SlideShare a Scribd company logo
Made by
Himanshu Verma
INTRODUCTION
 Myocarditis is a very rare disorder. Most of the time it is
caused by an viral infection that reaches the heart.
 When we have an infection our immune system produces
special cells to fight off the disease . If the infection affect the
heart, the disease fighting cells affect the heart which can
result in weakening of cardiac heart muscles with swelling.
DEFENITION
 Myo means muscle ,car refers to heart and ditis
refers to the inflammation.
 MAROCARDITIS is the inflammation of the middle
layer of the heart.
INCIDENCE
 In United States most cases of myocarditis is due to
viral infection.`
 Fewer than 1 million cases per year in India
AGES AFFECTED
 Babies (0 – 2 years ) VERY RARE
 Toddlers(3-5 years) VERY RARE
 Children (6-13 years) RARE
 Teenagers(14-18years) RARE
 Young adults (19-40years) RARE
 Adults(41-60years) RARE
 Seniors(60+ years): RARE
RISK FACTOR
 Pregnant women
 Children
 Immunocompromised patient
 vitamin E deficiency
CAUSES
 Viral infection – coxsackie A and B
 Tripanosoma cruzi
 Trichinella
 Lyme disease – borrelia burgdorferi
 Giant cell
 Drug associated
 Polymyosistis
CLINICLAL MANIFESTATION
 Rapid abnormal heart rhythm
 Shortness of breath
 Fluid retention with swelling of your ankles and legs.
 Other symptoms due to viral infection such as a headache , body
aches , joint pain , fever….
IN CHILDREN
 Fever
 Fainting
 Rapid breathing
 Arrhythmias
PATHOPHYSIOLOGY
COMPLICATIONS
 Heart failure.
 Heart attack.
 Rapid or abnormal heart rhythms.
 Sudden cardiac deaths.
DIAGNOSTIC EVALUATION
 CBC
 ESR
 Cardiac enzyme levels
 Viral genome testing
 Electrocardiography
 Cardiac angiography
MANAGEMENT
MEDICAL MANAGEMENT
 Corticosteroid therapy
 Beta blockers
 ACE inhibitors
 Diuretics
 Antibiotic therapy
SURGICAL MANAGEMENT
 Implantation of pace maker.
 Heart transplant.
NURSING DIAGNOSIS
 Pain related to inflammation of the myocardium as evidenced
by assessment with the pain scale.
 Ineffective breathing pattern related to imbalance oxygen
supply and demand as evidence by fatigue and restlessness.
 Decrease in cardiac output related to degeneration of heart
muscles , deceased in contractibility of the ventricles .
 Anxiety related to health problem issues as evidenced by facial
expression.
 Deficit knowledge about disease condition as evidenced by
inappropriate verbalization about the treatment
Himanshu

More Related Content

What's hot

Rheumathoid arthritis
Rheumathoid arthritisRheumathoid arthritis
Rheumathoid arthritis
lasha chkhikvadze
 
Reactive arthritis
Reactive arthritisReactive arthritis
Reactive arthritis
Sachin Giri
 
Myocarditis. Cardiomyopathy
Myocarditis. CardiomyopathyMyocarditis. Cardiomyopathy
Myocarditis. Cardiomyopathy
Eneutron
 
Cardiomyopathy,myocarditis,pericarditi,tumor
Cardiomyopathy,myocarditis,pericarditi,tumorCardiomyopathy,myocarditis,pericarditi,tumor
Cardiomyopathy,myocarditis,pericarditi,tumor
pathologydept
 
Myocarditis (2)
Myocarditis (2)Myocarditis (2)
Myocarditis (2)
Chinna Chadayan
 
Bems Kiran presentation1
Bems Kiran presentation1Bems Kiran presentation1
Bems Kiran presentation1
Aamir Sharif
 
Acute rheumatic fever
Acute rheumatic feverAcute rheumatic fever
Acute rheumatic fever
Shambhavi Sharma
 
Myocarditis pediatrics ppt
Myocarditis pediatrics pptMyocarditis pediatrics ppt
Myocarditis pediatrics ppt
RajPatel822
 
Myocarditis
MyocarditisMyocarditis
Myocarditis
jcm MD
 
Myocarditis
MyocarditisMyocarditis
Myocarditis
Priya
 
Myocarditis, pericarditis sushila
Myocarditis, pericarditis sushilaMyocarditis, pericarditis sushila
Myocarditis, pericarditis sushila
SushilaHamal
 
