cardiovascular disorders
Myocarditis
Treatment of Myocarditis
Treatment of heart failure and arrhythmias Treatment of underlying disorder Treatment of Heart Failure (HF) includes diuretics and nitrates for symptomatic relief. In cases of fulminant heart failure, Infectious myocarditis is generally treated with supportive therapy for associated heart failure and arrhythmias. Antiviral therapy has not been shown to be helpful in the treatment of most viral etiologies, but nirmatrelvir andritonavircan help treat myocarditis due to SARS-CoV2 infection, andoseltamivircan help treat myocarditis due to influenza. Corticosteroids may also help treat myocarditis due to SARS-CoV2 infection. Bacterial etiologies may be treated with antibiotics, but this has not been shown to be effective except possibly in the acute infectious phase. Parasitic infection should be treated with appropriate antiparasitic drugs. Hypersensitivity myocarditis is treated by immediate discontinuation of the causative drug or cardiotoxin and, for hypersensitivity myocarditis, corticosteroid therapy. Patients with giant cell myocarditis have improved survival when treated with immunosuppressants, usually corticosteroids andcyclosporine. Myocarditis caused by sarcoidosis can be treated with corticosteroids. 