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Doctor insights on: Myocarditis

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Dr. Vipin Khetarpal
522 Doctors shared insights

Myocarditis (Overview)

Inflammation of the middle layer of the heart wall.


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How does myocarditis effect the body?

How does myocarditis effect the body?

Can be significant: Myocarditis can be associated with heart failure and therefore can have serious detrimental effects on the body.

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Dr. Vipin Khetarpal
522 Doctors shared insights

Myocarditis (Overview)

Inflammation of the middle layer of the heart wall.


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What are the symptoms of myocarditis I should be looking for?

What are the symptoms of myocarditis I should be looking for?

Myocarditis: When severe myocarditis leads to hear failure. Symptoms may consist of shortness of breath at rest, with activities or the inability to lay flat (depending on the severity). You may also feel that your heart beats are fast or irregular. Often the symptoms resolve with treatment, but patients can develop long-term heart failure that may require heart transplant.

Dr. Ihab Ibrahim Dr. Ibrahim
2 other doctors agreed
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Myocarditis (Tip)

Coxsackie B Myocarditis causes dilated cardiomyopathy. ...See more

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What are the signs to look out for myocarditis?

What are the signs to look out for myocarditis?

Myocarditis: Hi!, in young people it is usually found after a recent viral infection. Patients could have fatigue, shortness of breath, chest pain or pressure, loss of stamina, to name a few. See your Doctor soon or go to the ER if your symptoms get worse or you have chest pain or shortness of breath. Good Luck!

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Which Tests most accurate for diagnosis of Myocarditis and Pericarditis?

Which Tests most accurate for diagnosis of Myocarditis and Pericarditis?

Physician evaluation: There is no single test, complete history, physical exam, etc are needed before an accurate diagnosis can be made.

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After 2 years undiagnosed chest pain/palps/cough w/ lots of diagnostic tests. Is it safe to say the cause being Giant cell Myocarditis is unlikely?

After 2 years undiagnosed chest pain/palps/cough w/ lots of diagnostic tests. Is it safe to say the cause being Giant cell Myocarditis is unlikely?

Good grief: Been trolling the internet for obscure diseases? Yes, I'd say you are safe. Patients with this very rare disease go from this diagnosis to transplant list in about 5 months. So I think you are probably safe.

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Should myocarditis be easily detected with a echo or is more comprehensive test needed? And if infection has passed is damage still detectable?

Difficult diagnosis: Myocarditis diagnosis relies mainly on a detailed history ; physical. Echo should detect damage, but the cause of damage may remain unclear. Heart biopsy can rarely be used, but the test is low yield ; the risk of procedure often doesn't outweigh potential benefits. There may be delay in heart damage after myocarditis has passed. In addition heart damage often recovers.

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Are tests for myocarditis done in imaging?

Are tests for myocarditis done in imaging?

Two main tests: Echocardiogram (ultrasound) of the heart and biopsy of the heart muscle to confirm viral damage to the muscle tissue.

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Can a common cold cause myocarditis?

Can a common cold cause myocarditis?

Rarely....: The most common cause of common colds is rhinovirus a virus not know to cause myocarditis. The common viral agents that can cause myocarditis like Cosackievirus esp. Type B, Adenovirus, Influenza are less common causes of common cold. The risk of having a myocarditis after an infection with either of the latter viruses is quite rare. Hit or miss.

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What is myocarditis?

Myocarditis: Myocarditis is an inflammatory disease of the myocardium. The myocardium is the middle layer of the heart wall. Myocarditis can range from mild to very severe. The american journal of cardiovascular pathology goes further and describes it as "an inflammatory infiltrate of the myocardium with necrosis and/or degeneration of adjacent myocytes.".

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What do you do to treat viral myocarditis?

What do you do to treat viral myocarditis?

Generally nothing: Antiviral therapy for most of the viruses which cause myocarditis is not yet available. Support medically and hopefully recovery while rest and management of complications is attempted.

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What is the treatment for myocarditis?

What is the treatment for myocarditis?

Several: Mainly vasodilators such as ace inhibitors or angiogtension receptor blockers (arb's), low dose beta blockers, occasionally inotropes such as digoxin, and sometimes vasodilators like calcium channel blockers like Nifedipine or amlodipine or nitrates. In severe cases, the effective short term treatments are left ventricular assist devices, and in life threatening cases, heart transplantation.

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Can myocarditis be cured by diet alone?

Can myocarditis be cured by diet alone?

No: Medication is almost always needed at least for a while. Many cases improve or resolve over time regardless. Mild cases may be detected incidentally, without any apparent cardiac complaints.

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Does having a common cold increase my risk of getting myocarditis?, and does myocarditis always need treatment?

Yes and usually: Its unusual occurrence -consider how many people in the world get a cold and the actual rates of viral myocarditis - its less than 1 %. Most myocarditis causes s/s but it can be subclinical.

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I went through 4 days of extreme drug abuse, no sleep, and strenuous exercise that triggered some irritation in my heart. Could this be myocarditis?

I went through 4 days of extreme drug abuse, no sleep, and strenuous exercise that triggered some irritation in my heart. Could this be myocarditis?

Seek Medical Help: It is very difficult to provide you with any specific diagnosis based upon the details presented in your question. Given the fact that you have concern for your heart is enough to warrant an immediate appointment with your primary care physican or a trip to the emergency room. Less emergent but none the less important is your report of drug abuse. Talk to your physican. There is help. Good luck.

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What are the chances of myocarditis being passed on to children?

Zip: Myocarditis is an acquired illness and not passed on to children. However, there are familial forms of cardiomyopathy that can be passed on.

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What steps can one take to reduce the recurrence risk of viral myocarditis?

Not much: Viral infections are very difficult to avoid, and there is no vaccine for the viruses most commonly involved in producing myocardial inflammation.