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17.52 0 0 1 0 26.598C3.576 28.746 7.821 30 12.385 30"></path></g></svg></span></a></div></div><hr class="d5c7y9-0 jAAhhm"/></div></div></div></div><div class="riphwg-1 gBnoao"><div width="12" offset="0" class="riphwg-2 sc-1xct3vi-1 hDbOtM"><div class="no1smy-0 jPwnnt"><h3>Definition</h3><p>Das Mykoard ist der Herzmuskel. Durch eine Infektion kann sich der Herzmuskel entzünden, er wird geschwächt und es kommt zu einem Leistungsabfall. </p> <p>Dabei kann die Entzündung entweder nur den Herzmuskel betreffen oder auch den Herzbeutel (dann spricht man von einer Perimyokarditis). Ist zusätzlich noch das Endokard (die Herzinnenhaut) beteiligt, besteht eine Pankarditis.</p></div></div></div><div class="riphwg-1 gBnoao"><div width="12" offset="0" class="riphwg-2 sc-1xct3vi-1 hDbOtM"><div class="no1smy-0 jPwnnt"><h3>Ursachen</h3><p>Ursachen einer Herzmuskelentzündung können sein:</p> <ul> <li>Viren: in über 50% der Fälle sind Viren die Verursacher (meistens ist das verantwortliche Virus aber nicht bekannt) </li> <li>Bakterien oder Pilze </li> <li>Arzneimittel (vor allem Chemotherapeutika) </li> <li>Toxisch (Gifte wie Alkohol, Schwermetalle) </li> <li>Rheumatische Systemerkrankungen (Autoimmunerkrankungen wie Sarkoidose) </li> <li>Bestrahlung der Herzgegend </li> </ul> <h3>Folgende Krankheiten oder Faktoren können eine Herzmuskelentzündung begünstigen: </h3> <ul> <li>Scharlach</li> <li>Borreliose (nach einem Zeckenbiss) </li> <li>Als Folge einer Herzbeutelentzündung oder einer Herzklappenentzündung </li> <li>Stoffwechselerkrankungen </li> <li>Tuberkulose oder andere Infektionserkrankungen (z.B. Syphilis, Diphtherie) </li> <li>Alkoholismus</li> </ul></div></div></div><div class="riphwg-1 gBnoao"><div width="12" offset="0" class="riphwg-2 sc-1xct3vi-1 hDbOtM"><div class="no1smy-0 jPwnnt"><h3>Symptome (Beschwerden)</h3><p>Eine Myokarditis kann durchaus ohne Symptome verlaufen. Bei einer viralen Infektion gehen den Herzbeschwerden unter Umständen die Symptome einer zugrundeliegenden Infektion voraus. </p> <h3>Dazu kommen: </h3> <ul> <li>Abgeschlagenheit, reduzierter Allgemeinzustand, Gliederschmerzen </li> <li>Herzrasen, Engegefühl, Herzstolpern <br></li> </ul> <p>Die Beschwerden zeigen sich im Verlauf der Erkrankung sehr unterschiedlich. Sie reichen von zeitlich begrenzten grippeartigen Erscheinungen bis hin zu Herzrhythmusstörungen, Herzversagen und Tod. </p></div></div></div><div class="riphwg-1 gBnoao"><div width="12" offset="0" class="riphwg-2 sc-1xct3vi-1 hDbOtM"><div class="no1smy-0 jPwnnt"><h3>Diagnose (Untersuchung)</h3><p>Zur Diagnose einer Myokarditis werden verschiedene Untersuchungen und Abklärungen durchgeführt. Dazu gehören unter anderem: </p> <ul> <li>Krankengeschichte (Anamnese) und Symptome </li> <li>Elektrokardiogramm (EKG) </li> <li>Echokardiographie (Herzultraschall-Untersuchung) </li> <li>Labor: das Blut wird nach Bakterien oder Pilzen untersucht, Viren können selten verifiziert werden. Ausserdem können die Herzenzyme erhöht sein (ähnlich wie beim Herzinfarkt) </li> <li>Röntgenuntersuchung: das Herz ist nur bei sehr akuten Verläufen leicht vergrössert </li> </ul></div></div></div><div class="riphwg-1 gBnoao"><div width="12" offset="0" class="riphwg-2 sc-1xct3vi-1 hDbOtM"><div class="no1smy-0 jPwnnt"><h3>Therapie (Behandlung)</h3><p>An erster Stelle steht die längerfristige körperliche Schonung. Dazu muss in erster Linie die ursächliche Erkrankung behandelt werden, wobei dies bei viralen Infekten nur symptomatisch möglich ist.