Myocarditis is a disease that is mainly characterized by the inflammation of the interior of the cardiac muscle. The inflammation is caused by infectious agents and viruses that may be, which is the most frequent cause, followed by bacteria, rickettsiae, fungi, and parasites.

In Europe and America, the most common cause of this disease is Coxsackie virus group B, which belongs to the group of enteroviruses. Inflammation affects all the structures of the heart muscle, such as the muscle cells, intersticium, blood vessels, connective elements and pericardium.

Inflammation of the heart muscle may occur due to a variety of infectious conditions in the human body. However, as a rule, we talk about myocarditis, the case when inflammation occurs primarily in the heart muscle, it is called primary myocarditis. Heart muscle damage can occur due to the direct action of the agent in the tissue, but it is essentially the consequence of the myocardium of impaired immunity and immunological events in the cardiac muscle. A progressive course of the disease in human’s persistent inflammation of the heart muscle is the result of an autoimmune process. The acute phase of the disease is relatively short; it may be not sufficiently manifested clinically, for that reason it may remain undefined. In the later stage of the disease, there is a definite state, where a number of signs and symptoms of a heart failure appear.

Clinical manifestations of myocarditis determine the degree of the involvement of muscle inflammation. Here we speak about a variety of diseases ranging from asimtopmatskog sheet, which is a consequence of the mild focal lesions of the muscle, to laminating phase of fulminant heart failure, cardiac arrhythmia, and sudden death.

The disease is accompanied by a typical clinical presentation, electrocardiographic changes and echocardiography changes that can be diagnosed by MRI. The definitive diagnosis is based on the precedent diagnosing procedure, from a biopsy of the heart muscle to definitive morphological diagnostics.

The treatment is strictly defined by the clinical picture, which means it is based on the symptomatic therapy, especially if there are signs and symptoms of a heart failure and serious arrhythmias. In the cases of a viral disease, immunosuppressive therapy is used. Immunoglobulins and interferon are still the only known antiviral cure. What is important for readers to note is that the presence of antibodies of Coxsackie viruses in the body does not necessarily mean the existence of such disease as myocarditis.

Experience of Coxsackie viruses patients

"Coxsackie" virus is found in over 90% of people in our country and abroad. As a rule, its presence results in activated immune decline (and in many cases, I think, we can speak about the loss of immunity as a final outcome) as well as a high level of stress and anxiety. It can be very dangerous unless it is detected in time!

Treatment

1. Strict bed confinement and regular sleep are particularly important!

2. Fresh fruits and vegetables (the more you eat, the better). You can take them as juice: squeezed beets, carrots, apples, honey.

3. Drink plenty of fluids, give up cigarettes (if you smoke), coffee, soda. Besides, try to reduce the amount of salt you consume with food.

4. Kombucha tea – I can give you the phone number, if you would like to purchase this tea - I'm not going to write about it, but, of course, you can find some more information on the Net!

5. Honey with Royal Jelly (eat a wooden or plastic spoon of it regularly).

6. Take Magnesium, Qenzim 10 mg Vitamin C1000 –please note, that tis can be harmful to the stomach; Dilatrend 6:25 – it is necessary to lower the pulse; OMEPROL – it helps to strengthen the lining of the stomach; Oligogal SE, Zinkosel (Zinc and Selenium). Of course, the most important products are fresh fruit and vegetables, but the vitamins and minerals mentioned above are still required (Oligogal SE, ZINKOSEL)!

Coxsackie viruses

These viruses are a group the physicochemical properties and morphology of which correspond to poliovirus. They got their name after Coxsackie (USA), where they were initially described. The virus was first isolated from the intestinal contents of an ill child who had symptoms of inflammation of the central nervous system.

