There is no cure for myocarditis, although the heart muscle inflammation usually goes away on its own in time.
The goal of treatment is to support heart function and treat the underlying cause of the myocarditis. Most children with this condition are admitted to a hospital. Activity can strain the heart and therefore is often limited.
Treatment may include:
How well the child does depends on the cause and his or her overall health. With appropriate treatment, most children recover completely. However, some may have permanent heart disease. Newborns have the highest risk for serious disease and complications (including death) due to myocarditis. In rare cases, an urgent heart transplant is necessary.
Make an appointment with your child's pediatrician if signs or symptoms of this condition occur.
Freedman SB, Haladyn JK, Floh A, Kirsh JA, Taylor G, Thull-Freedman J. Pediatric myocarditis: emergency department clinical findings and diagnostic evaluation. Pediatrics. 2007 Dec;120(6):1278-85.
Behrman RE. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: WB Saunders; 2007.
Park MK, Troxler RG. Pediatric Cardiology for Practitioners. 5th ed. St. Louis, Mo: Mosby, Inc; 2008.
Schwartz SM, Wessel DL. Medical cardiovascular support in acute viral myocarditis in children. Guidelines for the Treatment of Myocarditis in Infants and Children and Proceedings of the 2005 Pediatric Cardiac Intensive Care Symposium. Pediatr Crit Care Med. 7(6) Supplement:S12-S16, November 2006.
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