Doctor insights on:
How Long Should Viral Myocarditis Last
I have viral myocarditis since three weeks. At my last check-up I had sinus tachycardia and ejection fraction of 26%. I'm on three different meds but I'm not getting better. What is the probability for full recovery? How long does it usually take?
Silly patient: The best answer for your question is provided by the treating physicians, who have the benefit of your history, exam and an understanding of the tests you have had to date.While it is understandable you want answers. we have no crystal ball with great incite based on your present ejection fraction. This is a serious illness,pay attention to your docs advise and you might do well. ...Read moreSee 2 more doctor answers
Definition: This is an inflammation of the heart muscle which has been infected by a virus (coxsackie virus is one example). There is often recovery after the acute illness has passed, but some patients may have such damaging disease that the heart is permanently impaired, sometimes to the extent that a transplant is an option. ...Read more
None, some, many: Depending on the severity of the illness, you may not have any noticeable symptoms if very mild. Some may have chest pain, fever/sweat, chills, and shortness of breath. In severe cases, in addition to above, you may get palpitations, passing out, cardiogenic-shock (heart failure to pump) and death. If you have any concerns/symptoms above, consult doc asap. Good luck. ...Read moreSee 1 more doctor answer
No typical course: There is no typical course. Depends on the etiology (the causative agent), the initial presentation, the age of onset (kids are more likely to respond to immunoglobulin), the response to therapy, viral load etc. Some patients fully recover, some progress to heart failure with need for transplantation. ...Read more
Viral myocarditis: This disease is caused by a virus; there is no specific treatment for the virus, which willl slowly go away by itself but will leave varying amounts of damage. Your doctors will focus on managing resulting symtpoms of heart failure and/or arrhythmias in the acute phase and later. Children, who do not have degenerative heart disease as well, usually do better than adults. ...Read more
1/3-1/3-1/3: This is an oversimplification, but some have described myocarditis outcomes as 1/3 have a complete recovery, 1/3 have evidence of long-term heart injury, but survive, and 1/3 die or require heart transplantation for survival. Heart failure medicines or even circulatory support may positively affect outcomes. There are patient differences that affect outcomes and each virus has a different effect. ...Read more
Heart infection: Viral myocarditis is an infection of the heart muscle by a virus. Many viruses can cause myocarditis. In some cases, complete recovery is possible. At the other extreme, the damage to the heart can be so severe as to cause death. Several treatments appear to have positive effects on long-term outcome. Different viruses have different manifestations. ...Read more
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