Myocarditis

Medium urgency
-Moderately severe

Inflammation of the heart muscle.

It is often secondary to viral or bacterial infections. Other possible causes include drug intoxication, chemical intoxication and rheumatic fever.

It may present with fever, chest pain, tiredness and difficulty breathing.

The diagnosis is made by history and physical examination. Additional tests (electrocardiogram, ecocardiogram, etc.) must be carried out to obtain more precise results. If an infarction cannot be ruled out, catheterisation must be carried out.

Mild cases usually resolve spontaneously without sequelae. Serious complications may require admission to intensive care for treatment of arrhythmias, heart failure and other symptoms.

Bibliographic references
  1. Leslie T Cooper, Jr. Clinical manifestations and diagnosis of myocarditis in adults. UpToDate, Mayo 2016
  2. Leslie T Cooper, Jr. Treatment and prognosis of myocarditis in adults. UpToDate, Agosto 2015
  3. Caforio AL. A prospective study of biopsy-proven myocarditis: prognostic relevance of clinical and aetiopathogenetic features at diagnosis. Eur Heart J 2007; 28:1326.
  4. Grün S. Long-term follow-up of biopsy-proven viral myocarditis: predictors of mortality and incomplete recovery. J Am Coll Cardiol 2012; 59:1604.
  5. Magnani JW. Survival in biopsy-proven myocarditis: a long-term retrospective analysis of the histopathologic, clinical, and hemodynamic predictors. Am Heart J 2006; 151:463.
  6. Neal K. Lakdawala. Miocardiopatía y miocarditis. Harrison. Principios de Medicina Interna, 19e. Capítulo 287.
Author
Dr. Patricia Sánchez
Copyright
© TeckelMedical 2026

Symptoms

    Short of breath on exertion


    Chest pain


    Palpitations


    Tiredness / fatigue


    Chest pain at rest

Pre-hospital care recommendations

Consume over-the-counter pain relievers or anti-inflammatories.
Relative rest, rest until symptoms subside.