the recurrence rate of myocarditis

Written by Zhang Yue Mei
Cardiology
Updated on February 08, 2025
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The most common type of myocarditis clinically seen is viral myocarditis, which is a localized or diffuse cardiac injury resulting from viral infections. Mild myocardial damage, when treated effectively under the guidance of a doctor, typically does not recur after recovery. Recurrence referred to involves serious myocardial damage, or lack of systematic treatment, leading to complications such as heart failure and arrhythmias. These complications often exacerbate under certain triggering factors like infections, colds, excessive fatigue, emotional excitement, overeating, constipation, etc., increasing the cardiac load and causing the recurrence of heart failure and arrhythmias.

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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.

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Written by Di Zhi Yong
Cardiology
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How to relieve myocarditis pain?

If a patient is diagnosed with myocarditis, especially viral myocarditis, and experiences chest pain, some analgesic medications can be used, particularly non-steroidal anti-inflammatory drugs (NSAIDs). If the patient has infective endocarditis or other forms of myocarditis, it is not recommended to use pain-relieving medications due to individual differences, as this may exacerbate symptoms and mask the true condition. For general cases of myocarditis, it is sufficient to use some common NSAIDs. However, it is still important to actively treat the primary disease, control the patient's symptoms, and initially use antiviral medications predominantly, which can also alleviate symptoms. Regular echocardiogram reviews to monitor changes are also necessary.

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Written by Zhang Yue Mei
Cardiology
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Can you exercise with myocarditis?

Patients with myocarditis should avoid exercising. Myocarditis is caused by acute or chronic damage to the myocardium due to viral infections. After contracting myocarditis, patients may experience palpitations and shortness of breath; severe cases can lead to heart failure, arrhythmias, and cardiogenic shock. For myocarditis, early diagnosis and treatment are crucial for recovery. Patients with myocarditis must rest in bed, minimize physical activity, consume easily digestible foods, and eat a variety of vitamins and minerals through vegetables and fruits to maintain regular bowel movements. Effective antiviral drugs and treatments that nourish the myocardium should be used to help the damaged myocardium recover as soon as possible.

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Written by Xiao Chang Jiang
Cardiology
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Is myocarditis contagious?

Many people often ask if my myocarditis is contagious. Actually, myocarditis is a focal inflammatory lesion of the myocardium or a diffuse inflammatory disease of the entire myocardium. It is an inflammatory disease of the myocardium. Based on the cause, we classify it into infectious and non-infectious types. The infectious type is mostly caused by viruses, such as Coxsackievirus B, or by bacteria, while non-infectious type is caused by allergies. Generally, they are not contagious.

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Written by Tang Li
Cardiology
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What are the symptoms of myocarditis?

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.