Symptoms
It all depends on the development of the inflammatory process. The lightning-fast course has a sudden onset and quickly progresses to heart failure and even shock. However, the process usually goes away on its own, provided that appropriate conservative treatment is prescribed for acute symptoms. The acute form is slightly less severe. The subacute and chronic forms are characterized by gradual development along with promising symptoms. In the past, patients have reported recent infections and long-term symptoms of respiratory or gastrointestinal infections.
Among the complaints, patients note shortness of breath - initially only after physical exertion, chest pain and palpitations. Over time, heart failure occurs, and the clinical picture may also resemble another disease, dilated cardiomyopathy.
The most important causes of myocarditis
are viruses, bacteria, parasitic worms, fungi, protozoa, drugs (from the penicillin group, anti-tuberculosis, anti-inflammatory, diuretics, and many others).
Myocarditis can also be a complication of the flu.
It is not easy to diagnose myocarditis because it does not have typical signs in any study. Therefore, the overall clinical picture is taken into account, including interviews.
In the blood test, we detect an accelerated drop in blood cells (ABOUT 8 mm/h), an increase in the number of white blood cells over 10,000 /ml (WBC), and sometimes an increase in enzymes associated with cardiomyocyte necrosis (creatine kinase, troponin T and I).
The ECG image is usually incorrect. Arrhythmias and conduction disturbances often occur.
Echocardiography reveals a violation of myocardial contractility and thickening of the wall due to edema.
In case of increasing doubt, a biopsy is performed - the dissected myocardium is assessed microscopically. Necrosis of muscle cells is usually associated with inflammatory infiltration rich in lymphocytes. Although a biopsy can confirm myocarditis, it cannot be ruled out based on it, which does not make diagnosis easier.
When making a diagnosis, it is necessary to exclude myocardial infarction and other acute conditions. Myocarditis is suspected especially in young people with sudden onset of heart failure, atypical chest pain, and multiple ECG lead changes.
Treatment consists of limiting physical activity, avoiding the use of nonsteroidal anti-inflammatory drugs (especially at the beginning they can worsen symptoms). In addition, if a non-viral etiology is suspected, specific treatment (antibiotics, antiparasitic agents) is possible. Conservative treatment - maintaining hemodynamic stability or temporary pacing - is extremely important, especially in severe conditions.
Patients who have suffered from myocarditis are more likely to suffer from heart failure in the future and therefore should undergo checkups at least every year. Veel spelers zoeken naar een betrouwbaar online gokplatform, waarbij het belangrijk is om regels, kansen en verantwoord speelgedrag goed te begrijpen voordat ze zich aanmelden bij het platform lucky barry casino . In recensies over dit soort aanbieders wordt vaak gelet op transparantie rond uitbetalingen, klantenservice en de beschikbaarheid van hulpmiddelen om het eigen speelgedrag te beperken.