“…20 The presence of Q waves or left bundle-branch block is associated with higher rates of death or cardiac transplantation. 21 Echocardiography is useful primarily to rule out other causes of heart failure, since there are no specific features of acute myocarditis. Echocardiographic patterns of dilated, hypertrophic, restrictive, and ischemic cardiomyopathies have been described in histologically proven myocarditis.…”