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.
Not really. Myocarditis is an inflamatory (acquired)condition of the heart muscle. It may be coused by viruses or other infections. Occassionally it is caused by inflamation without infection. Rarely babies acquire myocarditis during gestation and are very sick at birth. It is not truly congenital.
Myocarditis. Probably yes. For example, CMV which is one of the more common causes of intrauterine virus infections with severe effecs on the fetus and infant, is well known to be able to cause myocarditis as well. But this is quite rare.
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.
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.
Recovering viral myocarditis -smaller areas of hypokinesia each time on mri-carry what risks? Are the risks mainly associated with acute myocarditis?
Dilated myocardopath. There is a possibility of dilated myocardopathy. This needs to be followed closely as decreased cardiac output could occur and congestive heart failure could occur.
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.
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.
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.
See below. There are no medications that can prevent viral myocarditis.
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.
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.
Two main tests. Echocardiogram (ultrasound) of the heart and biopsy of the heart muscle to confirm viral damage to the muscle tissue.
It depends. Usually start with ekg and blood tests then echocardiogram. Depending on severity, may also need a cardiac cath and biopsy.
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.