Rheumatic Fever
Rheumatic FeverRheumatic Fever
Rheumatic Fever
OMICS International
 
Myocarditis & Pericarditis Diagnosis and Management
Myocarditis & Pericarditis Diagnosis and ManagementMyocarditis & Pericarditis Diagnosis and Management
Myocarditis & Pericarditis Diagnosis and Management
farah al souheil
 
Rheumatic heart disease
Rheumatic heart diseaseRheumatic heart disease
Rheumatic heart disease
kajal sansoya
 
Neurological Emergencies
Neurological EmergenciesNeurological Emergencies
Neurological Emergencies
Jamie Ranse
 
Myocarditis in children
Myocarditis in childrenMyocarditis in children
Myocarditis in children
Azad Haleem
 
Cardiomyopathy
CardiomyopathyCardiomyopathy
Cardiomyopathy
AayushPokharel10
 
Rheumatic heart disease Nursing.ppt
Rheumatic heart disease Nursing.pptRheumatic heart disease Nursing.ppt
Rheumatic heart disease Nursing.ppt
ChikS4
 
Acute Myocarditis:Diagnosis and Management
Acute Myocarditis:Diagnosis and ManagementAcute Myocarditis:Diagnosis and Management
Acute Myocarditis:Diagnosis and Management
Pawan Ola
 

What's hot (20)

Rheumathoid arthritis
Rheumathoid arthritisRheumathoid arthritis
Rheumathoid arthritis
 
Reactive arthritis
Reactive arthritisReactive arthritis
Reactive arthritis
 
Myocarditis. Cardiomyopathy
Myocarditis. CardiomyopathyMyocarditis. Cardiomyopathy
Myocarditis. Cardiomyopathy
 
Cardiomyopathy,myocarditis,pericarditi,tumor
Cardiomyopathy,myocarditis,pericarditi,tumorCardiomyopathy,myocarditis,pericarditi,tumor
Cardiomyopathy,myocarditis,pericarditi,tumor
 
Myocarditis (2)
Myocarditis (2)Myocarditis (2)
Myocarditis (2)
 
Bems Kiran presentation1
Bems Kiran presentation1Bems Kiran presentation1
Bems Kiran presentation1
 
Acute rheumatic fever
Acute rheumatic feverAcute rheumatic fever
Acute rheumatic fever
 
Myocarditis pediatrics ppt
Myocarditis pediatrics pptMyocarditis pediatrics ppt
Myocarditis pediatrics ppt
 
Myocarditis
MyocarditisMyocarditis
Myocarditis
 
Myocarditis
MyocarditisMyocarditis
Myocarditis
 
Myocarditis, pericarditis sushila
Myocarditis, pericarditis sushilaMyocarditis, pericarditis sushila
Myocarditis, pericarditis sushila
 
Rheumatic Fever
Rheumatic FeverRheumatic Fever
Rheumatic Fever
 
Heart diseases
Heart diseasesHeart diseases
Heart diseases
 
Myocarditis & Pericarditis Diagnosis and Management
Myocarditis & Pericarditis Diagnosis and ManagementMyocarditis & Pericarditis Diagnosis and Management
Myocarditis & Pericarditis Diagnosis and Management
 
Rheumatic heart disease
Rheumatic heart diseaseRheumatic heart disease
Rheumatic heart disease
 
Neurological Emergencies
Neurological EmergenciesNeurological Emergencies
Neurological Emergencies
 
Myocarditis in children
Myocarditis in childrenMyocarditis in children
Myocarditis in children
 
Cardiomyopathy
CardiomyopathyCardiomyopathy
Cardiomyopathy
 
Rheumatic heart disease Nursing.ppt
Rheumatic heart disease Nursing.pptRheumatic heart disease Nursing.ppt
Rheumatic heart disease Nursing.ppt
 
Acute Myocarditis:Diagnosis and Management
Acute Myocarditis:Diagnosis and ManagementAcute Myocarditis:Diagnosis and Management
Acute Myocarditis:Diagnosis and Management
 

Similar to Himanshu

Rheumatic heart disease
Rheumatic heart diseaseRheumatic heart disease
Rheumatic heart disease
ARUNIMAJOSEPH1
 
Kawasaki Syndrome
Kawasaki SyndromeKawasaki Syndrome
Kawasaki Syndrome
Enrico Bonnì
 
