Myocarditis: How is it detected and treated?

Written in association with: Dr Oliver Guttmann
Published: | Updated: 06/08/2023
Edited by: Robert Smith

Did you know there are approximately 7.6 million people living with circulatory diseases in the UK alone? Myocarditis is one of these conditions. 

 

Here, Dr Oliver Guttmann, highly experienced consultant cardiologist who specialises in treating myocarditis, provides an expert insight into the symptoms and how the condition is treated.

 

 

What is myocarditis?

 

Myocarditis, meaning inflammation of the heart, is a circulatory condition. It can reduce the heart’s ability to pump blood and can cause abnormal heart rhythms.
 

While most people who have myocarditis usually recover without any complications, in some cases, myocarditis can be severe and lead to damage to the heart.

 

Who does myocarditis affect?

 

Myocarditis can affect anyone, at any age. It can often occur in people with no history of other illnesses. People who have myocarditis usually develop symptoms one to two weeks after the initial viral illness.
 

What are the main symptoms of myocarditis?

 

Symptoms of myocarditis include:

What causes myocarditis?

 

Myocarditis is most commonly caused by:

  • A virus (including coronavirus), fungus, or bacteria
  • An autoimmune disease (when a person’s own immune system attacks their body)
  • Sometimes, the cause is unknown
     

How is myocarditis usually diagnosed?

 

The condition is usually detected through some common tests including:

Other diagnostic tests may include:

 

What treatment options are recommended?

 

Treatment usually depends on what symptoms the person has, and what the cause of the condition is. This often involves close monitoring, treatment for heart failure and medication, including anti-inflammatory medicines. Sometimes, drugs are used to suppress the immune system.
 

How does COVID-19 impact the heart?

 

Many patients present with chest pain, shortness of breath, and palpitations following a coronavirus infection. Damage to the heart can occur in up 40 per cent of cases. This includes damage to the heart by infection of the heart muscle but also heart attacks caused by blood clots.

 

 

For more information regarding myocarditis, don't hesitate to get in contact with leading consultant cardiologist, Dr Oliver Guttmann, via his Top Doctors profile today.

By Dr Oliver Guttmann
Cardiology

​Dr Oliver Guttmann is the Consultant Cardiologist for Inherited and Inflammatory Cardiovascular Diseases and Interventional Cardiology at St Bartholomew’s Hospital, the Wellington Hospital and Golders Green Outpatients and Diagnostics Centre, all located in London. He is also an Honorary Associate Professor at University College London.

Dr Guttmann sees patients related to all areas of adult cardiology (high blood pressure, high cholesterol and palpitations) for which he has a special interest in chest pain/angina management and coronary intervention, including  angiography and stenting. Dr Guttmann also specialises in inherited cardiac conditions, especially hypertrophic cardiomyopathy and the management of myocarditis.

Dr Guttmann studied medicine at Cambridge University and University College London. Following this, he was awarded both his membership of the Royal College of Physicians and Dr.med qualification from the Ludwig-Maximilians-University in Munich, Germany in 2008.

His research in atrial fibrillation and stroke in hypertrophic cardiomyopathy, which was funded by the British Heart Foundation, gained him his MD (Res) degree from the University College London in 2016. Dr Guttmann completed his cardiology training at the London Chest Hospital, Heart Hospital and Barts Heart Centre in 2017.

He publishes routinely in peer-reviewed journals and book chapters and has written medical articles on inherited inflammatory heart muscle disease, risk stratification in cardiomyopathy and outcomes after percutaneous coronary intervention. He is the Clinical Lead of the Coronary Care Unit at Barts Heart Centre and is a member of the British Cardiovascular Intervention Society and the Working Group on Pericardial and Myocardial Disease of the European Society of Cardiology.

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Overall assessment of their patients


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  • Heart attack
    Arrhythmia
    Hypertension (high blood pressure)
    Pericarditis
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    Ambulatory electrocardiogram (Holter)
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