</p> <ul> <li>Bei einer bakteriellen Infektion kann mit Antibiotika behandelt werden. </li> <li>Bei einer rheumatisch bedingten Herzmuskelentzündung können kortisonhaltige und antirheumatische Medikamente sinnvoll sein. </li> <li>Eine Herzschwäche wird mit harntreibenden Medikamenten (Diuretika), ACE-Hemmern und Betablockern behandelt. </li> <li>Herzrhythmusstörungen werden ebenfalls medikamentös behandelt (Beta-Blocker, andere Medikamente). </li> <li>Schmerzmittel </li> <li>Bei einer zusätzlichen Herzbeutelentzündung (Perikarditis) mit einem grossen Erguss wird punktiert. </li> <li>Bei einer Autoimmunreaktion wird evtl. eine immunsuppressive Behandlung eingeleitet. </li> </ul> <p>Bei Verschlimmerung der Erkrankung gilt als letzte Option die Herztransplantation.<br></p> <h3>Was können Sie selber tun?</h3> <p>Es braucht eine körperliche Schonung über eine längere Zeit. 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Strikte Bettruhe und Medikamente, je nach Ursache.","locale":"it","ogType":"article","title":"Herzmuskelentzündung (Myokarditis)","url":"https://tcs-mymed.ch/it/malattie_e_sintomi/diseases/150"},"author":"superuser","description":"","language":"it","canonical":"https://tcs-mymed.ch/it/malattie_e_sintomi/diseases/150","title":"Herzmuskelentzündung (Myokarditis)","favIcons":[{},{},{},{},{},{},{},{},{},{},{},{}],"tracking":"GTM-5KH4GW"}},{"type":"Area","children":[{"type":"Pe001Header","props":{"staticLogo":false,"disableHamburger":false,"logoText":"TCS MyMed","search":{"endpoint":"/it/Search","inline":true,"query":"","placeholder":"Cerca articolo"},"languageSwitcher":{"current":"IT","options":[{"code":"de","languageLink":{"type":"Anchor","props":{"text":"DE","href":"/krankheiten_und_symptome/diseases/150"}}},{"code":"fr","languageLink":{"type":"Anchor","props":{"text":"FR","href":"/fr/maladies_et_symptomes/diseases/150"}}}]},"homeLink":{"type":"Anchor","props":{"targetType":"internal","text":"Home","href":"/it/"}},"closeText":"Chiudi","logo":{"type":"Image","props":{"src":"/.imaging/focus/dam/Grundlagen/TCS-Jubi-Logo-rgb.png?x=50\u0026y=50","loadingIndicator":false,"alt":"TCS MyMed","ratio":"0.0"}},"links":[{"type":"Anchor","props":{"href":"/it/medicina_di_viaggio","text":"Medicina di viaggio"}},{"type":"Anchor","props":{"href":"/it/medicina_d_urgenza","text":"Medicina d’urgenza"}},{"type":"Anchor","props":{"href":"/it/malattie_e_sintomi","text":"Malattie e sintomi"}},{"type":"Anchor","props":{"href":"/it/terapia","text":"Terapia"}},{"type":"Anchor","props":{"href":"/it/mobilita","text":"Mobilità"}},{"type":"Anchor","props":{"href":"/it/ginecologia","text":"Ginecologia"}},{"type":"Anchor","props":{"href":"/it/notizie_di_viaggio","text":"Notizie di viaggio"}},{"type":"Anchor","props":{"href":"/it/prestazioni_e_prodotti","text":"Prestazioni e prodotti"}},{"type":"Anchor","props":{"href":"/it/anatomie-und-organe","text":"Anatomie und Organe"}},{"type":"Anchor","props":{"href":"/it/Videos-und-Merkblaetter","text":"Videos und Merkblätter"}}],"canvasOpacity":"100","hamburger":{"text":"Temi","shortText":"Temi"}}}]},{"type":"Area","children":[{"type":"Pe004ArticleHeader","props":{"date":"","imageDescription":"","noheader":false,"categories":["Malattie