HOW TO SURVIVE A HEART ATTACK
HOW TO SURVIVE A HEART ATTACKHOW TO SURVIVE A HEART ATTACK
HOW TO SURVIVE A HEART ATTACK
ChrisSean
 
Pericardities, Myocarditis
Pericardities, MyocarditisPericardities, Myocarditis
Pericardities, Myocarditis
government hospital
 
Rheumatic heart disease (nursing ppt )
Rheumatic heart disease (nursing ppt )Rheumatic heart disease (nursing ppt )
Rheumatic heart disease (nursing ppt )
obieda mansour
 
Unit 5 f11
Unit 5 f11Unit 5 f11
Unit 5 f11atsmp
 
Approach to Chest Pain in Children
Approach to Chest Pain in ChildrenApproach to Chest Pain in Children
Approach to Chest Pain in Children
Dr Padmesh Vadakepat
 
Endocarditis-el.ppt
Endocarditis-el.pptEndocarditis-el.ppt
Endocarditis-el.ppt
NarravulavijayaLaxmi
 
Inflammatory diseases of heart
Inflammatory diseases of heartInflammatory diseases of heart
Inflammatory diseases of heart
Rajee Ravindran
 
Copy and paste no referencesWhat changes in veins occur .docx
Copy and paste no referencesWhat changes in veins occur .docxCopy and paste no referencesWhat changes in veins occur .docx
Copy and paste no referencesWhat changes in veins occur .docx
dickonsondorris
 
AHD SURGERY.pptx
AHD SURGERY.pptxAHD SURGERY.pptx
AHD SURGERY.pptx
aparnashama
 
ppt of endocarditis.pptx
ppt of endocarditis.pptxppt of endocarditis.pptx
ppt of endocarditis.pptx
government hospital
 
Infective endocarditis
Infective endocarditisInfective endocarditis
Infective endocarditis
AliBarakat3
 
CONGENITAL HEART DISEASE
CONGENITAL HEART DISEASECONGENITAL HEART DISEASE
CONGENITAL HEART DISEASEPraTik Trivedi
 
Acute rheumatic fever and Infective endocarditis.pptx
Acute rheumatic fever and Infective endocarditis.pptxAcute rheumatic fever and Infective endocarditis.pptx
Acute rheumatic fever and Infective endocarditis.pptx
UmidjonSaparaliyev
 
Slide Presentation on Endocarditis .pptx
Slide Presentation on Endocarditis .pptxSlide Presentation on Endocarditis .pptx
Slide Presentation on Endocarditis .pptx
UzomaBende
 
Non communicable diseases
Non communicable diseasesNon communicable diseases
Non communicable diseasesNikki Ting
 
1-Myocarditis and pericarditis.pptx
1-Myocarditis and pericarditis.pptx1-Myocarditis and pericarditis.pptx
1-Myocarditis and pericarditis.pptx
ssuser3a36d41
 

Similar to Himanshu (20)

Rheumatic heart disease
Rheumatic heart diseaseRheumatic heart disease
Rheumatic heart disease
 
Kawasaki Syndrome
Kawasaki SyndromeKawasaki Syndrome
Kawasaki Syndrome
 
Nursing Rules!
Nursing Rules!Nursing Rules!
Nursing Rules!
 
HOW TO SURVIVE A HEART ATTACK
HOW TO SURVIVE A HEART ATTACKHOW TO SURVIVE A HEART ATTACK
HOW TO SURVIVE A HEART ATTACK
 
Pericardities, Myocarditis
Pericardities, MyocarditisPericardities, Myocarditis
Pericardities, Myocarditis
 
Rheumatic heart disease (nursing ppt )
Rheumatic heart disease (nursing ppt )Rheumatic heart disease (nursing ppt )
Rheumatic heart disease (nursing ppt )
 
Unit 5 f11
Unit 5 f11Unit 5 f11
Unit 5 f11
 
Approach to Chest Pain in Children
Approach to Chest Pain in ChildrenApproach to Chest Pain in Children
Approach to Chest Pain in Children
 
Endocarditis-el.ppt
Endocarditis-el.pptEndocarditis-el.ppt
Endocarditis-el.ppt
 
Inflammatory diseases of heart
Inflammatory diseases of heartInflammatory diseases of heart
Inflammatory diseases of heart
 
Copy and paste no referencesWhat changes in veins occur .docx
Copy and paste no referencesWhat changes in veins occur .docxCopy and paste no referencesWhat changes in veins occur .docx
Copy and paste no referencesWhat changes in veins occur .docx
 
