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Может быть острым (возникает внезапно и бурно) или хроническим (протекает длительно, с периодами обострения и затишья) [1](https://Megapteka.ru/specials/miokardit-klinicheskie-rekomendacii-649). \n\nВоспаление повреждает сердечные клетки (кардиомиоциты), нарушая способность сердца эффективно перекачивать кровь [1](https://Megapteka.ru/specials/miokardit-klinicheskie-rekomendacii-649).\n\n\n\n## Причины\nНекоторые причины миокардита: \n* **Инфекции** (вирусы, бактерии, грибки, паразиты) [1](https://Megapteka.ru/specials/miokardit-klinicheskie-rekomendacii-649)[6](https://doct.ru/articles/miokardit.html)[8](https://ProBolezny.ru/miokardit/). \n* **Аутоиммунные заболевания** (системная красная волчанка, ревматоидный артрит, саркоидоз) [1](https://Megapteka.ru/specials/miokardit-klinicheskie-rekomendacii-649)[11](https://locmr.ru/articles/miokardit/). \n* **Токсические вещества** (алкоголь в больших количествах, некоторые тяжёлые металлы) [1](https://Megapteka.ru/specials/miokardit-klinicheskie-rekomendacii-649). \n* **Лекарственные препараты** (некоторые антибиотики, противосудорожные, химиотерапевтические средства) [1](https://Megapteka.ru/specials/miokardit-klinicheskie-rekomendacii-649). \n* **Физические факторы** (тяжёлое радиационное облучение, сильный перегрев) [1](https://Megapteka.ru/specials/miokardit-klinicheskie-rekomendacii-649).\n\n## Симптомы\nСимптомы миокардита разнообразны: от едва заметных до угрожающих жизни [1](https://Megapteka.ru/specials/miokardit-klinicheskie-rekomendacii-649). Некоторые проявления: \n* боль или дискомфорт в груди (может быть давящей, колющей или ноющей) [1](https://Megapteka.ru/specials/miokardit-klinicheskie-rekomendacii-649); \n* одышка (затруднённое дыхание и чувство нехватки воздуха, сначала при физической нагрузке, а в тяжёлых случаях — в покое) [1](https://Megapteka.ru/specials/miokardit-klinicheskie-rekomendacii-649); \n* учащённое сердцебиение или ощущение «перебоев» в работе сердца [1](https://Megapteka.ru/specials/miokardit-klinicheskie-rekomendacii-649); \n* чрезмерная усталость и слабость (сильная утомляемость даже при незначительной активности) [1](https://Megapteka.ru/specials/miokardit-klinicheskie-rekomendacii-649); \n* отёки на ногах, лодыжках и стопах (признак развивающейся сердечной недостаточности) [1](https://Megapteka.ru/specials/miokardit-klinicheskie-rekomendacii-649); \n* гриппоподобные симптомы (повышенная температура, ломота в теле, головная боль, боль в суставах) [1](https://Megapteka.ru/specials/miokardit-klinicheskie-rekomendacii-649). \n\nУ некоторых людей (особенно при лёгких формах) заболевание протекает почти бессимптомно или маскируется под простуду [1](https://Megapteka.ru/specials/miokardit-klinicheskie-rekomendacii-649).\n\n## Диагностика\nДиагностика миокардита сложна, так как его симптомы неспецифичны и совпадают со многими другими сердечными и несердечными заболеваниями [1](https://Megapteka.ru/specials/miokardit-klinicheskie-rekomendacii-649). Для подтверждения диагноза и оценки тяжести состояния необходимы инструментальные и лабораторные исследования [1](https://Megapteka.ru/specials/miokardit-klinicheskie-rekomendacii-649): \n* **Электрокардиография (ЭКГ)** — показывает нарушения сердечного ритма, признаки повреждения миокарда [1](https://Megapteka.ru/specials/miokardit-klinicheskie-rekomendacii-649). \n* **Эхокардиография (УЗИ сердца)** — позволяет увидеть