This systemic acute phase response increases energy production but compro… WikiJournal of Medicine 1 (2).
Saunders, 2009.1. Myocarditis of infectious origin is often difficult to diag- nose solely from the ECG because, in contrast to peri- carditis, (see below) the ECG abnormalities may be slight and limited to low T waves (with prolonged QT interval) that are not impressive. Pericarditis refers to inflammation of the pericardium, and myocarditis refers to inflammation of the myocardial (muscle) tissue. As their respective definitions imply the major difference myocarditis and pericarditis lies in the place of inflammation.You can download PDF version of this article and use it for offline purposes as per citation note. In some patients, there can be relapses about 6 weeks after the initial episode.ECG is the diagnostic investigation. The inflammation is at the lining of the heart muscles, while the response of the body’s immune system is somewhat similar.In both the cases the body’s immune system is activated and sends WBCs, like lymphocytes and macrophages to fight with the infection. Corticosteroids are given only when pericarditis is caused by autoimmune events.Bed rest is recommended and the patient should be advised not to take part in any athletic activities at least for 6 months.Antibiotics should be started in the cases of infective myocarditis.When the patient has got heart failure, it should be managed by the administration of standard drug regimen which includes ACE inhibitors, beta blockers, spironolactone, and digoxin. When the patient gets heart failure, it should be managed by the administration of standard drug regimen which includes ACE inhibitors, beta blockers, spironolactone, and digoxin. Because of these toxins, the heart muscles are weakened and are unable to pump blood properly. Another difference between the two is that while pericarditis is less severe and may have fewer symptoms, the myocarditis is more severe and may have severe symptoms.The site of infection in both is different so there are some anatomical differences in myocarditis and pericarditis. pericarditis.Pericarditis causes some fluid to collect around the lining of the heart and the patient feels a sharp chest pain, especially when lying down. Myocarditis is the inflammation of the heart muscle and pericarditis is the inflammation of the lining outside the heart. In case of myocarditis the body’s immune system reacts and tries to get rid of the inflammation or infection in response to some other attack. Myocarditis is also a type of swelling, but it is of the heart muscle itself.
If the chest X-ray shows cardiomegaly, it should be confirmed by echocardiogram.If the underlying cause is found it should be treated vigorously. “Blausen 0470 HeartWall” By Blausen.com staff (2014). NSAIDs are contraindicated in the acute phase but can be given in chronic disease.Inflammation of myocardium is defined as myocarditis whereas the inflammation of pericardium is defined as pericarditis. Our articles are resourced from reputable online pages. Eventually the heart muscles start acting like antigens which triggers the immune response even more causing gradual damage to the heart cells.The auto-immune and inflammatory diseases like rheumatoid arthritis, rheumatic fever, dermatomyositis, Kawasaki disease etc are responsible for causing infections like myocarditis and pericarditis. Summary – Myocarditis vs Pericarditis Inflammation of myocardium is defined as myocarditis whereas the inflammation of pericardium is defined as pericarditis. • Endocarditis presents commonly with palpitation, fever of unknown origin, and chest pain.
Myocarditis and Pericarditis both are disorders related to the heart; the major difference in both is that myocarditis is related to inflammation in the muscles of the heart while pericarditis refers to the inflammation in the layers outside the heart muscles.
Aspirin is the ideal drug for patients who have had a recent myocardial infarction. The main indication in both the cases is the inflammation. This scar does not contribute in the heart pumping. The severity of the case depends on the severity of inflammation and the exact cause of the inflammation. It shows widespread concave (saddle-shaped waves), ST elevation and PR depression. The numbers in the parentheses (1, 2, 3) are clickable links to peer-reviewed scientific papers.The feedback link “Was this Article Helpful” on this page can be used to report content that is not accurate, up-to-date or questionable in any manner. However because there is an inflammation in both the cases, the body’s immune system responds to both in somewhat similar ways and tries to get rid of the inflammation and infection. Bed rest and oral NSAIDs are effective in a majority of the patients. When the WBCs are trying to kill the infectious cells like bacteria, fungi or virus they might also attack the heart cells, because the infection is present in the heart muscles in case of myocarditis and in heart lining cells in case of pericarditis. The prevalence of acute myocarditis is unknown because most cases are not recognised on account of non-specific or no symptoms (but sudden death may occur). NSAIDs are contraindicated in the acute phase but can be given in chronic disease.Pericarditis is the inflammation of the pericardium, which is associated with the deposition of fibrous materials and accumulation of pericardial fluid.– Post-myocardial infarction complication (Dressler syndrome)– Malignancies ( either primary or secondary deposits)Out of all these etiological factors, viral infections are the commonest cause of pericarditis. • Endocarditis is the inflammation of the inner covering of the heart while pericarditis is inflammation of the outer covering of the heart.
Kumar & Clark clinical medicine.
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