Viral myocarditis is an acute and chronic inflammation of the myocardium caused by various viruses (of which the most common are those causing upper respiratory tract infections) and is one of the more common clinical diseases of modern cardiovascular disease. Symptoms: There may be vague pain in the precordial region, palpitations, weakness, nausea, headache, insomnia, etc. After treatment in the acute phase, there is mild heart enlargement, cardiac decompensation, arrhythmia or ECG showing ST-T changes, T-wave hypoplasia or inversion, coronary ischemic T-wave changes, usually due to the formation of myocardial scars after the acute phase, evolving into myocarditis sequelae and difficult to treat.
The general treatment includes: 1. rest: after suffering from myocarditis the myocardium has diffuse lesions, especially the left ventricle, bed rest can reduce the heart load, reduce myocardial oxygen consumption, help the absorption of inflammation in the myocardium, the lesion cells are repaired. Bed rest time depends on the severity of the disease, generally rest for 2-3 months in the acute phase, gradually increase activities after the condition improves, if there is an enlarged heart or accompanied by heart failure, bed rest to the heart shrinks to normal size, cardiac function to normal stability, start to get out of bed light activity, according to the recovery of the condition, gradually increase activities.
2.Diet: It is advisable to give food rich in vitamins and proteins and easy to digest, should eat little and often, avoid overeating to avoid increasing the load on the heart.
3, sedation and oxygen: apply sedatives to those who are crying and restless, and give oxygen inhalation to those who have symptoms of hypoxia. Comprehensive treatment of cardiomyocyte activating drugs, intravenous vitamin C, fructose diphosphate can be given in the acute stage. Oral administration of coenzyme Q10, inosine, vitamin C, vitamin E, VitBC0, etc.
4, anti-infection: treatment of viral myocarditis to actively control existing infections, and to avoid re-infection by viruses or bacteria, aggravating the disease. The actual fact is that you can use a lot of the same drugs that you would use in the event that you have a lot of the same problems. The onset of viral myocarditis is more common in light and medium-sized cases, and less common in heavy cases, with long-term follow-up results, most of them are cured, a few are delayed, and very few die.
The main reasons affecting the prognosis are as follows: 1. Treatment is not timely enough: light myocarditis early, clinical symptoms are more light, only abnormal changes in the electrocardiogram, X-rays and echocardiogram results abnormal rare, not easy to be found by parents, clinicians may also ignore and missed diagnosis, failure to timely rest treatment, resulting in delay, aggravation, and even has developed into chronic. The best time for treatment is lost.
2, do not pay attention to rest: not adhere to the treatment of myocarditis clinical manifestations are often lighter than the actual disease, so that some parents do not pay attention to, after hospitalization treatment improved discharge or after a period of outpatient treatment, no longer continue to use drugs, participate in all sports activities, so that the condition is delayed or aggravated.
3, repeated infections: after suffering from myocarditis some children have reduced immune function, especially cellular immune function, susceptible to bacterial or viral infections, which can lead to aggravation and recurrence of myocarditis, so in the course of myocarditis, attention should be paid to enhance the immunity of the body, such as a cold or other infections, to take active treatment measures.
4, did not adhere to long-term follow-up: regular clinic, follow-up can have systematic observation of the disease, get the doctor’s guidance, if there are changes in the condition, timely adjustment of treatment plan. Make the condition recover smoothly.
5.Related to the severity of the disease: light and medium-sized cases, after regular rest and treatment, most of them can recover completely; heavy cases because of their extensive and serious lesions, the onset of the disease is more urgent, even if the active rescue, regular treatment, the disease is easy to delay or leave sequelae, or even death.