Monday, June 22, 2020

Focus on viral myocarditis

In the late winter and early spring, everything recovers. It is the season of frequent diseases. A few people will get "inflammation" after viral influenza, which is called myocarditis, and various heart discomfort symptoms appear, even life-threatening. In the spring of this year, the number of acute viral myocarditis admitted to our hospital increased compared with the same period in previous years. In the past month, 4 cases of viral myocarditis have been treated continuously, of which 3 cases were diagnosed with respiratory syncytial virus infection, and 1 case was respiratory syncytial virus combined with Coxsackie. Odd virus infection, and progressed to severe myocarditis, improved after extracorporeal membrane lung treatment, 2 cases showed signs of heart failure, improved after medical treatment, and mild patients were discharged after rest and medical treatment.

Myocarditis refers to inflammatory lesions of the myocardium caused by various reasons. Due to the different size and degree of myocardial lesions, the clinical manifestations are different. Mild patients have no symptoms, and severe patients can have heart failure, cardiogenic shock, or even sudden death. Most patients can be cured by treatment, and those who are not prolonged can develop chronic myocarditis or lead to cardiomyopathy.

What are the clinical manifestations of viral myocarditis?

When symptoms of viral infection occur: such as fever, sore throat, cough, vomiting, diarrhea, muscle aches, etc., it is necessary to be alert for viral myocarditis. Most of the disease occurs after 1-3 weeks of viral infection, which can be manifested as palpitation, chest pain, chest tightness, difficulty breathing, fatigue, etc. In severe cases, it can cause melancholia, syncope, and even "shock" symptoms such as wet and cold skin and low blood pressure.

Once suffering from viral myocarditis, how to treat it?

There is currently no specific treatment for myocarditis, so prevention is more critical. After the "cold" occurs, pay attention to rest, avoid fatigue, control emotions, and pay attention to sleep. After the occurrence of myocarditis, personal care mainly focuses on rest to reduce heart burden and tissue damage. The rest time depends on the severity of symptoms. The diet should be light, not salty and spicy, greasy food, eat more fresh vegetables, Fruits and high-calorie, high-protein foods, avoid tobacco and alcohol. After the condition is stable, you should also go to the hospital for regular review to monitor the size and function of the heart.

Therefore, after a "cold", you should pay attention to rest. Once symptoms such as palpitation, chest pain, chest tightness, difficulty breathing, and fatigue, you should go to the hospital in time for early detection and early treatment to avoid delays.

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