AHD SURGERY.pptx
AHD SURGERY.pptxAHD SURGERY.pptx
AHD SURGERY.pptx
 
ppt of endocarditis.pptx
ppt of endocarditis.pptxppt of endocarditis.pptx
ppt of endocarditis.pptx
 
Infective endocarditis
Infective endocarditisInfective endocarditis
Infective endocarditis
 
Cardiovascular disorders
Cardiovascular disordersCardiovascular disorders
Cardiovascular disorders
 
CONGENITAL HEART DISEASE
CONGENITAL HEART DISEASECONGENITAL HEART DISEASE
CONGENITAL HEART DISEASE
 
Acute rheumatic fever and Infective endocarditis.pptx
Acute rheumatic fever and Infective endocarditis.pptxAcute rheumatic fever and Infective endocarditis.pptx
Acute rheumatic fever and Infective endocarditis.pptx
 
Slide Presentation on Endocarditis .pptx
Slide Presentation on Endocarditis .pptxSlide Presentation on Endocarditis .pptx
Slide Presentation on Endocarditis .pptx
 
Non communicable diseases
Non communicable diseasesNon communicable diseases
Non communicable diseases
 
1-Myocarditis and pericarditis.pptx
1-Myocarditis and pericarditis.pptx1-Myocarditis and pericarditis.pptx
1-Myocarditis and pericarditis.pptx
 

Recently uploaded

Lapbook sobre os Regimes Totalitários.pdf
Lapbook sobre os Regimes Totalitários.pdfLapbook sobre os Regimes Totalitários.pdf
Lapbook sobre os Regimes Totalitários.pdf
Jean Carlos Nunes Paixão
 
1.4 modern child centered education - mahatma gandhi-2.pptx
1.4 modern child centered education - mahatma gandhi-2.pptx1.4 modern child centered education - mahatma gandhi-2.pptx
1.4 modern child centered education - mahatma gandhi-2.pptx
JosvitaDsouza2
 
Additional Benefits for Employee Website.pdf
Additional Benefits for Employee Website.pdfAdditional Benefits for Employee Website.pdf
Additional Benefits for Employee Website.pdf
joachimlavalley1
 
Adversarial Attention Modeling for Multi-dimensional Emotion Regression.pdf
Adversarial Attention Modeling for Multi-dimensional Emotion Regression.pdfAdversarial Attention Modeling for Multi-dimensional Emotion Regression.pdf
Adversarial Attention Modeling for Multi-dimensional Emotion Regression.pdf
Po-Chuan Chen
 
Embracing GenAI - A Strategic Imperative
Embracing GenAI - A Strategic ImperativeEmbracing GenAI - A Strategic Imperative
Embracing GenAI - A Strategic Imperative
Peter Windle
 
Model Attribute Check Company Auto Property
Model Attribute  Check Company Auto PropertyModel Attribute  Check Company Auto Property
Model Attribute Check Company Auto Property
Celine George
 
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdf
Welcome to TechSoup   New Member Orientation and Q&A (May 2024).pdfWelcome to TechSoup   New Member Orientation and Q&A (May 2024).pdf
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdf
TechSoup
 
Operation Blue Star - Saka Neela Tara
Operation Blue Star   -  Saka Neela TaraOperation Blue Star   -  Saka Neela Tara
Operation Blue Star - Saka Neela Tara
Balvir Singh
 
The Challenger.pdf DNHS Official Publication
The Challenger.pdf DNHS Official PublicationThe Challenger.pdf DNHS Official Publication
The Challenger.pdf DNHS Official Publication
Delapenabediema
 
TESDA TM1 REVIEWER FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...
TESDA TM1 REVIEWER  FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...TESDA TM1 REVIEWER  FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...
TESDA TM1 REVIEWER FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...
EugeneSaldivar
 
Acetabularia Information For Class 9 .docx
Acetabularia Information For Class 9  .docxAcetabularia Information For Class 9  .docx
Acetabularia Information For Class 9 .docx
vaibhavrinwa19
 
How libraries can support authors with open access requirements for UKRI fund...
How libraries can support authors with open access requirements for UKRI fund...How libraries can support authors with open access requirements for UKRI fund...
How libraries can support authors with open access requirements for UKRI fund...
Jisc
 
Polish students' mobility in the Czech Republic
Polish students' mobility in the Czech RepublicPolish students' mobility in the Czech Republic
Polish students' mobility in the Czech Republic
Anna Sz.
 
