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Lifestyle and home remedies What is myocarditis Myocarditis is inflammation of the myocardium — the heart muscle. Myocarditis is not related to lifestyle and there are no medical treatments to prevent it. Myocarditis is usually caused by a viral infection, particularly adenovirus a virus that contains DNA and enterovirus a group of viruses that infect the gastrointestinal tract and can spread to other areas infections, although many infectious organisms commonly seen in infants and children have been implicated.
Myocarditis can also result from a reaction to a drug or be part of a more general inflammatory condition. Lieberman further classified myocarditis as follows 1: Fulminant myocarditis — Follows a viral prodrome; distinct onset of illness consisting of severe cardiovascular compromise with ventricular dysfunction and multiple foci of active myocarditis; either resolves spontaneously or results in death Acute myocarditis — Less distinct onset of illness, with established ventricular dysfunction; may progress to dilated cardiomyopathy Chronic active myocarditis Myocarditis blood and case study Less distinct onset of illness, with clinical and histologic relapses; development of ventricular dysfunction associated with chronic inflammatory changes including giant cells Chronic persistent myocarditis — Less distinct onset of illness; persistent histologic infiltrate with foci of myocyte necrosis but without ventricular dysfunction despite symptoms, e.
Myocarditis is a rare disease. The frequency of myocarditis is difficult to ascertain, owing to the wide variation of clinical presentation. Incidence varies greatly among countries and is related to hygiene and socioeconomic conditions.
Incidence is usually estimated at cases perpersons. Availability of medical services and immunizations also affect incidence. Occasional epidemics of viral infections have been reported with an associated higher incidence of myocarditis.
A population study in Finland found that, in a study of more thanhealthy young male military recruits, 98 cases had myocarditis mimicking myocardial ischemia, 1 case presented as sudden death, and 9 cases presented as recent-onset dilated cardiomyopathy 2.
A Japanese year series ofautopsies found idiopathic, nonspecific, interstitial, or viral myocarditis in only 0. Studies give a wide spectrum of mortality and morbidity statistics. No particular race predilection is noted for myocarditis except for peripartum cardiomyopathy a specific form of myocarditis that appears to have a higher incidence in patients of African descent.
The incidence of myocarditis is similar between males and females, although young males are particularly susceptible. Patients are usually fairly young. The median age of patients affected with lymphocytic myocarditis is 42 years. Patients with giant cell myocarditis may be older mean age 58 yearsbut this condition usually does not discriminate with respect to age, sex, or presenting symptoms.
Other susceptible groups include immunocompromised individuals, pregnant women, and children particularly neonates. There is no age predilection exists for myocarditis. However, younger patients, especially newborns and infants, and immunocompromised patients may have increased susceptibility to myocarditis.
Some research in laboratory animals suggests that myocarditis may be more aggressive in males than in females. Certain strains of female mice had a reduced inflammatory process when treated with estradiol. In other studies, testosterone appeared to increase cytolytic activity of T lymphocytes in male mice.
It is difficult to diagnose myocarditis as the test involves doing an invasive biopsy of the heart muscle, and it is not very sensitive and can miss the diagnosis. There is also no specific treatment for myocarditis. Treatment for myocarditis depends on the cause.
Most people suffering with myocarditis recover without complications, but in rare cases when inflammation is severe, there can be damage to the heart. Clots can form in your heart, leading to a stroke or heart attack. The anatomy of the heart Figure 2.
The anatomy of the heart chambers Progression of Myocarditis The disease usually develops acutely and may be linked to a causative agent rarely is a single agent identified.
A generalised inflammatory illness ensues and heart failure may develop. Recovery may be spontaneous or intractable heart failure may develop. Heart blocks and ventricular tachyarrhythmias are associated with some of the more aggressive types of myocarditis. Eosinophilic myocarditis Eosinophilic myocarditis represents a rare form of myocardial inflammation with very heterogeneous aetiology 4.
Eosinophilic myocarditis is a condition resulting from various eosinophilic diseases, including helminth infection, drug hypersensitivity, systemic vasculitis or idiopathic hypereosinophilic syndromes 5. In developed countries, the most prevalent causes of eosinophilic myocarditis are hypersensitivity or allergic reactions, as well as hematological diseases leading to eosinophilia.
Eosinophilic myocarditis may have a variable clinical presentation, ranging from asymptomatic forms to life-threatening conditions. Most patients with eosinophilic myocarditis have marked eosinophilia in peripheral blood.
Endomyocardial biopsy needs to be performed in most cases in order to establish a definitive diagnosis of eosinophilic myocarditis.
The therapy depends on the underlying aetiology.The article presents a case study of a patient suffering from enteroviral myocarditis. It states that the patient's echocardiogram report showed symptoms such as a pericardial effusion, and left ventricular dilatation, and polymerase chain reaction (PCR) from the patient's blood detected enterovirus (EV).
Dec 19, · The study population consisted of 31 consecutive patients with recent-onset heart failure, reduced left ventricular function, and clinically suspected myocarditis who underwent endomyocardial biopsy and CMR at Tesla.
Oct 05, · Myocarditis is an uncommon but serious manifestation of systemic lupus erythematosus (SLE).
This study aimed to investigate clinical characteristics and outcomes of lupus myocarditis (LM) and to determine risk factors of LM in hospitalized Chinese .
This case study will cover general discussion of the anatomical parts related to the said diagnosis, the nursing history and physical assessment of the patient, the Pathophysiology of Myocarditis, the diagnostic procedures and laboratory results along with their interpretation, the drug study, and nursing care plans.
A patient with Parkinson's disease experiencing profound psychotic symptoms was treated with clozapine and quickly developed myocarditis. PRIME® Clinical Case Study: Myocarditis in a Patient with Parkinson's Disease Treated with Clozapine.
I. INTRODUCTION This is a case of Ms.
X, seven years of age, female, residing at Sugbongcogon, Tagoloan, Misamis Oriental. Normal arterial blood oxygen levels should be maintained with supplemental oxygen as needed.
Surgery is done when the extent of damage cause severe malfunction. Pathophysiology of our case study Viral myocarditis.