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Myopericarditis Definition, Symptoms, Causes, Prognosis, Recovery

Myopericarditis is a condition in which heart is involved in the pericarditis. Pericarditis is defined as inflammation of pericardium. Pericardium is the membrane which covers the heart. So when pericarditis also involve heart in inflammation, then it is termed as myopericarditis. Heart is involved in pericarditis in the form of myocardial problems that's why it is termed as myopericarditis.

When the level of cardiac troponins increases, they show myocardial involvement in pericarditis. Myocarditis and pericarditis are not more different conditions and their etiologies are almost the same. Myopericarditis is also termed as perimyocarditis. It is most commonly seen in young adults and paeds. It usually occur in men.


Myopericarditis Causes


Myopericarditis may occur due to three main categories of reasons i.e. immune mediated, idiopathic and infectious. Myocarditis and pericarditis both have almost same causes. Immunologic and genetic factors contribute a lot in causing pericarditis and myocarditis. As these two conditions are overlapped due to same causes. There are some hormonal factors which contribute to cause myopericarditis. There are viruses which are responsible for myopericarditis. These Viruses are, cytomegalovirus, coxsackievirus and adenovirus. Epstein Barr virus, influenza virus, varicella zoster virus, hepatitis A and C virus. It may occur secondary to some diseases like inflammatory bowel diseases, connective tissue diseases.

Myopericarditis Definition, Symptoms, Causes, Prognosis, Recovery

Myopericarditis Symptoms


The symptoms shows the severity of myopericarditis. It may be localized or may diffuse in to the neighbouring Chambers and make it complicated. Most of the symptoms of myopericarditis are systemic and show symptoms like fever, myalgias and some gastrointestinal symptoms. Sometimes it is associated with respiratory problems. Gastroentritis. Patient may feel pain in the chest region and it will become difficult to differentiate between ischemic pain and myopericarditis. Inflammation is the common sign of myopericarditis. Another sign is the increased level of white blood cells and erythrocyte sedimentation rate and serum C reactive protein concentration.

Myopericarditis Prognosis


Myopericarditis involves a wide spectrum of pericarditis and myocarditis. There were 40 cases reported and checked in last 12 years with myopericarditis. And no death is seen in all these cases. On the other hand, another study in France reported 21 percent mortality in 14 cases of myopericarditis. In Italy, 62 consecutive cases were reported with no death and the clinical signs were 95 percent resolved successfully. Myopericarditis is proved fatal if the causative agent is a virus. The signs and symptoms it shows is direct heart failure. These are not reported in the myocarditis studies and rarely reported in case of pericarditis.

Myopericarditis Recovery


The recovery time from myopericarditis is not defined. It depends on the severity of condition. Medications are prescribed to calm down the symptoms occurring like NSAIDS and other pain killers. Some drugs are prescribed to make ECG normal. Usually a patient require 6 months to recover from myocarditis. As goes for pericarditis. So the estimated recovery time for myopericarditis is almost 7 months. After that, with the help of exercise and medications, patient can regulate his routine. This recovery time may vary from person to person.
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