Paulo Henrique Ganso, Fluminense midfielder, was diagnosed in January and, as much as he has returned to training, has not played since then
In Paulo Henrique Ganso, Fluminense midfielder, a myocarditis was diagnosed in January, was removed for about a month and returned to the club training – but even so, he did not enter the field in the team’s games. Last Friday 14, the player underwent a medical procedure in his heart and is still removed for seven days due to surgery. The player should play from the second round of Brazilirão. But, after all, what is this medical condition that has removed the goose from the fields since the beginning of the year?
THE Earth He spoke with two experts on myocarditis: Pablo Cartaxo, cardiologist at the nine de Julho hospital, San Paolo; and Alexsandro Fagundes, cardiologist and president of the Brazilian company of cardiac arrhythmias (Sobrac). Take a look at more details below!
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What is myocarditis?
Myocarditis is an inflammation in the heart muscle, the myocardium, explained Pablo Cartaxo, cardiologist of the nine de Julho hospital, from San Paolo, Earth.
According to the expert, myocarditis is often caused following an infectious picture, in particular viral as an influence, Adenovirus, Covid-19, among others. In addition, it can be a consequence of autoimmune diseases such as lupus or substances, as a little chemotherapy.
The cardiologist and president of the Brazilian Society of Cardiac Arythmias (Sobrac), Alexsandro Fagundes, has also underlined the relationship that myocarditis can be caused by a drug reaction, “effect of some medicines that has toxicity for the heart, or even traumatic”, explains.
What are the symptoms of myocarditis?
Myocarditis can present itself in many ways. Most cases of myocarditis are asymptomatic, that is, people affected by the condition have no symptoms and are unnoticed by the clinical picture, explains Cartaxo.
“However, in those cases where myocarditis is more intense, there may be symptoms such as chest pain, lack of breath, palpitations or even more serious situations in which complex arrhythmias caused by inflammation cause cardiac arrests and sudden death,” he underlines.
Fagundes adds that viral myocarditis, which is often silent at the beginning, can therefore manifest itself with lack of breath, chest pain, palpitation, arrhythmias, swelling in the body and require an investigation that included a series of tests to confirm the diagnosis or not.
How to identify a case of myocarditis?
The process to identify myocarditis, as experts pointed out EarthIt can involve various exams and procedures.
Cartaxo underlines that it is important to perform the patient’s clinical history, associated with inflammation markers, such as reactive protein and myocardial injuries, such as troponine. In addition, it is necessary to pay attention to possible changes in the electrocardiogram, the ecocardiogram and, in particular, in cardiac magnetic resonance resonance, which plays a fundamental role to identify the case.
In some cases, a biopsy of myocardial, especially in case of rapid evolution of the clinical picture or when there is no response to the initial treatment.
As for biopsy, Fagundes explains that it can guide the treatment and that, as an invasive process, it is not made in all patients. “But in some cases it may be necessary so that pathological anatomy – the material collected and examined under a microscope in a heart of heart tissue – can confirm the aspect of inflammatory infiltration in that region”, he explains.
How is the treatment of myocarditis?
Treatment for myocarditis varies.
As Fagundes explains, in some cases it may be that it is not necessary to do anything specific, because the evolution of the image itself can be benign. Or, it may be that the patient needs specific treatment, both with antiviral and with immunity modulators.
Another possibility is that there is a treatment aimed at the cause that led the patient to develop inflammation. “As in the case of medicines that lead to myocarditis, which must be suspended, or in chagasic heart disease, which may need specific treatment for pathogen,” he explains.
On the other hand, the treatment can also involve control of heart failure, which is a consequence of myocarditis and is treated with medicines that strengthen cardiac contractility, as well as rigorous followers to monitor any worsening.
In case of worsening, there may be more aggressive treatment, such as the cases involving the system of a defibrillator, a pacemaker, a stimulation of resythronization or even a heart transplant in serious cases in which myocarditis evolves into terminal cardiac failure, concludes the phagundians.
Who has myocarditis can exercise?
What Cartaxo underlines is that, in the first months after the episode of myocarditis, regardless of the condition, caution is needed to carry out physical activity, being an essential accompaniment with the cardiologist to define the best moment of return to the exercises.
Source: Terra
Ben Stock is a lifestyle journalist and author at Gossipify. He writes about topics such as health, wellness, travel, food and home decor. He provides practical advice and inspiration to improve well-being, keeps readers up to date with latest lifestyle news and trends, known for his engaging writing style, in-depth analysis and unique perspectives.
