“…Although viral myocarditis is thought to be the most common infectious aetiology of acute myocarditis 26 , 29 , the pathophysiologic mechanisms responsible for myocardial injury & necrosis are not yet fully understood. Some studies have also reported ischemia without significant coronary artery disease as a possible cause which is indicative of coagulopathies 30 , 31 . Endomyocardial biopsy, the gold standard modality for the diagnosis of acute myocarditis, is an invasive technique due to which limited data is available on biopsy findings.…”