Myocarditis has been defined by the World Health Organization/International Society and Federation of Cardiology as an inflammatory disease of the heart muscle diagnosed by established histological, immunologic, and immunohistological criteria.1 Insights into its clinical manifestation and treatment in both adults2–7 and children8–12 have been the subject of a number of recent reviews. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. After a physical examination, your doctor might order one or more tests to confirm that you have myocarditis and determine its severity.
48–50 In addition, 3 to 6 months’ abstinence from competitive sports after myocarditis diagnosis is recommended by expert consensus to decrease risk of remodeling and sudden death. For certain abnormal heart rhythms or severe heart failure, you may be given medications to reduce the risk of blood clots forming in your heart.If your heart is weak, your doctor might prescribe medications to reduce your heart's workload or help you eliminate excess fluid, including:In some severe cases of myocarditis, aggressive treatment might include:The ECMO machine takes over the work of the heart.
In case of giant cell myocarditis, combined treatment with immunosuppressants (cyclosporine and corticosteroids with or without azathioprine or muronomab-CDs) may improve the poor prognosis, and yield a median survival time of 12 months compared with …
Your physician may ask you to avoid competitive sports and other intense exercise for a time after diagnosis and treatment. This noninvasive test shows your heart's electrical patterns and can detect abnormal rhythms. Although antiviral medications are available, they haven't proved effective in the treatment of most cases of myocarditis.Certain rare types of viral myocarditis, such as giant cell and eosinophilic myocarditis, respond to corticosteroids or other medications to suppress your immune system. After a physical examination, your doctor might order one or more tests to confirm that you have myocarditis and determine its severity. In these situations, these treatments help stabilize the heart until an appropriate donor organ becomes available.Some patients are able to fully recover from myocarditis, while others will experience long-lasting symptoms.
Additionally, lifestyle changes are often recommended, including:While many individuals require a short course of cardiovascular medications, others will need to take these medicines for life. This is especially common in children, who are typically admitted to a pediatric intensive care unit.If the heart is severely weakened, medical devices can help restore proper functioning. 51 Nonstandard and cause-specific treatment of myocarditis depends on the clinical … Additionally, lifestyle changes are often recommended, including: A low-sodium diet Limited fluid intake Elimination of alcohol Smoking cessation All Rights Reserved. The etiology, incidence, pathogenesis, clinical manifestations, and diagnosis of myocarditis … Aetiologies of myocarditis include a number of infectious and non-infectious agents such as viruses, bacteria, protozoa, fungi, toxins, myocardial involvement in systemic diseases, or physical condition, but often the underlying cause cannot be identified (Table 1).
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myocarditis treatment guidelines