Palestine last event orientationfvgnh .pptx
Palestine last event orientationfvgnh .pptxPalestine last event orientationfvgnh .pptx
Palestine last event orientationfvgnh .pptx
RaedMohamed3
 
2024.06.01 Introducing a competency framework for languag learning materials ...
2024.06.01 Introducing a competency framework for languag learning materials ...2024.06.01 Introducing a competency framework for languag learning materials ...
2024.06.01 Introducing a competency framework for languag learning materials ...
Sandy Millin
 
Chapter 3 - Islamic Banking Products and Services.pptx
Chapter 3 - Islamic Banking Products and Services.pptxChapter 3 - Islamic Banking Products and Services.pptx
Chapter 3 - Islamic Banking Products and Services.pptx
Mohd Adib Abd Muin, Senior Lecturer at Universiti Utara Malaysia
 
The basics of sentences session 5pptx.pptx
The basics of sentences session 5pptx.pptxThe basics of sentences session 5pptx.pptx
The basics of sentences session 5pptx.pptx
heathfieldcps1
 
Instructions for Submissions thorugh G- Classroom.pptx
Instructions for Submissions thorugh G- Classroom.pptxInstructions for Submissions thorugh G- Classroom.pptx
Instructions for Submissions thorugh G- Classroom.pptx
Jheel Barad
 
The approach at University of Liverpool.pptx
The approach at University of Liverpool.pptxThe approach at University of Liverpool.pptx
The approach at University of Liverpool.pptx
Jisc
 
678020731-Sumas-y-Restas-Para-Colorear.pdf
678020731-Sumas-y-Restas-Para-Colorear.pdf678020731-Sumas-y-Restas-Para-Colorear.pdf
678020731-Sumas-y-Restas-Para-Colorear.pdf
CarlosHernanMontoyab2
 

Recently uploaded (20)

Lapbook sobre os Regimes Totalitários.pdf
Lapbook sobre os Regimes Totalitários.pdfLapbook sobre os Regimes Totalitários.pdf
Lapbook sobre os Regimes Totalitários.pdf
 
1.4 modern child centered education - mahatma gandhi-2.pptx
1.4 modern child centered education - mahatma gandhi-2.pptx1.4 modern child centered education - mahatma gandhi-2.pptx
1.4 modern child centered education - mahatma gandhi-2.pptx
 
Additional Benefits for Employee Website.pdf
Additional Benefits for Employee Website.pdfAdditional Benefits for Employee Website.pdf
Additional Benefits for Employee Website.pdf
 
Adversarial Attention Modeling for Multi-dimensional Emotion Regression.pdf
Adversarial Attention Modeling for Multi-dimensional Emotion Regression.pdfAdversarial Attention Modeling for Multi-dimensional Emotion Regression.pdf
Adversarial Attention Modeling for Multi-dimensional Emotion Regression.pdf
 
Embracing GenAI - A Strategic Imperative
Embracing GenAI - A Strategic ImperativeEmbracing GenAI - A Strategic Imperative
Embracing GenAI - A Strategic Imperative
 
Model Attribute Check Company Auto Property
Model Attribute  Check Company Auto PropertyModel Attribute  Check Company Auto Property
Model Attribute Check Company Auto Property
 
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdf
Welcome to TechSoup   New Member Orientation and Q&A (May 2024).pdfWelcome to TechSoup   New Member Orientation and Q&A (May 2024).pdf
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdf
 
Operation Blue Star - Saka Neela Tara
Operation Blue Star   -  Saka Neela TaraOperation Blue Star   -  Saka Neela Tara
Operation Blue Star - Saka Neela Tara
 
The Challenger.pdf DNHS Official Publication
The Challenger.pdf DNHS Official PublicationThe Challenger.pdf DNHS Official Publication
The Challenger.pdf DNHS Official Publication
 
TESDA TM1 REVIEWER FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...
TESDA TM1 REVIEWER  FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...TESDA TM1 REVIEWER  FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...
TESDA TM1 REVIEWER FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...
 
Acetabularia Information For Class 9 .docx
Acetabularia Information For Class 9  .docxAcetabularia Information For Class 9  .docx
Acetabularia Information For Class 9 .docx
 
How libraries can support authors with open access requirements for UKRI fund...
How libraries can support authors with open access requirements for UKRI fund...How libraries can support authors with open access requirements for UKRI fund...
How libraries can support authors with open access requirements for UKRI fund...
 
