How long can one live with sequelae of myocarditis

Nowadays, many people suffer from heart diseases. Myocarditis is a relatively common disease. Myocarditis can be cured through treatment, but if sequelae occur. That would be more troublesome to treat. If the sequelae are serious, it is very likely to be life-threatening. So, how long can you live with the sequelae of myocarditis? In fact, as long as reasonable treatment is carried out, life can be prolonged.

Most patients with viral myocarditis can recover after proper treatment, but some patients fail to receive timely and correct treatment and proper rest for various reasons, which often leave sequelae, mainly including:

① Various types of premature beats, atrial premature beats are more common;

② Atrioventricular block, I° atrioventricular block is the most common, some patients may have II° atrioventricular block, and very few may have III° atrioventricular block;

③Dilated cardiomyopathy, clinically manifested by progressively worsening symptoms of heart failure.

The etiology of the disease mainly includes two aspects:

1. Autoimmune regulatory dysfunction After the virus infects the myocardium, the myocardial immune system is activated. Due to its own factors, the autoimmune regulatory function is disordered, and the immune allergic reaction continues to damage the normal myocardium; 2. Severe myocardial damage After the virus infection, the myocardium is severely damaged and severe fibrotic tissue appears.

Clinical manifestations mainly include:

1. Various types of premature beats often last for a long time and tend to increase after a cold, fatigue, excitement or stimulating drinks. They are often manifested as palpitations, atrial premature beats are more common, and some patients may experience ventricular premature beats or even short bursts of ventricular tachycardia;

2. Atrioventricular block I° atrioventricular block is the most common. Some patients may experience II° atrioventricular block, which may lead to palpitations or fatigue symptoms. Very few patients may experience III° atrioventricular block.

3. The condition of some patients with dilated cardiomyopathy may stabilize after several weeks to months, but they may still have a certain degree of heart enlargement, decreased heart function, with or without arrhythmia or electrocardiogram abnormalities, etc. If the condition does not heal for a long time, clinically, symptoms of progressive worsening of heart failure may appear.

treat

1. Beta-blockers can be used for patients with obvious symptoms of various types of premature beats and frequent attacks.

2. Patients with atrioventricular block and severe slow ventricular rate need to have a permanent pacemaker implanted.

3. The symptoms of some patients with dilated cardiomyopathy can be controlled to a certain extent after receiving cardiac resynchronization therapy (CRT).