Obvious symptoms of myocarditis

Written by Zhou Yan
Geriatrics
Updated on September 14, 2024
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Myocarditis refers to the inflammatory disease of the myocardium, with viral infection being the most common cause. Therefore, the majority of patients exhibit precursor symptoms of a viral infection one to three weeks before onset, such as fever, general fatigue, muscle soreness, or gastrointestinal symptoms like nausea and vomiting. This may be followed by palpitations, chest discomfort, chest pain, difficulty breathing, edema, and even fainting or sudden death. In the clinical diagnosis of myocarditis, the majority of cases initially present with symptoms of arrhythmias such as palpitations or a racing heart, but a minority may also experience fainting or Adams-Stokes syndrome (also known as cardiogenic cerebral ischemia).

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Written by Yan Xin Liang
Pediatrics
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Do children with myocarditis have a fever?

In general, viral myocarditis is the most common form of myocarditis in children. This condition can be caused by various viruses such as influenza, parainfluenza, Coxsackie virus, adenovirus, etc., affecting the pediatric cardiac muscle tissue, which in turn can lead to symptoms of myocarditis. Since it is an infectious disease, fever is a common symptom. Fevers associated with myocarditis might present as high or moderate. Treatment primarily focuses on cardiac recovery, nourishing the cardiac muscle, steroids, and immunoglobulins, among others. Severe myocarditis is a critical condition that requires timely diagnosis and treatment to avoid worsening the situation.

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Written by Zhang Yue Mei
Cardiology
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What irritants should myocarditis avoid?

Suffering from myocarditis, fear of emotional stimulation. Myocarditis is caused by viral infection resulting in damage to the myocardium. Severe myocardial damage requires bed rest, maintaining a pleasant mood, and treatment with effective medication under the guidance of a doctor. Frequent anger or temper tantrums can cause increased sympathetic nervous excitability, leading to faster heart rates and increased cardiac burden. In severe cases, it can lead to acute heart failure, arrhythmias, cardiogenic shock, or even sudden death. Therefore, after being diagnosed with myocarditis, it is crucial to pay close attention to maintaining a cheerful mood and actively cooperating with the doctor for effective treatment.

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Written by Xiao Chang Jiang
Cardiology
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Is myocarditis contagious?

Many people often ask if my myocarditis is contagious. Actually, myocarditis is a focal inflammatory lesion of the myocardium or a diffuse inflammatory disease of the entire myocardium. It is an inflammatory disease of the myocardium. Based on the cause, we classify it into infectious and non-infectious types. The infectious type is mostly caused by viruses, such as Coxsackievirus B, or by bacteria, while non-infectious type is caused by allergies. Generally, they are not contagious.

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Written by Xiao Chang Jiang
Cardiology
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Early manifestations of myocarditis

What are the early symptoms of myocarditis? In fact, most patients with myocarditis typically exhibit acute onset of symptoms, which generally occur 1 to 3 weeks after cardiac involvement, or they may simultaneously exhibit various degrees of viral infection symptoms such as fever, sore throat, cough, general malaise, muscle pain, skin rash, or nausea and vomiting, abdominal pain, and diarrhea. These are its prodromal symptoms. Additionally, some patients exhibit systemic viral infection symptoms when the disease occurs, such as rubella, measles, epidemic mumps, viral hepatitis, and other diseases. Since the recovery rate of myocarditis in the acute and recovery phases is significantly higher than in the lingering or chronic phases, it is evident that treatment for myocarditis should be initiated as early as possible to increase the recovery rate.

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Written by Zhou Yan
Geriatrics
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Causes of Myocarditis

Myocarditis is also an inflammatory disease of the myocardium. Common causes are viral infections, such as Coxsackievirus B, Parvovirus B19, Human Herpesvirus 6, and Poliovirus, with Coxsackievirus B being the most common cause, accounting for about 30%-50%. Bacteria, fungi, spirochetes, rickettsiae, and protozoa can also cause myocarditis, but they are relatively rare. Non-infectious causes of myocarditis include drugs, radiation, connective tissue diseases, vasculitis, giant cell myocarditis, among others. These are all causes of myocarditis.