How to relieve myocarditis pain?

Written by Di Zhi Yong
Cardiology
Updated on March 05, 2025
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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 Yao Li Qin
Pediatrics
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Is pediatric myocarditis curable?

Myocarditis in children is generally caused by a viral infection, which means viral myocarditis is the most common type. This condition indicates that the virus has damaged the myocardial cells, leading to severe symptoms such as heart failure and cardiogenic shock. Once myocarditis is diagnosed in a child, it is crucial to hospitalize and treat them actively. While treating myocarditis, it is essential to use medications that nourish the myocardium and actively treat the primary disease. Most children with myocarditis have a favorable prognosis, but fulminant myocarditis has a poor prognosis, carrying a certain risk of mortality.

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Written by Zhou Yan
Geriatrics
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Criteria for Diagnosing Myocarditis

The diagnosis of myocarditis is primarily clinical, based on typical precursor symptoms, corresponding clinical manifestations, and physical signs. The precursor symptoms usually occur one to three weeks before the onset, including symptoms of a viral infection such as fever, general fatigue, and muscle soreness, or gastrointestinal symptoms like nausea and vomiting. Subsequently, symptoms such as chest tightness, palpitations, difficulty breathing, and even fainting and sudden death may occur. The physical signs generally include arrhythmias, commonly premature atrial contractions, premature ventricular contractions, or conduction blocks. There may be an increased heart rate which does not correspond to the body temperature, and there could be the presence of second or third heart sounds or gallop rhythm. A minority of patients may show signs of heart failure. Tests can include electrocardiograms, enzymatic studies, or echocardiograms, and magnetic resonance imaging may show symptoms of myocardial injury. To confirm the diagnosis, an endomyocardial biopsy must be performed.

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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 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.