What Is Inflammatory Heart Disease?

The heart disease that is consequence of an inflammation is called inflammatory heart disease. This may be due to an  infection that develops from a bacteria or virus or inflammation due to some internal milieu. Depending upon the layer of heart involved it could be  myocarditis, pericarditis or endocarditis.

Myocarditis

Myocarditis describes any inflammation that occurs within the heart muscle. It is induced by viral infections, diseases like sarcoidosis, and immune disorders.

It is not unusual for the disease to be completely asymptomatic. Pain in the chest is the most likely sign of myocarditis. The disease may progress into degeneration of the heart muscle and cause heart failure.

If treated early a fair portion of individuals achieve total recovery. Others may progress to chronic heart failure. Rarely a fulminant heart failure  may develop.

Pericarditis

Pericarditis is  inflammation of the pericardium, the fluid sac that envelopes the heart.

The cause of pericarditis

  • Infection
  • Malignancy
  • Metabolic disorders like hypothyroidism and uremia
  • Connective tissue disease
  • Drug reaction

Pericarditis presents as  chest pain or angina pectoris that is generally expressed as a cutting, intense pain that migrates from the chest area to the shoulder blades, back and neck that become significantly worse on inhalation and becomes better by leaning forward.

Analgesics and the treatment of the offending factor is the accepted line of treatment.

Endocarditis

Endocarditis is inflammation of the endocardium or inner lining of the heart. It usually affects individuals who have an artificial heart valve in place or have suffered degeneration of a heart valve.

Groups most at risk

* Individuals who currently have a artificial valve(s).
* Congenital birth defect
* Any previous injury to the heart
* Intravenous drug users

The main treatments are antibiotics  and surgery where damage is significantly compromising.

About Arun Pal Singh
Dr Arun Pal Singh is an orthopaedic surgeon, trauma and spine specialist. He has published over 35 international papers and is avid participant in academic discussions. He lives and practices in Jalandhar, Punjab

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