Viruses of this group are divided into two subgroups: A group and B group. Group A mice injected novookoćenim leads to the damage of the striated muscle and the appearance of the muscle disease. Group B ubruzgana novookoćenim mice causes paralysis and brings damage to internal organs. A group of these viruses in humans causes herpetic angina, aseptic meningitis. Group B provokes aseptic serious meningitis in infants, epidemic muscle pain, inflammation of the heart muscle and the possibly of inflammation of the brain and spinal cord. This group of viruses is isolated not only in patients but also in healthy individuals. It is isolated from the stool, sputum, blood, and brain-spinal fluid.

The source of infection comes from the ventilation ducts of central air conditioning systems - impure in the areas where they are installed, they play the role of incubators of seed viruses and bacteria, fungi parayita. Vayduh is delivered through them. Its consumption creates problems in humans, as it is the source of the infection. The disease can be transmitted through air, water, food.

What are Coxsackie viruses?

Enterovirus

Coxsackie type A

Coxsackie type B

There now have been discovered at least 29 subtypes, 23 A (A1-A22 i A24) i 6 B (B1-B6).

Where do they exist and how is Coxsackie virus transmitted?

Viruses are present throughout the world; they are likely to be found virtually everywhere. Viruses can be transmitted from the air vents of the central climatic system, where most viruses, bacteria, fungi and parasites normally gather.

Antibodies to various kinds of viruses can be found in the sera of people in all the fields. Viruses are most commonly isolated in summer and early fall, which means that the infection probably occurs during the summer period. When the virus enters the household, it typically infects all the members, but the disease might progress only in several people. The virus multiplies in the throat (oropharynx) and the intestinal epithelium and then it is carried by the blood to all the organs of the human body.

What diseases are caused by it?

The highest number of Coxsackie virus infections passes without symptoms or with fever. However, in the minority of cases, there is a likelihood of various diseases. Some of the illnesses, caused by Coxsackie viruses (not all, but the most common) are represented below:

Syndrome

Neurological

Serous meningitis many A B1 do B6

Encephalitis A2, A5-A7, A9, B1 do B5

Muscle weakness and paralysis A4, A7, A9, B2 do B5

(polio-related disease)

cerebellar ataxia A2,A4,A9 B3,B4

Myocarditis

It is a potentially dangerous disease that can cause Coxsackie, but there is no reason for a great concern. Only 5% of all the cases of the inflammation of the heart muscle are caused by the virus. Among all those who have Coxsackie myocarditis, according to various studies, the unfavorable course of the disease is viewed only in 0-4% of patients. A consequence of Coxsackie viruses is dilated cardiomyopathy, the disease that leads to enlargement of the heart cavities and significantly reduces the heart function, but it is a relatively rare disease, which can have many causes, not only the Coxsackie. Any diagnosis by a cardiologist is based on clinical ECG, ECHO heart and serological analysis. Techniques to determine the presence of a virus in the heart muscle are not used routinely, but in fact, they imply a heart catheterization and sampling of the heart muscle for histopathological examination and PCR.

It is hard to predict whether you will be sick or whether the virus will have some other effects. This analysis is performed on the basis of a detailed examination of the heart and serves only to set a more accurate diagnosis, but they have no prognostic value, and you cannot claim what will happen next, neither can you predict whether it will eventually transform into a disease. All of it can only be viewed from the cause the Coxsackie virus have. If a cardiologist suspects that there is case of myocarditis caused by Coxsackie virus, it may require two analyzes in the course of two weeks, and only the four-time increase in titer can confidently prove that it is the myocarditis induced by Coxsackie gem. Otherwise it's just a guess.

Treatment

An antiviral drug that would have an impact on Coxsackie viruses has not been discovered. Myocarditis is treated only symptomatically, and in the most severe cases (which are very rare) there can be a heart transplant implied. Some people try immunosuppressive drugs (medicines that reduce immunity) because they believe that when the immune system makes attempts to remove the virus, the heart gets more damage than the virus. However, the treatment has not shown the expected effects. Myocarditis passes all by itself, and its recovery can take a long time.

Other diseases are also treated symptomatically by the appropriate protocols.