Can myocarditis heal itself?

Written by Zhou Yan
Geriatrics
Updated on March 15, 2025
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Myocarditis is an inflammatory disease of the myocardium. Common causes include viral infections, while bacterial and fungal infections can also cause myocarditis, but these are relatively less common. The onset of myocarditis can vary; it may be rapid, occasionally leading to acute heart failure and sudden cardiac death. However, most cases of myocarditis are self-limiting, though they can also progress to dilated cardiomyopathy. For individuals presenting with flu-like symptoms such as fever, general fatigue, muscle soreness, nausea, and vomiting, or other gastrointestinal issues, it is advisable to provide rest and nutritional support treatment. This is because these cold symptoms might also be indicative of myocarditis. Therefore, general treatment, rest, and nutrition should be emphasized for patients with colds.

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Written by Yan Xin Liang
Pediatrics
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Do children with myocarditis have a fever?

In general, viral myocarditis is the most common form of myocarditis in children. This condition can be caused by various viruses such as influenza, parainfluenza, Coxsackie virus, adenovirus, etc., affecting the pediatric cardiac muscle tissue, which in turn can lead to symptoms of myocarditis. Since it is an infectious disease, fever is a common symptom. Fevers associated with myocarditis might present as high or moderate. Treatment primarily focuses on cardiac recovery, nourishing the cardiac muscle, steroids, and immunoglobulins, among others. Severe myocarditis is a critical condition that requires timely diagnosis and treatment to avoid worsening the situation.

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Written by Zhou Yan
Geriatrics
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Can people with myocarditis drink alcohol?

Myocarditis is an inflammatory disease of the myocardium. Its pathogenesis is due to direct damage to the myocardium caused by viruses, and the interaction of the virus with the body's immune response to both myocardial injury and microvascular damage, which impairs the structure and function of the myocardial tissue. Drinking alcohol affects the myocardium and can also cause damage to it. Therefore, alcohol should not be consumed with myocarditis, as drinking can further aggravate the myocardium, leading to heart failure.

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Written by Zhang Yue Mei
Cardiology
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What irritants should myocarditis avoid?

Suffering from myocarditis, fear of emotional stimulation. Myocarditis is caused by viral infection resulting in damage to the myocardium. Severe myocardial damage requires bed rest, maintaining a pleasant mood, and treatment with effective medication under the guidance of a doctor. Frequent anger or temper tantrums can cause increased sympathetic nervous excitability, leading to faster heart rates and increased cardiac burden. In severe cases, it can lead to acute heart failure, arrhythmias, cardiogenic shock, or even sudden death. Therefore, after being diagnosed with myocarditis, it is crucial to pay close attention to maintaining a cheerful mood and actively cooperating with the doctor for effective treatment.

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Written by Zhou Yan
Geriatrics
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How is myocarditis diagnosed?

Myocarditis is an inflammatory disease of the myocardium, which can be confirmed by the following tests: Chest X-rays can show an enlarged cardiac silhouette. Electrocardiograms can reveal changes in the ST-T segments, and various arrhythmias may also occur, especially ventricular arrhythmias and atrioventricular conduction blocks. Echocardiography might be normal, or it might show enlargement of the left ventricle and weakened wall motion. Cardiac MRI is of significant importance for the diagnosis of myocarditis, showing patchy enhancement of the myocardium. Biochemical blood tests can show elevated non-specific inflammatory markers such as erythrocyte sedimentation rate (ESR) and C-reactive protein, and elevated levels of myocardial enzymes and troponin. Serological testing for viruses can suggest a cause but is not definitive for diagnosis. Finally, endomyocardial biopsy, besides diagnosing, can also aid in assessing the condition and prognosis. However, it is invasive, so it is generally used only in urgent and severe cases, cases with poor treatment response, or in patients with undiagnosed causes. It is not commonly performed in patients with mild conditions.

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Written by Quan Xiang Mei
Pediatrics
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Does pediatric myocarditis cause high fever?

Myocarditis in children is usually caused by fever, or subsequent to some viral infectious diseases. That is to say, myocarditis can accompany symptoms of fever, but it is generally due to fever, which in turn is caused by some viral infectious diseases that lead to myocarditis. Therefore, if a child with myocarditis also has fever, it indicates the presence of an infectious disease or viral infection. In such cases, in addition to treating the primary fever-inducing illness, attention must also be given to the treatment of the myocardium with nutritional medications. If a child has myocarditis, it is crucial to ensure plenty of rest, avoid strenuous activities, and prevent the disease from becoming protracted and unresolved, which could affect the clinical outcomes. (Medication should be administered under the guidance of a doctor.)