Doctor insights on:
Recover Viral Myocarditis
Recovering viral myocarditis -smaller areas of hypokinesia each time on mri-carry what risks? Are the risks mainly associated with acute myocarditis?
Acute vs long term: A myocarditis is an inflammation of the heart muscle, often triggered by a virus, but not always. In an early myocarditis the muscle could fail with a fatal result. If you are recovering this puts you into the better outcome category. The heart muscle can heal up to a certain level and meds can help it along. Your level of function can be very good or less so. Only time will tell. ...Read more
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 more
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
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. ...Read more
Complicated: Some may be relatively without symptoms, although there may be fever, chest pains, and signs and symptoms of heart failure (another detailed subject). There may also be changes in heart rate and rhythm. Often the symptoms are not very specific and require detailed testing to establish the diagnosis. ...Read more
Yes and no: Acute infers that it is happening now and you won't see an intrauterine infection continuing into childhood. The process burns itself out & you are left with residual heart damage. CMV, rubella, herpes, and other viruses can produce severe organ damage that is usually fatal prior to or soon after birth. Children that have an acute myocarditis in childhood acquire it in the months preceding symptoms ...Read more
Rare but possible: A viral myocarditis can present at any age from before birth to old age. Various viral infections can infect the mother during pregnancy and cross the placenta to infect baby. The heart may or may not become inflamed in this process. Acquisition of a virus that causes a myocarditis could occur at any point after delivery. ...Read more
Yes: Congenital by definition means existing at (and sometimes before)birth. A congenital myocarditis is one complication of measles or rubella in a newborn & may occur with an unvaccinated mother infected in the later stage of pregnancy. Other maternal viral infections may also trigger a myocarditis in a newborn. If the infection occurs after birth, it would not be considered acongenital condition. ...Read more
There isn't one...: It is sad to say but we do not have any medicaction to prevent viral myocarditis. We actually have very few medication to treat viral infections--only available for hiv, herpes/chickenpox, hepb/c, and influenza. Fortunately these disease don't cause much problems with myocarditis, except hiv. Hiv can be treated. Get vaccines for influenza/chicken pox/hepb. Best is to keep healthy! . Good luck. ...Read more
I'm 41 & have ra. Untreated since nov when I had pneumonia & pleurisy. Pulmonologist now suspects viral myocarditis. How scared should I be?
Concerned not scared: You should be evaluated by a cardiologist and have further cardiac studies ekg etc. ...Read more
I'm 22 with viral myocarditis. I got some new meds: Ramipril and Bisoprolol. These meds make me really dizzy. Is that a common side effect? What happens if I skip the meds for a couple of days?
Cannot answer: This is a condition that needs to be followed very closely by your cardiologist. It is not ideal that you are so dizzy, however, the meds are decreasing the work demand on damaged heart muscle and may be preventing complete failure. If unstable, it is possible you will be admitted (or readmitted?) for closer monitoring. Be sure the cardiologist is aware of the symptoms (ok to call service on sat) ...Read more