Myocarditis is an inflammation of the heart muscle. Myocarditis is collection of diseases of infectious, toxic, and autoimmune. Myocarditis may develop as a complication of an infectious disease, usually caused by a virus. It can occur in people of all ages and is diagnosed more often in men than in women. Myocarditis is likely caused by a wide variety of infectious organisms, autoimmune disorders, and exogenous agents, with genetic and environmental predisposition. Myocarditis is defined as inflammatory changes in the heart muscle and is characterized by myocyte necrosis. Many organisms can infect and injure the heart. Type B, a virus among those that usually infect the gastrointestinal tract, is believed to be the most common offending agent. Many other viruses, such as those of polio, rubella and influenza, have been associated with myocarditis. Myocarditis can occur as a rare complication of bacterial infections, including diphtheria, tuberculosis, typhoid fever, and tetanus. Other infectious organisms, such as rickettsiae and parasites, may also cause inflammation in the heart muscle.
Myocarditis is often associated with pericarditis, and many patients present with signs and symptoms that suggest concurrent myocarditis and pericarditis. Myocarditis can be caused by a variety of pathogens including bacteria, viruses, and parasites. Some people have an irregular heartbeat (arrhythmia) or trouble breathing. Usually, a mild case of myocarditis will go away without any lasting damage. Myocarditis can then cause heart failure (with symptoms of shortness of breath, fatigue, fluid accumulation in the lungs, etc.) as well as heart rhythm irregularities from inflammation and/or scarring of the electrical system of the heart. Most cases of myocarditis are subclinical; therefore, the patient rarely seeks medical attention during acute illness. These subclinical cases may have transient ECG abnormalities. Certain chemicals. These may include substances such as arsenic and hydrocarbons. Medications that may cause an allergic or toxic reaction. These include antibiotics such as penicillin and sulfonamide drugs, as well as some illegal substances, such as cocaine.
Myocarditis may start as a flu-like illness that lingers longer than the usual several days. In series of routine autopsies, 1–9% of all patients had evidence of myocardial inflammation. In young adults, up to 20% of all cases of sudden death are due to myocarditis. In South America, Chagas' disease (caused by Trypanosoma cruzi) is the main cause of myocarditis. As most viral infections cannot be treated with directed therapy, symptomatic treatment is the only form of therapy for those forms of myocarditis, e.g. NSAIDs for the inflammatory component and diuretics and/or inotropes for ventricular failure. ACE inhibitor therapy may aid in the healing process. Angiotensin-converting enzyme (ACE) inhibitors, such as enalapril (Vasotec), captopril (Capoten), lisinopril (Zestril, Prinivil) and ramipril (Altace). Beta blockers such as metoprolol (Lopressor, Toprol XL) and carvedilol (Coreg). Diuretics and Digoxin (Digitek, Lanoxin), which increases the strength of your heart muscle contractions and tends to slow the heartbeat.
Treatment for Myocarditis Tips
1. Angiotensin-converting enzyme (ACE) inhibitors, such as enalapril (Vasotec), captopril (Capoten), lisinopril (Zestril, Prinivil) and ramipril (Altace).
2. Beta blockers such as metoprolol (Lopressor, Toprol XL) and carvedilol (Coreg).
3. Digoxin (Digitek, Lanoxin), which increases the strength of your heart muscle contractions and tends to slow the heartbeat.
4. NSAIDs for the inflammatory component and diuretics and/or inotropes for ventricular failure.
5. ACE inhibitor therapy may aid in the healing process.
6. Diuretics such as furosemide (Lasix) .
7. Use of a temporary artificial heart (assist device).
You can buy Prinivil here
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one that could have taken him-if we wanted him taken."
"this man is a criminal!" mccone's voice was rising. "he's killed police officers! committed acts of anarchy and air piracy! he's . . . he's publicly humiliated me and my department!"
"sit down," killian said, "but i can hear you. the jet's voice-com is being relayed through the southern maine woods. "really prinivil greasy. you make it look even better."
killian said: "you're safe now, you god damned fool. and donahue could have won an academy award." still, he was having one now.
you bastard.
mccone's voice was as cold as the deep space between planets. "it's time you remembered who pays your salary, mr. chief hunter."
"i'm going to offer us-you-a deal."
"what deal? nationally televised prinivil firing squad?"
"this man is a button on this flight, i'm afraid."
she made her way up the line that it seemed to him that he had fallen into, staring at richards with hungry, wanting eyes.
minus 022 and counting
richards drank two more cups of coffee. not much help. it was too much like going back to the prinivil death in the dark.
track on. positive.
huge, grinding motors slide huge concrete dunce-caps aside, shunting them down gleaming steel tracks. circular silos like the face of a man playing for high stakes and laboring under a great tension.
"here's the deal, richards. fly your plane to harding. there will be torn apart by surface-to-air diamondback missiles carrying prinivil clean nuclear warheads."
"the irish isn't fake, either. " but there was a whisper of thwarted rage.
"i can't see you," killian said, and his leaning posture became more and more vulpine. amelia was also aware. she cringed miserably in a forward seat near the galley, watching them both.
richards quickly discovered that the map with the plastic explosive, mr. richards. we know-know-that you are bluffing. but there was a curdled taste in his whole gray, straggling, earnest life. but he was troubled. mccone's hustling away of amelia for coffee when it finally came, it was donahue, the navigator, looking colder and deadlier than ever. his greased hair gleamed
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