What are the symptoms of myocarditis?

Written by Tang Li
Cardiology
Updated on September 04, 2024
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The clinical manifestations of myocarditis in patients depend on the extent and location of the lesion. Mild cases may have no symptoms at all, while severe cases can even present with heart failure and shock. Most patients have precursor symptoms of viral infection one to three weeks before the onset, such as fever, general fatigue, and muscle soreness. Some patients have gastrointestinal symptoms like nausea and vomiting. Subsequently, they may experience palpitations, chest pain, breathing difficulties, edema, and even fainting or sudden death. The majority of clinically diagnosed myocarditis cases primarily present with or are primarily symptomatic of psychological frailty. A minority of patients may experience fainting or Aschner's syndrome as a result.

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Written by Zhou Yan
Geriatrics
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Is myocarditis nauseating?

For patients with myocarditis, they may experience palpitations, chest tightness, difficulty breathing, various arrhythmias, and edema, and even fainting or sudden death. If the diagnosis of myocarditis includes these conditions, one to three weeks prior to the onset, the patient might have symptoms of viral infections, such as nausea, vomiting, and other gastrointestinal symptoms, or may have fever, general fatigue, muscle soreness, and other discomforts. However, not all cases of myocarditis will have symptoms of nausea, and nausea is not necessarily indicative of myocarditis, therefore there is no inevitable link between the two.

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Written by Zhou Yan
Geriatrics
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Does myocarditis cause a fever?

Myocarditis is an inflammatory heart disease, commonly caused by viral infections, with the Coxsackievirus being the most common. Other infections, such as bacterial, fungal, and Rickettsia, can also cause myocarditis. These infectious myocarditis cases generally show preliminary symptoms of infection, such as fever, in the 1 to 3 weeks before the onset of the disease. Fever indicates a high body temperature, which means the same as having a fever. However, there are also non-infectious forms of myocarditis, such as those caused by drugs, radiation, or connective tissue diseases, and these non-infectious types of myocarditis do not always involve a fever.

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Written by Zhou Yan
Geriatrics
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Is myocarditis easy to treat?

Myocarditis refers to the inflammatory disease of the myocardium. Symptoms of myocarditis can vary greatly; some individuals may exhibit no symptoms, while others may experience cardiogenic shock or sudden death. Currently, there are no specific treatments for myocarditis. Patients should avoid exertion, rest appropriately, and receive nutritional support. It is advised to encourage patients to consume a diet that is easy to digest and rich in vitamins and proteins. For asymptomatic patients, attention should be paid to rest and nutrition. However, in cases where there is left ventricular dysfunction, treatment primarily supports these symptoms. For instance, in the event of heart failure, diuretics, vasodilators, or ACE inhibitors might be administered. Most cases of myocarditis are self-limiting, but there are occasional instances of fulminant or severe myocarditis, which should be taken seriously. Therefore, the treatability of myocarditis is related to the extent and location of the pathological changes. (Please use medications under the guidance of a doctor.)

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Written by Xiao Chang Jiang
Cardiology
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Is myocarditis serious?

Is myocarditis serious? In fact, myocarditis is an inflammatory disease of the myocardium. Patients with myocarditis may experience symptoms such as fatigue, palpitations, shortness of breath, discomfort or pain in the precordial area, nausea, vomiting, abdominal pain, diarrhea, etc. During examinations, we often see slight enlargement of the heart, arrhythmias, gallop rhythm, and other manifestations of heart dysfunction. In severe cases, myocarditis can lead to fulminant myocarditis, such as severe heart failure or cardiogenic shock, often accompanied by arrhythmias. Even with timely and standard treatment, death may occur due to the severity of the condition. Even if patients with myocarditis recover, they may still have some sequelae on the electrocardiogram, such as atrioventricular block, bundle branch block, premature beats, or junctional rhythm.

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Written by Chen Si
Pediatrics
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Is pediatric myocarditis serious?

The severity of myocarditis in children needs to be assessed by considering the child's clinical symptoms and corresponding clinical examinations comprehensively. Common clinical symptoms include chest tightness, fatigue, shortness of breath, etc. Most children have a history of upper respiratory tract infection before the symptoms appear. It is necessary to conduct routine blood tests, myocardial enzymes, troponin, myocardial antibodies, viral antibodies, electrocardiograms, and other relevant physicochemical examinations to further clarify the condition. Patients with mild symptoms and roughly normal laboratory results can improve on their own with rest. If there are clinical symptoms such as chest tightness, fatigue, shortness of breath, and related physicochemical examinations show abnormal changes, it is necessary to use medication to nourish the myocardium. During treatment, rest is advised, reduce fatigue, maintain emotional stability, and generally, the symptoms can improve within 10 to 15 days. For more severe cases, the treatment period may need to be extended accordingly.