Can myocarditis be completely cured? What should I pay attention to in my diet?

Hello, the treatment of chronic myocarditis includes rest, improving myocardial nutrition, controlling cardiac insufficiency, correcting arrhythmia and preventing secondary infection. Patients with chronic myocarditis have no specific drugs for the time being, but as long as they are actively treated, they can obviously improve their discomfort symptoms and improve their quality of life. When treating, insist on patience, confidence and perseverance. I hope my answer is helpful to you, and I wish you health and happiness. Patients with myocarditis should have a good psychological state. Carry out proper psychological care in daily life. (1) We should have a correct understanding of myocarditis and cardiomyopathy, such as the etiology, risk factors, pathogenesis, harm and current diagnosis and treatment methods of myocarditis and cardiomyopathy, and how to prevent them. (2) Life should be regular, pay attention to the combination of work and rest, adopt a plain and calm attitude in life, and maintain an optimistic attitude in career. (3) Know yourself, do what you can, and actively participate in cultural and recreational activities that suit you, such as practicing calligraphy, learning painting, planting flowers, raising birds, fishing and listening to music. (4) Strengthen physical exercise, such as qigong, walking, jogging and playing Tai Ji Chuan. And choose the broken army according to your illness and physical condition? Medical staff and their families should understand the needs of patients with myocarditis and cardiomyopathy during hospitalization, including psychological needs: ① the need to be respected; ② Adapting to the needs of unfamiliar environment; (3) The need to obtain information, including information about hospitalization life system, information about how to arrange treatment, information about disease progress and prognosis, etc. (4) the need for security, etc. Emotion has a great influence on myocarditis and cardiomyopathy. Patients with myocarditis and cardiomyopathy should try to avoid emotional excitement, especially when disasters or misfortunes occur at home, they should keep calm, pay attention to rest, try to keep a good sleep, and also engage in some light manual labor to divert attention. Overwork damages body and mind, increases myocardial oxygen consumption, and easily induces heart failure. For the elderly with myocarditis and cardiomyopathy, it is particularly important to avoid overwork, especially mental fatigue. The following methods can solve and prevent overwork. (1) Ensure adequate and effective sleep. Sleep should pay attention not only to the length of time, but also to the quality of sleep. Dreaming more and waking up easily often affect the quality of sleep. Use antipsychotics if necessary. (2) Avoid reading, writing and using your brain for a long time. (3) Avoid meeting and talking for a long time. Speaking not only consumes physical strength, but also consumes mental energy, so patients with myocarditis and cardiomyopathy should pay attention to speaking. (4) Avoid playing chess, mahjong and watching TV for a long time. No matter what kind of activities, as long as there is fatigue and confusion, patients with myocarditis and cardiomyopathy should stop their activities and rest immediately. For patients with myocarditis and cardiomyopathy, there are different opinions about whether drinking alcohol is beneficial or harmful. The author believes that the key lies in the amount of drinking. A small amount of drinking is harmless or even beneficial to patients with myocarditis and cardiomyopathy, but a large amount of drinking is easy to induce heart failure and arrhythmia. In addition, long-term heavy drinking can increase myocardial adipose tissue, which in turn causes heart enlargement. Patients with myocarditis and cardiomyopathy who used to have drinking habits and don't want to quit can drink a small amount of alcohol intermittently, especially wine. Patients with myocarditis and cardiomyopathy should pay attention to the following problems when drinking: (1) Drink low-alcohol (wine, yellow rice wine, etc. ), and it is not advisable to drink strong liquor (white wine). (2) Avoid drinking or eating wine every day, and drink less. (3) control the amount of drinking. (4) Don't drink when you are depressed, upset or angry. (5) Avoid drinking on an empty stomach and prevent alcohol from damaging the central nervous system, digestive system and circulatory system. (6) Patients with severe myocarditis, cardiomyopathy or heart failure should give up drinking. Myocarditis Myocarditis refers to local or diffuse acute, subacute or chronic inflammatory lesions of myocardium. In recent years, the relative incidence of viral myocarditis has been increasing. The severity of the disease varies greatly. Babies are heavier, adults are lighter, and those who are lighter may have no obvious symptoms. Severe cases may be complicated with severe arrhythmia, cardiac insufficiency or even sudden death. Precursor symptoms of acute or subacute myocarditis, patients may have fever, fatigue, sweating, palpitation, shortness of breath, precordial pain and so on. The examination showed arrhythmia such as premature beat and conduction block. Aspartate aminotransferase and creatine phosphokinase increased, and erythrocyte sedimentation rate increased. Electrocardiogram and X-ray examination are helpful for diagnosis. Treatment includes rest, improving myocardial nutrition, controlling cardiac insufficiency, correcting arrhythmia and preventing secondary infection. Reference materials of viral myocarditis: Etiology Myocarditis is a localized or diffuse inflammation of myocardium, which can be primary in myocardium or a part of systemic diseases. The reasons are infection, physical and chemical factors, drugs and so on. Viral myocarditis is the most common, among which enterovirus, especially Coxsackie B virus infection is the most common. The clinical manifestation is 1. Symptoms: fatigue, fever, chest tightness, palpitation, shortness of breath, dizziness, and serious cases may lead to cardiac insufficiency or cardiogenic shock. 