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Cardiology: Myocarditis — Differential diagnosis and conservative treatment. Treatment

Myocarditis is a dangerous disease characterized by inflammation of the heart muscle. The causes of myocarditis can be infectious agents, toxic effects, rheumatism and allergic conditions. According to statistics, up to 10% cases of myocarditis are not diagnosed because of unclear clinical picture and complexity of diagnostics.

Myocarditis Diagnostics

Establishing a correct diagnosis is not an easy task. This is primarily due to the lack of pathognomonic signs, unequivocally indicating an inflammation in the myocardium. A comprehensive assessment of the case history, physical examination and findings of high-tech examination methods allow the experts to establish the diagnosis and cause of inflammation in a timely manner. The following methods are used to diagnose the myocarditis:

  • ECG: reveals non-specific violations;
  • echocardiography: characterizes the size of each section of the heart and mobility of its walls;
  • blood tests: biochemical, complete, immunological, PCR;
  • X-ray: visualizes the size of the heart and complications of the respiratory system;
  • myocardial biopsy: performed by sensing;
  • scintigraphy: identifies infiltration and swelling of the heart muscle;
  • MRI with contrast;
  • Bacterial inoculation.

Myocarditis Treatment

Myocarditis treatment is aimed at compensation of cardiac activity, subsidence of inflammatory process and removal of etiological factor of the disease. The treatment requires hospitalization, compliance with therapeutic regimen and dietary recommendations. The plan of therapeutic measures is adjusted depending on the dynamics of the patient's condition.

  • Antibacterials are prescribed via the parenteral route, taking into account the sensitivity identified during the bacterial inoculation. When a myocarditis connection with other centers of infection (sinusitis, otitis, stomatitis) is established, they are simultaneously treated according to standard protocols.
  • Antivirals are used for the viral nature of the disease.
  • Anti-inflammatory drugs reduce swelling and improve the general condition.
  • Antihistamines are indicated particularly upon allergic origin of myocarditis.
  • Immunocorrectors are used in rheumatic processes.
  • Corticosteroid hormones are indicated for severe cardiac decompensation.
  • Metabolic correctors.
  • Cardiac glycosides, diuretics, antiarrhythmics support the heart work.
  • Antithrombotic agents prevent the thromboembolic complications.

A proper approach to treatment of myocarditis, the use of modern effective drugs and attention to the disease peculiarities in a particular patient in most cases allow to count on a favorable outcome.

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St. Vincentius Clinic Karlsruhe

9.8/10 from 23 Votes

Department of Cardiology, Angiology and Intensive Care Medicine

Myocarditis differential diagnosis and conservative treatment #336384

The Department of Cardiology, Angiology and Intensive Care Medicine provides modern diagnostics and treatment of all forms of acquired and congenital heart diseases.


Duration: 12 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Karlsruhe

University Hospital Cologne

9.8/10 from 82 Votes

Department of Cardiology, Angiology, Pulmonology and Intensive Care Medicine

Myocarditis differential diagnosis and conservative treatment #78417

According to the Focus magazine rating, the Department of Cardiology, Angiology, Pulmonology and Intensive Care Medicine at the University Hospital Cologne ranks among the top German departments specializing in the treatment of cardiovascular diseases! The department provides the entire ra...


Duration: 12 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Cologne
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University Hospital Rechts der Isar of the Munich Technical University

8.3/10 from 70 Votes

Department of Cardiology, Angiology and Pulmonology

Myocarditis differential diagnosis and conservative treatment #178513

A team of experts from the Department of Internal Medicine at the university hospital Klinikum rechts der Isar treats patients with cardiovascular diseases.


Duration: 12 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Munich

Sachsenhausen Hospital Frankfurt am Main

10/10 from 23 Votes

Department of Cardiology, Gastroenterology and Sleep Medicine

Myocarditis differential diagnosis and conservative treatment #334188

The Department of Cardiology, Gastroenterology and Sleep Medicine covers a full range of diagnostics and treatment of all diseases of the gastrointestinal tract, liver and cardiovascular diseases. In addition, the department specializes in the study of sleep and related phenomena.


Duration: 12 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Frankfurt am Main

University Hospital Muenster

9.4/10 from 78 Votes

Department of Cardiology

Myocarditis differential diagnosis and conservative treatment #137621

The Department of Cardiology is part of the Center for Heart and Vascular Medicine at the University Hospital Muenster (UHM). The patients with all diseases of the heart, circulatory and vascular system are treated here.


Duration: 12 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Muenster

University Hospital Frankfurt am Main

9.5/10 from 97 Votes

Department of Cardiology and Angiology

Myocarditis differential diagnosis and conservative treatment #76569

According to the Focus magazine rating of 2017, the Department of Cardiology and Angiology ranks among the top German departments in the treatment of heart diseases! The department offers the full range of services in the field of diagnosis and treatment of cardiological and angiologic disorders.


