Inflammatory heart diseases in children
Myocarditis is a limited or diffuse inflammation of the heart muscle, the cause of which might be infectious (viruses, bacteria, fungi, rickettsiae, parasites, protozoas) or non-infectious (systemic diseases, metabolic diseases, toxins). There are types of myocarditis the etiological factor of whic...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | Bosnian |
| Published: |
University of East Sarajevo
2019-12-01
|
| Series: | Biomedicinska istraživanja |
| Subjects: | |
| Online Access: | http://www.biomedicinskaistrazivanja.com/wp-content/uploads/2019/12/12-Milinkovic-2019-2.pdf |
| _version_ | 1818210053118754816 |
|---|---|
| author | Biljana Milinković Dejan Bokonjić Verica Prodanović1 Vladimir Čančar Nada Avram |
| author_facet | Biljana Milinković Dejan Bokonjić Verica Prodanović1 Vladimir Čančar Nada Avram |
| author_sort | Biljana Milinković |
| collection | DOAJ |
| description | Myocarditis is a limited or diffuse inflammation of the heart muscle, the cause of which might be infectious (viruses, bacteria, fungi, rickettsiae, parasites, protozoas) or non-infectious (systemic diseases, metabolic diseases,
toxins). There are types of myocarditis the etiological factor of which cannot be determined and therefore are
classified into the group of idiopathic myocarditis. The clinical picture depends on the intensity of the inflammatory process and the lesion topography, varying from a mild form of the disease to severe malignant myocarditis followed by the development of cardiac insufficiency as well as by fatal outcome within a few days. Resting
is recommended as the basic method of therapy in all of the patients with suspected myocarditis. If there are
signs and symptoms of cardiac insufficiency, an anticongestive therapy must be introduced (diuretics, vasodilators, digitalis). If the conventional therapy does not produce the desired results, it is necessary to introduce
continuous intravenous inotropes (dobutamine or phosphodiesterase inhibitors). Rhythm disorders in patients
with myocarditis require an appropriate antiarrhythmic drug therapy that should be given as soon as possible.
Acute pericarditis is an inflammation of the pericardium characterized by chest pain, pericardial friction rub,
and serial electrocardiogram (ECG) changes. Awareness of the disease has increased due to the introduction of
noninvasive diagnostic techniques such as echocardiography, CT scanning, and cardiac magnetic resonance
imaging (CMRI) . The disease can be severe and even lethal, especially in immunosuppressed children. The disease causative agent can usually be identified from the pericardial fluid by culture or more sensitive tests (e.g.
polymerase chain reaction - PCR or from pericardial biopsy samples). |
| first_indexed | 2024-12-12T05:10:29Z |
| format | Article |
| id | doaj.art-3fd269bd60a44d8b994f2e47839429eb |
| institution | Directory Open Access Journal |
| issn | 1986-8529 1986-8537 |
| language | Bosnian |
| last_indexed | 2024-12-12T05:10:29Z |
| publishDate | 2019-12-01 |
| publisher | University of East Sarajevo |
| record_format | Article |
| series | Biomedicinska istraživanja |
| spelling | doaj.art-3fd269bd60a44d8b994f2e47839429eb2022-12-22T00:36:57ZbosUniversity of East SarajevoBiomedicinska istraživanja1986-85291986-85372019-12-01102194201doi:10.7251/BII1902194MInflammatory heart diseases in childrenBiljana Milinković 0Dejan Bokonjić1Verica Prodanović12Vladimir Čančar3Nada Avram4University Hospital Foča, The Republic of Srpska, Bosnia and Herzegovina University of East Sarajevo, Faculty of Medicine, Foča, The Republic of Srpska, Bosnia and HerzegovinaUniversity Hospital Foča, The Republic of Srpska, Bosnia and HerzegovinaUniversity Hospital Foča, The Republic of Srpska, Bosnia and HerzegovinaUniversity Hospital Foča, The Republic of Srpska, Bosnia and HerzegovinaMyocarditis is a limited or diffuse inflammation of the heart muscle, the cause of which might be infectious (viruses, bacteria, fungi, rickettsiae, parasites, protozoas) or non-infectious (systemic diseases, metabolic diseases, toxins). There are types of myocarditis the etiological factor of which cannot be determined and therefore are classified into the group of idiopathic myocarditis. The clinical picture depends on the intensity of the inflammatory process and the lesion topography, varying from a mild form of the disease to severe malignant myocarditis followed by the development of cardiac insufficiency as well as by fatal outcome within a few days. Resting is recommended as the basic method of therapy in all of the patients with suspected myocarditis. If there are signs and symptoms of cardiac insufficiency, an anticongestive therapy must be introduced (diuretics, vasodilators, digitalis). If the conventional therapy does not produce the desired results, it is necessary to introduce continuous intravenous inotropes (dobutamine or phosphodiesterase inhibitors). Rhythm disorders in patients with myocarditis require an appropriate antiarrhythmic drug therapy that should be given as soon as possible. Acute pericarditis is an inflammation of the pericardium characterized by chest pain, pericardial friction rub, and serial electrocardiogram (ECG) changes. Awareness of the disease has increased due to the introduction of noninvasive diagnostic techniques such as echocardiography, CT scanning, and cardiac magnetic resonance imaging (CMRI) . The disease can be severe and even lethal, especially in immunosuppressed children. The disease causative agent can usually be identified from the pericardial fluid by culture or more sensitive tests (e.g. polymerase chain reaction - PCR or from pericardial biopsy samples).http://www.biomedicinskaistrazivanja.com/wp-content/uploads/2019/12/12-Milinkovic-2019-2.pdfmyocarditispericarditiscardiac insufficiency |
| spellingShingle | Biljana Milinković Dejan Bokonjić Verica Prodanović1 Vladimir Čančar Nada Avram Inflammatory heart diseases in children Biomedicinska istraživanja myocarditis pericarditis cardiac insufficiency |
| title | Inflammatory heart diseases in children |
| title_full | Inflammatory heart diseases in children |
| title_fullStr | Inflammatory heart diseases in children |
| title_full_unstemmed | Inflammatory heart diseases in children |
| title_short | Inflammatory heart diseases in children |
| title_sort | inflammatory heart diseases in children |
| topic | myocarditis pericarditis cardiac insufficiency |
| url | http://www.biomedicinskaistrazivanja.com/wp-content/uploads/2019/12/12-Milinkovic-2019-2.pdf |
| work_keys_str_mv | AT biljanamilinkovic inflammatoryheartdiseasesinchildren AT dejanbokonjic inflammatoryheartdiseasesinchildren AT vericaprodanovic1 inflammatoryheartdiseasesinchildren AT vladimircancar inflammatoryheartdiseasesinchildren AT nadaavram inflammatoryheartdiseasesinchildren |