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Understanding Myocarditis and Drugs that Act on it

Muralinath E., Jayinder Paul Singh. G, Pradip Kumar Das, Panjan Ghosh P., Kinsuk Das S., Kalyan C., Archana Jain, Guruprasad M.

Abstract


Myocarditis is condition manifested by inflammation of the heart muscle, termed as the myocardium. This inflammation happens by many types of factors namely auto immune diseases, an exposure to certain toxins and infections. It is a serious condition that can result in heart failure without proper treatment. In treating myocarditis, many drugs play an important role in alleviating symptoms, decreasing inflammation and preserving heart function. Non steroidal anti_ inflammatimiry drugs such as ibuprofen are helpful in relieving pain and decreasing inflammation particularly in mild cases of myocarditis. Whatever it may be, caution may be taken because these drugs may show an adverse effects particularly on the gastro intestinal tract and kidneys. In cases where myocarditis is linked to an auto immune response, corticosteroids such as prednisone may be helpful. Cyclosporin may be used to modulate the immune response particularly in cases where the inflammation is due to an over active immune system attacking the heart tissue. If a viral infection is identified as the cause of myocarditis, anti viral drugs are generally useful. Myocarditis can result in heart failure and medications namely angiotensin _ converting enzyme ( ACE ) inhibitors, beta _ blockers and diuretics may be useful in treating heart function and fluid balance. In a very few cases, the risk of blood clot formation may enhance because of an impaired heart function. To prevent clot formation and lower the risk of problems, anticoagulants such as warfarin or direct oral anticoagulants (DOACs) may be administered. Emerging treatments include biological therapies that target specific pathways participated particularly in inflammation. Mono clonal antibodies and other biologics may play an important role in more targeted and personalized approach's to myocarditis treatment. Finally it is concluded that the management of myocardi6 involves a multifaceted approach, frequently requiring a combination of drugs to address inflammation, immune response and associated complications.


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