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    Myocarditis, (Inflamed Heart Muscles) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Myocarditis, (Inflamed Heart Muscles) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Myocarditis, (Inflamed Heart Muscles) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Ebook97 pages54 minutes

    Myocarditis, (Inflamed Heart Muscles) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

    By Kenneth Kee

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    About this ebook

    Recently there have been several cases of young persons such as national service men or young runners who suddenly collapsed and died of a heart attack.
    Very often these people had a viral infection (e.g., influenza) a few days or 1 week before they started on their strenuous physical activity.
    A viral infection can often cause inflammation of the heart muscles a condition called myocarditis which can lead to sudden heart attack and death.
    It is very important to get sufficient rest after a viral infection such as influenza before starting on any strenuous physical exercise.
    Myocarditis is acute or chronic inflammation of the heart muscle due to reaction of living tissue to injury or infection.
    The inflammation may affect parts of the heart muscle or the whole heart
    It may present similarly to myocardial infarction.
    Myocardial destruction may lead to dilated cardiomyopathy
    Causes
    1.Infection:
    Most of the time, it is caused by an infection that reaches the heart
    The chemicals made by these disease fighting cells can also damage the heart muscle.
    Consequently, the heart can become thick, swollen, and weak.
    Many cases are caused by a virus that reaches the heart.
    2.Immune-mediated diseases (body defending system attacks the body’s healthy tissues):
    Autoimmune disorders that cause inflammation throughout the body such as:
    Sarcoidosis.
    Systemic lupus erythematosus.
    Scleroderma
    3.Drugs causing hypersensitivity reactions
    4.Heavy metal poisoning: lead, copper, iron
    5.Physical agents: Electric shock, Hyperpyrexia, Radiation or radiotherapy
    In developed countries, the most frequent causes are hypersensitivity or allergic reactions
    Symptoms
    There may be no symptoms.
    Symptoms may be similar to the flu
    ECG abnormalities
    Heart failure
    Left ventricular dysfunction (LVD)
    Fatigue
    Chest pain
    Fever and other signs of infection
    Joint or leg swelling
    Dyspnea
    Palpitations
    Fainting
    Sudden Death
    Diagnosis:
    Myocarditis can be hard to diagnose because the signs and symptoms often imitate those of other heart and lung diseases
    The doctor may hear a very fast heartbeat or unusual heart sounds
    A chest x-ray can reveal swelling or enlargement of the heart.
    If the doctor suspects myocarditis based on the examination and chest x-ray, an electrocardiogram may also be done to help make the diagnosis.
    Other tests that may be needed are:
    1. Blood cultures to check for infection
    2. Blood tests to look for antibodies against viruses or the heart muscle itself
    3. Blood tests to check liver and kidney function
    Investigations
    ECG: changes may include ST-segment elevation/depression, T-wave inversion, atrial arrhythmias, transient atrioventricular (AV) block.
    CXR: Normal cardiac silhouette but pericarditis or overt clinical congestive heart failure is linked with cardiomegaly.
    Vascular redistribution.
    Interstitial and alveolar edema.
    Pleural effusion.
    Heart biopsy (the most accurate way to confirm the diagnosis)
    Cardiac CT scan and MRI
    Echocardiography
    Cardiac catherization
    Treatment:
    Treatment of myocarditis is dependent on the severity and the underlying cause.
    For most patients, no treatment is needed except for a few days of adequate rest if the symptoms are mild.
    Patients with signs of acute myocarditis (fever, WCC, flu-like illness and hemodynamic compromise) should be transferred to ICU, as ventricular support and oxygen support may become necessary.
    Patients may heal or continue to intractable heart failure
    Steroids have been shown to improve survival in giant cell myocarditis
    Parenteral inotropes (e.g., milrinone) or adrenergic agonists
    Anticoagulant
    Rest after recovery from acute myocarditis
    Artificial heart implants
    Heart transplant may be needed
    TABLE OF CONTENT
    Introduction
    Chapter

    LanguageEnglish
    PublisherKenneth Kee
    Release dateOct 12, 2017
    ISBN9781370102334
    Myocarditis, (Inflamed Heart Muscles) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Author

    Kenneth Kee

    Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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      Book preview

      Myocarditis, (Inflamed Heart Muscles) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee

      Myocarditis,

      (Inflamed Heart Muscles)

      A

      Simple

      Guide

      To

      The Condition,

      Diagnosis,

      Treatment

      And

      Related Conditions

      By

      Dr Kenneth Kee

      M.B.,B.S. (Singapore)

      Ph.D (Healthcare Administration)

      Copyright Kenneth Kee 2017 Smashwords Edition

      Published by Kenneth Kee at Smashwords.com

      Dedication

      This book is dedicated

      To my wife Dorothy

      And my children

      Carolyn, Grace

      And Kelvin

      This book describes Myocarditis, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

      (What The patient Need to Treat Myocarditis)

      This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If the patient would like to share this book with another person, please purchase an additional copy for each reader.

      If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

      Thank you for respecting the hard work of this author.

      Introduction

      I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.

      My purpose in writing these simple guides was for the health education of my patients.

      Health Education was also my dissertation for my Ph.D (Healthcare Administration).

      I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.

      This autobiolographical account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Disorders into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

      From which many free articles from the blog was taken and put together into 800 amazon kindle books and 200 into Smashwords.com eBooks.

      Some people have complained that the simple guides are too simple.

      For their information they are made simple in order to educate the patients.

      The later books go into more details of medical disorders.

      The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

      Since 2013, I have tried to improve my spelling and writing.

      As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

      Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

      I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

      I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

      I apologize if these repetitions are irritating to some readers.

      Chapter 1

      Myocarditis

      Recently there have been several cases of young persons such as national service men or young runners who suddenly collapsed and died of a heart attack.

      Very often these people had a viral infection (e.g., influenza) a few days or 1 week before they started on their strenuous physical activity.

      A viral infection can often cause inflammation of the heart muscles a condition called myocarditis which can lead to sudden heart attack and death.

      It is very important to get sufficient rest after a viral infection such as influenza before starting on any strenuous physical exercise.

      What is Myocarditis?

      Myocarditis is acute or chronic inflammation of the heart muscle due to reaction of living tissue to injury or infection.

      The inflammation may affect parts of the heart muscle or the whole heart.

      The disorder is called pediatric myocarditis when it occurs in children.

      It may present similarly to myocardial infarction.

      Myocardial destruction may lead to dilated cardiomyopathy

      Incidence

      The exact incidence of myocarditis is not known.

      One study suggested that myocarditis is the cause of sudden cardiac death in 8.6% of cases and is identified in up to 9% of routine post-mortem examinations

      What are the causes of Myocarditis?

      Causes

      Myocarditis

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