2. Signs: the heart rate increases rapidly, which is not proportional to the increase of body temperature, the heart boundary expands, the murmur changes, and arrhythmia. Medication 1, primary disease treatment: very critical. People infected with the virus can take the antiviral drug amantadine 200 mg; One day; Maringuanidine 0. 1g, taken orally, three times a day. If there is bacterial infection, antibiotics can be given. 2. Symptomatic treatment: stay in bed at the acute stage. After the symptoms and signs improve and the electrocardiogram is normal, you can gradually increase the activity and give a nutritious and digestible diet. Cardiac insufficiency, arrhythmia and shock should be corrected actively. 3. Promote myocardial metabolism (1) Vitamin C: 4 ~ 5g is added into 250ml solution for intravenous drip, once a day,/kloc-0 ~ 1 5 days is 1 course of treatment, which can be repeated. (2) Energy mixture: ATP 20mg ++ coa 100 u+ cytochrome C30mg plus 5% glucose 500ml intravenous drip, once a day, 1 0 to 15 days is 1 course of treatment, which can be repeated. (3) Inosine: 200 ~ 400 mg orally or intramuscularly, twice a day. (4) Cyclic adenosine monophosphate (camp): 20 ~ 40 mg, intramuscular injection, twice a day. (5) Polarizing solution: 500ml of 10% glucose and 8u of common insulin, and 15% potassium chloride 10ml intravenous drip, with 7 ~ 10 days as 1 course of treatment. (6) Immunosuppressants: used for chronic and persistent cases. Glucocorticoid: Generally speaking, it is not recommended to use it within 10 ~ 14 days after onset, but it can be used for patients with high fever, heart failure, severe arrhythmia and cardiogenic shock. Prednisone 40 ~ 60 mg, daily 1 time, or hydrocortisone 400 ~ 600 mg, daily 1 time, intravenous drip, and gradually decrease after the condition improves for 26th. Prevent and strengthen physical exercise, improve the body's disease resistance, avoid fatigue and prevent virus and bacterial infection. Pay attention to rest and nutrition after the onset, so as to facilitate the recovery of the heart. In recent years, due to the wide application of antibiotics, rheumatic fever caused by streptococcal infection has gradually decreased, and the incidence of rheumatic myocarditis has decreased significantly, while the incidence of viral myocarditis has increased day by day. Viral myocarditis can be caused by a variety of virus infections, among which Coxsackie virus B is the most common, and chickenpox and EB virus can also be caused. According to research, about 5% of virus-infected people can involve the heart and cause myocarditis. It can be caused by direct invasion of myocardium after virus infection, or by autoimmune reaction after virus infection. The former is more common in children, while the latter is more common in teenagers. Moreover, spring is the high incidence season of viral myocarditis, which should arouse people's vigilance. Symptoms of upper respiratory tract infection or intestinal infection appear at the beginning of the disease, and chest tightness, palpitation, extreme fatigue, hyperhidrosis and other symptoms appear after 7- 10 days. At this time, if you do ECG, you may find myocardial damage such as arrhythmia and premature beats. Erythrocyte sedimentation rate (ESR) and myocardial enzymes may increase. After 2-4 weeks, coxsackie virus antibody and anti-myocardial antibody can be positive. Viral myocarditis varies in severity, so the symptoms vary widely. Patients with mild localized lesions may have no symptoms, no abnormal ECG manifestations, and no increase in erythrocyte sedimentation rate and myocardial enzymes. Some people discovered that they had myocarditis at autopsy because of an accident. In severe cases, there are obvious symptoms, such as diffuse enlargement of the heart and heart failure, which leads to obvious shortness of breath and inability to lie down; Some severe arrhythmia, leading to repeated syncope, and even sudden death. Studies have shown that viral myocarditis is easy to occur if you continue to be nervous, overworked, engaged in heavy physical labor and strenuous exercise after virus infection. In addition, malnutrition is also an inducement. After the occurrence of viral myocarditis, you must stay in bed absolutely, otherwise it will aggravate the condition and cause serious complications. After suffering from viral myocarditis, you usually have to rest for 3 months. If there are no symptoms in the future, you can gradually resume your work and normal study, but you should still be careful not to be too tired. 1 year can't engage in manual labor and sports. In addition, we should pay attention to a reasonable diet and eat more fresh fruits and vegetables to ensure a balanced nutrition. Ensure adequate sleep and rest to avoid catching a cold, otherwise it is easy to relapse. Repeated attacks can be transformed into chronic myocarditis and cardiomyopathy, which is life-threatening.