How to treat myocarditis in children

Myocarditis is most likely to occur in adults, but children can also be troubled by myocarditis because their body resistance is very weak. When children often have high fevers, long-term fatigue, extreme fatigue, and sleep more than they are awake, parents will be very worried and anxious. At this time, do not blindly think that it is a cold and give your child medicine. You need to take your child to the hospital for examination to confirm the diagnosis.

What are the treatments for myocarditis in children?

1. Treatment of arrhythmias

Arrhythmias must be treated aggressively. Supraventricular tachycardia is effectively treated with digitalis, while ventricular tachycardia can be treated with intravenous drip of lidocaine or amiodarone. If ventricular arrhythmia rapidly progresses to ventricular fibrillation despite active treatment (this situation is more likely to occur in young infants), direct current cardioversion should be given immediately.

2. Myocardial treatment

High-concentration and large-dose vitamin C is one of the commonly used therapeutic drugs in clinical practice to correct shock and promote recovery of myocardial diseases. Inosine is also one of the commonly used auxiliary drugs in clinical practice. When rescuing critically ill children. Energy mixture or polarization fluid can also be added and injected intravenously.

3. Adrenal cortex hormones and immunosuppressive drugs

Adrenal cortical hormone is mainly used to rescue cardiogenic shock and third-degree atrioventricular block, and can also be tried for those who do not respond to other treatments.

4. Treatment of combined heart failure and cardiogenic shock

Patients with concurrent heart failure and cardiogenic shock must be treated promptly and actively. The treatment principles are similar to those for general heart failure and cardiogenic shock, including the use of digitalis, vasodilators, phosphodiesterase inhibitors, diuretics, and volume expansion to correct acidosis. However, when using digitalis, it should be noted that in the acute phase of myocarditis, the myocardium is sensitive to digitalis and is prone to toxic reactions. Rapid saturation should be avoided and the dosage should be appropriately reduced.