 - Book, Section TI - Inflammatory and Infectious Heart Disease A1 - DePiero, Andrew D. A2 - Tenenbein, Milton A2 - Macias, Charles G. A2 - Sharieff, Ghazala Q. A2 - Yamamoto, Loren G. A2 - Schafermeyer, Robert PY - 2019 T2 - Strange and Schafermeyer's Pediatric Emergency Medicine, 5e AB - Older children with pericarditis most often present with chest pain in combination with other symptoms. Fever, tachycardia, friction rub, and electrocardiographic changes may be noted.Tachycardia and fatigue may be signs of myocarditis. Acutely ill patients should be admitted to a pediatric intensive care unit for careful monitoring and aggressive supportive management.Obtain echocardiography in patients with suspected myocarditis.The at-risk patient with endocarditis presents with unexplained fever, myalgia, new murmur, and elevated acute-phase reactants. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/11/11 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1155297216 ER -