Is myocarditis serious?

Written by Zhou Yan
Geriatrics
Updated on February 02, 2025
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Myocarditis is an inflammatory disease of the myocardium, most commonly caused by viral infections. The onset of the disease can be either sudden or slow, and it is mostly self-limiting, but in rare cases can lead to acute pump failure or sudden death. The severity of the condition largely depends on the extent and location of the lesions. Mild cases may have no symptoms at all, while severe cases can lead to cardiogenic shock or even sudden death. In clinical diagnosis, the majority of myocarditis cases present primarily with arrhythmias, and in a minority of cases, the initial symptoms may include syncope or Adams-Stokes syndrome. Thus, the severity of myocarditis is related to the variation in the condition itself.

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Written by Zhou Yan
Geriatrics
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What should be avoided in the diet for myocarditis?

Myocarditis is an inflammatory disease of the myocardium. Currently, there is no specific treatment for myocarditis. Patients should avoid fatigue, rest adequately to reduce cardiac load, and pay attention to nutritional intake. It is encouraged to eat easily digestible foods that are rich in vitamins and high in protein, and to avoid spicy, greasy, and hard-to-digest foods. Additionally, it is advisable to consume more fruits and vegetables, which are rich in vitamin C.

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Written by Yao Li Qin
Pediatrics
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Is pediatric myocarditis curable?

Myocarditis in children is generally caused by a viral infection, which means viral myocarditis is the most common type. This condition indicates that the virus has damaged the myocardial cells, leading to severe symptoms such as heart failure and cardiogenic shock. Once myocarditis is diagnosed in a child, it is crucial to hospitalize and treat them actively. While treating myocarditis, it is essential to use medications that nourish the myocardium and actively treat the primary disease. Most children with myocarditis have a favorable prognosis, but fulminant myocarditis has a poor prognosis, carrying a certain risk of mortality.

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Written by Zhou Yan
Geriatrics
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How is myocarditis diagnosed?

The examination of myocarditis includes several aspects: First, the biochemical blood test shows that white blood cells can increase, erythrocyte sedimentation rate can accelerate, and both cardiac enzymes and troponins can rise. There may also be abnormalities in the electrocardiogram, such as arrhythmias or ST-segment changes. In addition, there are X-ray examinations, which can show an enlarged heart shadow or pulmonary congestion. Echocardiograms may not show any specific changes or can exhibit phase-dependent or regional abnormalities in ventricular wall motion. Furthermore, nuclear imaging and magnetic resonance imaging indicate the presence of fluttering and inflammatory changes. The virological examination can isolate the virus through throat swabs or stool samples, and if necessary, an endocardial or myocardial biopsy can be performed.

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Written by Xiao Chang Jiang
Cardiology
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How is myocarditis treated?

Let's talk about how myocarditis is treated. Myocarditis is actually considered a self-limiting disease with no specific cure. However, treatment generally revolves around symptomatic treatment, combining conventional care and symptom management. For general treatment, bed rest is highly recommended for patients suffering from acute viral myocarditis to reduce the strain on the heart. Patients suffering from severe arrhythmias or heart failure are advised to rest in bed for at least one month and are not allowed to participate in strenuous physical labor for six months. For those without cardiac morphological or functional changes, rest for half a month is recommended, followed by avoiding heavy physical activity for three months. Additional antiviral treatments, such as interferon-alpha and Astragalus membranaceus, may be used; protective cardiac therapies or immunotherapies may also be administered. Symptomatic treatment mainly targets patients with severe heart failure or severe arrhythmias, following conventional treatment protocols for these conditions. For patients with complete atrioventricular block, temporary pacemakers may be used, and permanent pacemakers can be installed depending on the situation if the block cannot be resolved. Depending on the type of arrhythmia, antiarrhythmic medications like beta-blockers, amiodarone, and others may also be used. As each patient's cause of illness, severity, and physical constitution vary, it is essential to undergo personalized treatment under the guidance of a doctor.

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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.