How to treat viral myocarditis and what drugs to use

There is no specific treatment plan for viral myocarditis, which is mainly symptomatic supportive treatment with medications, and if necessary, temporary pacemakers and exogenous cardiopulmonary support systems can be used for treatment. When viral myocarditis occurs, the doctor will give symptomatic supportive treatment according to the patient’s specific situation, and the commonly used drugs are mainly divided into six categories. The first category is drugs that nourish the myocardium and promote myocardial metabolism such as vitamin C and coenzyme Q10. The second category is diuretics, which are used to reduce the load on the heart and improve cardiac function when patients have heart failure symptoms, commonly used drugs include furosemide, hydrochlorothiazide and so on. The third category is vasodilators such as nitroglycerin, which can reduce the cardiac load as the second category. The fourth category is positive inotropic drugs such as digoxin, which can increase the contractility of the heart. The fifth category is antiviral drugs such as acyclovir, which can fight viral infections and reduce virus-induced myocardial destruction. The sixth category is glucocorticoids, which can reduce the inflammatory response of the body. In patients with concomitant cardiogenic shock, left ventricular assist devices and extracorporeal membrane pulmonary oxygenation can be performed, and in patients with concomitant complete heart block, temporary pacemakers can be used for treatment. All of the above treatment modalities and medications should be used under the supervision of a physician.