What is new in the 2025 ESC guidelines for the management of myocarditis and pericarditis?

The European Society of Cardiology (ESC), in collaboration with Association for European Paediatric and Congenital Cardiology (AEPC) and the European Association for Cardio-Thoracic Surgery (EACTS), has published for the first time Integrated Guidelines for Myocarditis and Pericarditis. As part of the guidelines, a new term has been introduced - inflammatory myopericardial syndrome - IMPS. The aim was to increase clinical awareness of the full spectrum of this disease and to improve the diagnostic process. The guidelines set a new paradigm for management, highlighting the key role of multimodal imaging – with a particular focus on cardiac magnetic resonance imaging and the role of genetic testing. The document also contains detailed recommendations to help patients return to physical and professional activity more quickly.