структуру сердца, оценить сократительную способность миокарда, обнаружить утолщение стенок, расширение камер [1](https://Megapteka.ru/specials/miokardit-klinicheskie-rekomendacii-649). \n* **Анализы крови** — маркеры повреждения миокарда, воспаления, сердечной недостаточности, а также общий анализ крови и серологические тесты (для выявления возможных инфекционных возбудителей) [1](https://Megapteka.ru/specials/miokardit-klinicheskie-rekomendacii-649). \n* **Рентгенография органов грудной клетки** — может показать увеличение размеров сердца, признаки застоя жидкости в лёгких при сердечной недостаточности [1](https://Megapteka.ru/specials/miokardit-klinicheskie-rekomendacii-649).\n\n## Лечение\nПри лёгких формах миокардита специального лечения не требуется, проводится терапия основного заболевания [5](https://helix.ru/kb/item/978). При осложнённых формах лечение направлено на восстановление нормальной работы сердца и коррекцию иммунных нарушений [5](https://helix.ru/kb/item/978). \n\n**При тяжёлых формах** сердечной недостаточности и закупорке сосудов тромбами может потребоваться хирургическое вмешательство [5](https://helix.ru/kb/item/978). \n\n**Лечением миокардита занимается кардиолог** [3](https://www.smclinic.ru/diseases/miokardit/).","linksData":[{"sourceId":1,"url":"https://Megapteka.ru/specials/miokardit-klinicheskie-rekomendacii-649","shownUrl":"https://Megapteka.ru/specials/miokardit-klinicheskie-rekomendacii-649","title":"Миокардит после коронавируса симптомы и лечение, клинические рекомендации","shortUrl":"Megapteka.ru","isTranslated":false,"description":"","greenUrl":"Megapteka.ru"},{"sourceId":2,"url":"https://www.ckbran.ru/cure/cardio-vascular-system/miokardit","shownUrl":"https://www.ckbran.ru/cure/cardio-vascular-system/miokardit","title":"Миокардит — причины, симптомы, осложнения, диагностика, лечение в Москве","shortUrl":"ckbran.ru","isTranslated":false,"description":"","greenUrl":"ckbran.ru"},{"sourceId":3,"url":"https://www.smclinic.ru/diseases/miokardit/","shownUrl":"https://www.smclinic.ru/diseases/miokardit/","title":"Миокардит – симптомы, причины, признаки и методы лечения у взрослых в «СМ-Клиника»","shortUrl":"smclinic.ru","isTranslated":false,"description":"","greenUrl":"smclinic.ru"},{"sourceId":4,"url":"https://fnkc-fmba.ru/zabolevaniya/miokardit/","shownUrl":"https://fnkc-fmba.ru/zabolevaniya/miokardit/","title":"Миокардит - симптомы, лечение, причины, диагностика","shortUrl":"fnkc-fmba.ru","isTranslated":false,"description":"","greenUrl":"fnkc-fmba.ru"},{"sourceId":5,"url":"https://helix.ru/kb/item/978","shownUrl":"https://helix.ru/kb/item/978","title":"Миокардит","shortUrl":"helix.ru","isTranslated":false,"description":"","greenUrl":"helix.ru"},{"sourceId":6,"url":"https://doct.ru/articles/miokardit.html","shownUrl":"https://doct.ru/articles/miokardit.html","title":"Миокардит: причины, симптомы и методы лечения","shortUrl":"doct.ru","isTranslated":false,"description":"","greenUrl":"doct.ru"},{"sourceId":7,"url":"https://ufa.medsi.ru/articles/miokardit/","shownUrl":"https://ufa.medsi.ru/articles/miokardit/","title":"Миокардит – статьи о здоровье","shortUrl":"ufa.medsi.ru","isTranslated":false,"description":"","greenUrl":"ufa.medsi.ru"},{"sourceId":8,"url":"https://ProBolezny.ru/miokardit/","shownUrl":"https://ProBolezny.ru/miokardit/","title":"Миокардит: причины, симптомы и лечение в статье аритмолога Колесниченко И. 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