October 8, 2015
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Myocarditis (cont.)

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What is the prognosis (outlook) for patients with myocarditis?

The prognosis for long-term damage is not predictable and only becomes evident as the patient is followed by the doctor over time. After the initial phase of myocarditis, some patients can experience complete recovery, others may develop chronic heart failure due to injured heart muscle. Infrequently, some patients develop fulminant heart failure, a fatal condition without heart transplantation.

Patients who have had myocarditis are at some risk for sudden unexpected, potentially fatal, heart rhythm abnormalities. These can often be prevented with implantable defibrillators if the heart muscle damage is severe.

How is myocarditis treated?

Except in systemic sarcoidosis and immune inflammation (such as from systemic lupus erythematosus) where myocarditis can respond to corticosteroids, no proven effective medications are currently available for treating active myocarditis. Treatment measures mainly involves alleviating heart failure (salt restriction, water pills, ACE inhibitors, beta blockers, etc.) and treating as well as monitoring heart rhythm abnormalities.

medically reviewed by Robert J. Bryg, MD; Board Certified Internal Medicine with subspecialty in Cardiovascular Disease
"Clinical manifestations and diagnosis of myocarditis in adults" uptodate.com

Medically Reviewed by a Doctor on 5/14/2015

Source: MedicineNet.com

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