Duration: 12 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Frankfurt am Main
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University Hospital RWTH Aachen

8.7/10 from 41 Votes

Department of Cardiology, Pneumology, Angiology and Internal Intensive Medicine

Myocarditis differential diagnosis and conservative treatment #105425

The focuses of the Medical Department I are Cardiology, Pneumology, Angiology and Internal Intensive Medicine. In cooperation with the medical departments II and IV, there is treated the entire spectrum of internal diseases at the highest level.


Duration: 12 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Aachen
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Academic Hospital Neuperlach Munich

9.8/10 from 11 Votes

Department of Cardiology, Pneumology and Internal Intensive Care

Myocarditis differential diagnosis and conservative treatment #144243

The department of cardiology, pneumology and internal intensive care treats cardiovascular disease and lung diseases. seriously ill patients are treated in intensive care units. The medical emphases of cardiology are the treatment of valvular heart disease, arrhythmias and myocardial insufficiency or heart failure.


Duration: 12 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Munich
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Academic Hospital Bogenhausen Munich

9.2/10 from 43 Votes

Department of Cardiology and Internal Intensive Medicine

Myocarditis differential diagnosis and conservative treatment #68733

The Department of Cardiology and Intensive Care Medicine at the Academic Hospital Bogenhausen offers all modern diagnostic and therapeutic methods for heart and circulatory diseases. The medical emphases are on the non-invasive and invasive diagnosis and treatment of heart disease and cardiac arrhythmias.


Duration: 12 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Munich

Academic Hospital Schwabing Munich

8.5/10 from 7 Votes

Department of Cardiology, Pneumology and Internal Intensive Medicine

Myocarditis differential diagnosis and conservative treatment #140407

The Department of Cardiology, Pneumology and Internal Intensive Care Medicine in Schwabing treat patients with acute and chronic diseases of the heart and lungs.


Duration: 12 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Munich

Preventicum Diagnostic Сlinic Essen

10/10 from 1 Votes

Department of Cardiology, Internal Medicine and Preventive Diagnostics

Myocarditis differential diagnosis and conservative treatment #360363

The Department of Cardiology, Internal Medicine and Preventive Diagnostics specializes in high quality diagnostics and treatment of a wide range of cardiovascular diseases and diseases of the internal organs.


Duration: 12 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Essen

Academic Hospital Asklepios Barmbek Hamburg

10/10 from 23 Votes

Department of Cardiology

Myocarditis differential diagnosis and conservative treatment #356890

The Department of Cardiology offers the full range of services in this field. It provides high-quality diagnostics and treatment of cardiovascular diseases, pathologies of large vessels and all internal comorbidities. Patients with heart attacks are provided with round-the-clock medical care.


Duration: 12 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Hamburg

Vivantes Neukölln Hospital Berlin

10/10 from 23 Votes

Department of Cardiology, Angiology, Nephrology and Conservative Intensive Care

Myocarditis differential diagnosis and conservative treatment #358218

The Department of Cardiology, Angiology, Nephrology and Conservative Intensive Care offers the full range of services in the relevant medical fields. It provides high-precision diagnostics and complex treatment of all diseases of the heart, vessels and kidneys.


Duration: 12 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Berlin

University Hospital Oldenburg

10/10 from 33 Votes

Department of Cardiology

Myocarditis differential diagnosis and conservative treatment #361872

The Department of Cardiology offers a full range of medical services and specializes in the diagnosis and treatment of all cardiovascular diseases. The Department of Cardiology has 59 beds and 6 beds in the intensive care unit.


Duration: 12 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Oldenburg

Tel Aviv Sourasky Medical Center

9.9/10 from 23 Votes

Department of Cardiology

Myocarditis differential diagnosis and conservative treatment #329922

The Department of Cardiology at the Tel Aviv Sourasky Medical Center specializes in the diagnosis and treatment of the entire spectrum of heart diseases starting from critical conditions up to chronic pathologies requiring ongoing monitoring or rehabilitation.


Duration: 12 days
Type of Treatment: Inpatient
location_onCountry: Israel
location_searchingCity: Tel Aviv

Hannover Medical School

9.8/10 from 43 Votes

Department of Cardiology and Angiology

Myocarditis differential diagnosis and conservative treatment #247117

The Department of Cardiology and Angiology at the Hannover Medical School specializes in treatment of acute myocardial infarction, chronic heart failure, arteriosclerosis and cardiac arrhythmias. An interdisciplinary focus is on cardiomyopathy in pregnancy, especially on the peripartum cardiomyopathy.


Duration: 12 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Hannover
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