Polish students' mobility in the Czech Republic
Polish students' mobility in the Czech RepublicPolish students' mobility in the Czech Republic
Polish students' mobility in the Czech Republic
 
Palestine last event orientationfvgnh .pptx
Palestine last event orientationfvgnh .pptxPalestine last event orientationfvgnh .pptx
Palestine last event orientationfvgnh .pptx
 
2024.06.01 Introducing a competency framework for languag learning materials ...
2024.06.01 Introducing a competency framework for languag learning materials ...2024.06.01 Introducing a competency framework for languag learning materials ...
2024.06.01 Introducing a competency framework for languag learning materials ...
 
Chapter 3 - Islamic Banking Products and Services.pptx
Chapter 3 - Islamic Banking Products and Services.pptxChapter 3 - Islamic Banking Products and Services.pptx
Chapter 3 - Islamic Banking Products and Services.pptx
 
The basics of sentences session 5pptx.pptx
The basics of sentences session 5pptx.pptxThe basics of sentences session 5pptx.pptx
The basics of sentences session 5pptx.pptx
 
Instructions for Submissions thorugh G- Classroom.pptx
Instructions for Submissions thorugh G- Classroom.pptxInstructions for Submissions thorugh G- Classroom.pptx
Instructions for Submissions thorugh G- Classroom.pptx
 
The approach at University of Liverpool.pptx
The approach at University of Liverpool.pptxThe approach at University of Liverpool.pptx
The approach at University of Liverpool.pptx
 
678020731-Sumas-y-Restas-Para-Colorear.pdf
678020731-Sumas-y-Restas-Para-Colorear.pdf678020731-Sumas-y-Restas-Para-Colorear.pdf
678020731-Sumas-y-Restas-Para-Colorear.pdf
 

Himanshu

  • 2. INTRODUCTION  Myocarditis is a very rare disorder. Most of the time it is caused by an viral infection that reaches the heart.  When we have an infection our immune system produces special cells to fight off the disease . If the infection affect the heart, the disease fighting cells affect the heart which can result in weakening of cardiac heart muscles with swelling.
  • 3. DEFENITION  Myo means muscle ,car refers to heart and ditis refers to the inflammation.  MAROCARDITIS is the inflammation of the middle layer of the heart.
  • 4. INCIDENCE  In United States most cases of myocarditis is due to viral infection.`  Fewer than 1 million cases per year in India
  • 5. AGES AFFECTED  Babies (0 – 2 years ) VERY RARE  Toddlers(3-5 years) VERY RARE  Children (6-13 years) RARE  Teenagers(14-18years) RARE  Young adults (19-40years) RARE  Adults(41-60years) RARE  Seniors(60+ years): RARE
  • 6. RISK FACTOR  Pregnant women  Children  Immunocompromised patient  vitamin E deficiency
  • 7. CAUSES  Viral infection – coxsackie A and B  Tripanosoma cruzi  Trichinella  Lyme disease – borrelia burgdorferi  Giant cell  Drug associated  Polymyosistis
  • 8. CLINICLAL MANIFESTATION  Rapid abnormal heart rhythm  Shortness of breath  Fluid retention with swelling of your ankles and legs.  Other symptoms due to viral infection such as a headache , body aches , joint pain , fever…. IN CHILDREN  Fever  Fainting  Rapid breathing  Arrhythmias
  • 9.
  • 11. COMPLICATIONS  Heart failure.  Heart attack.  Rapid or abnormal heart rhythms.  Sudden cardiac deaths.
  • 12. DIAGNOSTIC EVALUATION  CBC  ESR  Cardiac enzyme levels  Viral genome testing  Electrocardiography  Cardiac angiography
  • 14. MEDICAL MANAGEMENT  Corticosteroid therapy  Beta blockers  ACE inhibitors  Diuretics  Antibiotic therapy
  • 15. SURGICAL MANAGEMENT  Implantation of pace maker.  Heart transplant.
  • 16.
  • 17.
  • 18. NURSING DIAGNOSIS  Pain related to inflammation of the myocardium as evidenced by assessment with the pain scale.  Ineffective breathing pattern related to imbalance oxygen supply and demand as evidence by fatigue and restlessness.  Decrease in cardiac output related to degeneration of heart muscles , deceased in contractibility of the ventricles .  Anxiety related to health problem issues as evidenced by facial expression.  Deficit knowledge about disease condition as evidenced by inappropriate verbalization about the treatment