Rheumatic Myocarditis

Rheumatic myocarditis is myocardial inflammation as part of acute rheumatic fever (pancarditis), presenting with tachycardia, cardiomegaly, soft first heart sound, and new murmurs; it may cause cardiomegaly/heart failure. Treatment: bed rest; anti-inflammatory therapy (corticosteroids for severe carditis, aspirin for mild); penicillin to eradicate streptococcus; long-term secondary prophylaxis; monitor cardiac function.

Common Symptoms

Tachycardia; cardiomegaly; new murmurs; fatigue/heart failure; child with rheumatic fever

Causes and Pathogenesis

Post-strep autoimmune inflammation targets the myocardium, causing dysfunction.

Treatment

Bed rest; steroids/aspirin; penicillin; long-term secondary prophylaxis; monitor cardiac function

Preventive Measures

Treat strep; secondary prophylaxis after RF.

Department to Visit

It is recommended to visit the Cardiology/Pediatrics department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.