my pericarditis,

[mischief131]

hi. well I say my pericarditis but I was diagnosed a week ago with myopericarditis after being told I had a heart attack as my serial troponins rose from 41 to 1392 had a coronary angiogram no damage so was diagnosed myopericarditis and I cant seem to find much info on this other that its both a my pericarditis and myocarditis. I was sent home with bisoprolol 1.25mg. I still have crippling chest pains and get out of breath in minutes of moving.i don't know what to think or feel right now. will I recover or end up with heart trouble forever. and in pain

[Chrispaul1234]

Its been strange they just sent you home from the E.R. Ive had percarditis or myocatditis its unknown however I was stay in the hospital for few days just to make sure. My tropinins rose to about 200. And dropped a few next day and finally day three back to normal. I wouldnt worry too much. BUT.. you do need to follow up with cardiologist and get a ultrasound in 6 months. Which is what i was advised.

[Emily_BHF]

Hi mischief131,

I am sorry to hear you are going through this difficult time. Myopericarditis is a primarily pericardial inflammatory syndrome occurring when clinical diagnostic criteria for pericarditis are satisfied and associated mild myocardial involvement is demonstrated by elevation of biomarkers of myocardial damage (increased troponins).

Rest and avoidance of physical activity beyond normal sedentary activities is normally recommended for 6 months, as is the same recommendation for myocarditis. There is no evidence that troponin elevation confers worse prognosis.

Most myopericarditis cases are idiopathic or viral in origin, the current evidence does not support any specific therapies aimed at the underlying cause. The consensus recommendation is to treat myopericarditis similarly to acute pericarditis, using anti-inflammatory therapies (using ibruprofin and paracetamol). The bisoprolol will help to reduce the workload for your heart while it recovers. Myopericarditis can be treated in the same fashion as acute pericarditis and generally has an excellent prognosis.

It would be worth asking when you will next have an echo to review your condition.

Please discuss your symptoms with your doctor and let them know your concerns. If your chest pain becomes severe, do not hesitate to seek medical attention.

Take care,

Emily