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Myocarditis is an uncommon disorder that is usually caused by viral infections that reach the heart, including those due to the Coxsackie virus, adenovirus, and echovirus. It may also occur during or after various viral, bacterial, or parasitic infections (such as polio, influenza, or rubella). If the infection affects your heart, the disease-fighting cells enter the heart. However, the chemicals they produce can damage heart muscle, causing it to become thick, swollen, and weak. This leads to symptoms of heart failure.
Other causes of myocarditis may include:
Allergic reactions to certain medications
Being around certain chemicals
Certain diseases that cause inflammation throughout the body
Symptoms
There may be no symptoms. Symptoms thay may occur include:
Fever and other signs of infection including headache, muscle aches, sore throat, diarrhea, or rashes
Chest pain that may resemble a heart attack
Joint pain or swelling
Abnormal heart beats
Fatigue
Shortness of breath
Leg swelling
The configuration of the heart shown on the x-ray may be a normal for you! An athlete's heart will enlarge from exercise, and that is a beneficial condition! An x-ray is not a very good source to dx an enlarged heart. An echo will provide a calculated estimate for all wall dimensions and chamber size.
The problem develops when the heart over-compensates and the enlargement reaches a size where the heart chamber loses it contractility strength. As an analogy a handspring can be stretched and recoil is stronger, but when over stretched the spring becomes flaccid.
An echocardiogram is a test that uses ultra sound to watch the heart beat on a monitor in real time. The echo software can calculate the size of heart walls and chambers and heart pumping efficiency. If there is heart cell damage the wall movement will be impaired, etc.