What are the differences between fulminant myocarditis and myocarditis?
Nov 09, 2023
Source: Cainiu Health
Dr. Wang Xin
Introduction
In general, the differences between fulminant myocarditis and myocarditis include distinct causes, symptoms, treatment approaches, prognoses, and auxiliary examinations. The exact cause of fulminant myocarditis is not yet fully understood and may be related to factors such as genetics and immune system abnormalities; in contrast, myocarditis is usually caused by viral infections, such as Coxsackie virus or influenza virus.
Generally, the differences between fulminant myocarditis and myocarditis include different causes, symptoms, treatment approaches, prognoses, and auxiliary examinations. Specific analyses are as follows:
1. Different Causes
Fulminant myocarditis has unclear etiology, possibly related to genetic factors and immune system abnormalities; whereas myocarditis is usually caused by viral infections such as Coxsackie virus or influenza virus.
2. Different Symptoms
Fulminant myocarditis has an abrupt onset, during which patients may experience palpitations, chest tightness, dizziness, visual dimming, syncope, and even cardiogenic shock. In contrast, patients with myocarditis may present with fever, muscle aches, nausea, vomiting, chest tightness, and shortness of breath, along with possible symptoms such as palpitations, dizziness, and chest pain.
3. Different Treatments
Patients with fulminant myocarditis require more comprehensive treatments, including immunosuppressive therapy and mechanical respiratory support; whereas patients with myocarditis typically receive antiviral therapy and symptomatic management.
4. Different Prognoses
Fulminant myocarditis progresses rapidly and may lead to complications such as heart failure and cardiogenic shock, potentially resulting in death. In contrast, patients with myocarditis generally have a favorable prognosis with timely and active treatment.
5. Different Auxiliary Examinations
In electrocardiogram (ECG) examinations, patients with fulminant myocarditis may show T-wave inversions or ST-segment elevation; whereas patients with myocarditis may exhibit arrhythmias or ST-T segment changes on ECG.
If patients experience any discomfort or symptoms, they are advised to seek medical attention at a hospital promptly to avoid delays in diagnosis and treatment.