e sintomi"],"shareIcons":[{"iconId":"email","link":{"type":"Anchor","props":{"targetType":"external","href":"mailto:?subject=Herzmuskelentzündung (Myokarditis)\u0026body=https://tcs-mymed.ch/it/malattie_e_sintomi/diseases/150"}}},{"iconId":"whatsapp","link":{"type":"Anchor","props":{"targetType":"external","href":"https://api.whatsapp.com/send?text=Herzmuskelentzündung (Myokarditis)+%0D%0Ahttps://tcs-mymed.ch/it/malattie_e_sintomi/diseases/150"}}},{"iconId":"facebook","link":{"type":"Anchor","props":{"targetType":"external","href":"http://www.facebook.com/sharer.php?u=https://tcs-mymed.ch/it/malattie_e_sintomi/diseases/150"}}},{"iconId":"linkedin","link":{"type":"Anchor","props":{"targetType":"external","href":"https://www.linkedin.com/shareArticle?mini=true\u0026url=https://tcs-mymed.ch/it/malattie_e_sintomi/diseases/150\u0026title=Herzmuskelentzündung (Myokarditis)\u0026summary=\u0026source=COMPO"}}},{"iconId":"twitter","link":{"type":"Anchor","props":{"targetType":"external","href":"https://twitter.com/intent/tweet?url=https://tcs-mymed.ch/it/malattie_e_sintomi/diseases/150\u0026text=Herzmuskelentzündung (Myokarditis)+\u0026hashtags="}}}],"source":"Autore: Mediscope","tags":[]},"children":[{"type":"Headline","props":{"type":"h1","content":"Herzmuskelentzündung (Myokarditis)"}}]},{"type":"Pe005Text","props":{"extraContentPosition":"left","componentColor":{"mainColor":null,"secondaryColor":"#FFFFFF"},"richText":{"type":"RichText","props":{"content":"\u003ch3\u003eDefinition\u003c/h3\u003e\u003cp\u003eDas Mykoard ist der Herzmuskel. Durch eine Infektion kann sich der Herzmuskel\u0026nbsp;entzünden, er wird geschwächt und es kommt zu einem Leistungsabfall. \u003c/p\u003e\n\u003cp\u003eDabei kann die Entzündung entweder nur den Herzmuskel betreffen oder auch den Herzbeutel (dann spricht man von einer Perimyokarditis). Ist zusätzlich noch das Endokard (die Herzinnenhaut) beteiligt, besteht eine Pankarditis.\u003c/p\u003e"}},"extraContentBox":false,"extraContentSize":"0.33"}},{"type":"Pe005Text","props":{"extraContentPosition":"left","componentColor":{"mainColor":null,"secondaryColor":"#FFFFFF"},"richText":{"type":"RichText","props":{"content":"\u003ch3\u003eUrsachen\u003c/h3\u003e\u003cp\u003eUrsachen einer Herzmuskelentzündung können sein:\u003c/p\u003e\n\u003cul\u003e\n \u003cli\u003eViren: in über 50% der Fälle sind Viren die Verursacher (meistens ist das verantwortliche Virus aber nicht bekannt) \u003c/li\u003e\n \u003cli\u003eBakterien oder Pilze \u003c/li\u003e\n \u003cli\u003eArzneimittel (vor allem Chemotherapeutika) \u003c/li\u003e\n \u003cli\u003eToxisch (Gifte wie Alkohol, Schwermetalle) \u003c/li\u003e\n \u003cli\u003eRheumatische Systemerkrankungen (Autoimmunerkrankungen wie Sarkoidose) \u003c/li\u003e\n \u003cli\u003eBestrahlung der Herzgegend \u003c/li\u003e\n\u003c/ul\u003e\n\u003ch3\u003eFolgende Krankheiten oder Faktoren können eine Herzmuskelentzündung begünstigen: \u003c/h3\u003e\n\u003cul\u003e\n \u003cli\u003eScharlach\u003c/li\u003e\n \u003cli\u003eBorreliose (nach einem Zeckenbiss) \u003c/li\u003e\n \u003cli\u003eAls Folge einer Herzbeutelentzündung oder einer Herzklappenentzündung \u003c/li\u003e\n \u003cli\u003eStoffwechselerkrankungen \u003c/li\u003e\n \u003cli\u003eTuberkulose oder andere Infektionserkrankungen (z.B. Syphilis, Diphtherie) \u003c/li\u003e\n \u003cli\u003eAlkoholismus\u003c/li\u003e\n\u003c/ul\u003e"}},"extraContentBox":false,"extraContentSize":"0.33"}},{"type":"Pe005Text","props":{"extraContentPosition":"left","componentColor":{"mainColor":null,"secondaryColor":"#FFFFFF"},"richText":{"type":"RichText","props":{"content":"\u003ch3\u003eSymptome (Beschwerden)\u003c/h3\u003e\u003cp\u003eEine Myokarditis kann durchaus ohne Symptome verlaufen. Bei einer viralen Infektion gehen den Herzbeschwerden unter Umständen die Symptome einer zugrundeliegenden Infektion voraus. \u003c/p\u003e\n\u003ch3\u003eDazu kommen: \u003c/h3\u003e\n\u003cul\u003e\n \u003cli\u003eAbgeschlagenheit, reduzierter Allgemeinzustand, Gliederschmerzen \u003c/li\u003e\n \u003cli\u003eHerzrasen, Engegefühl, Herzstolpern \u003cbr\u003e\u003c/li\u003e\n\u003c/ul\u003e\n\u003cp\u003eDie Beschwerden zeigen sich im Verlauf der Erkrankung sehr unterschiedlich. Sie reichen von zeitlich begrenzten grippeartigen Erscheinungen bis hin zu Herzrhythmusstörungen, Herzversagen und Tod. \u003c/p\u003e"}},"extraContentBox":false,"extraContentSize":"0.33"}},{"type":"Pe005Text","props":{"extraContentPosition":"left","componentColor":{"mainColor":null,"secondaryColor":"#FFFFFF"},"richText":{"type":"RichText","props":{"content":"\u003ch3\u003eDiagnose (Untersuchung)\u003c/h3\u003e\u003cp\u003eZur Diagnose einer Myokarditis werden verschiedene Untersuchungen und Abklärungen durchgeführt. Dazu gehören unter anderem: \u003c/p\u003e\n\u003cul\u003e\n \u003cli\u003eKrankengeschichte (Anamnese) und Symptome \u003c/li\u003e\n \u003cli\u003eElektrokardiogramm (EKG) \u003c/li\u003e\n \u003cli\u003eEchokardiographie (Herzultraschall-Untersuchung) \u003c/li\u003e\n \u003cli\u003eLabor: das Blut wird nach Bakterien oder Pilzen untersucht, Viren können selten verifiziert werden. Ausserdem können die Herzenzyme erhöht sein (ähnlich wie beim Herzinfarkt) \u003c/li\u003e\n \u003cli\u003eRöntgenuntersuchung: das Herz ist nur bei sehr akuten Verläufen leicht vergrössert \u003c/li\u003e\n\u003c/ul\u003e"}},"extraContentBox":false,"extraContentSize":"0.33"}},{"type":"Pe005Text","props":{"extraContentPosition":"left","componentColor":{"mainColor":null,"secondaryColor":"#FFFFFF"},"richText":{"type":"RichText","props":{"content":"\u003ch3\u003eTherapie (Behandlung)\u003c/h3\u003e\u003cp\u003eAn erster Stelle steht die längerfristige körperliche Schonung. Dazu muss\u0026nbsp;in erster Linie die\u0026nbsp;ursächliche Erkrankung behandelt werden, wobei dies bei viralen Infekten nur symptomatisch möglich ist.\u003c/p\u003e\n\u003cul\u003e\n \u003cli\u003eBei einer bakteriellen Infektion kann mit Antibiotika behandelt werden. \u003c/li\u003e\n \u003cli\u003eBei einer rheumatisch bedingten Herzmuskelentzündung können kortisonhaltige und antirheumatische Medikamente sinnvoll sein. \u003c/li\u003e\n \u003cli\u003eEine Herzschwäche wird mit harntreibenden Medikamenten (Diuretika), ACE-Hemmern und Betablockern behandelt. \u003c/li\u003e\n \u003cli\u003eHerzrhythmusstörungen werden ebenfalls medikamentös behandelt (Beta-Blocker, andere Medikamente). \u003c/li\u003e\n \u003cli\u003eSchmerzmittel \u003c/li\u003e\n \u003cli\u003eBei einer zusätzlichen Herzbeutelentzündung (Perikarditis) mit einem grossen Erguss wird punktiert. \u003c/li\u003e\n \u003cli\u003eBei einer Autoimmunreaktion wird evtl. eine immunsuppressive Behandlung eingeleitet. \u003c/li\u003e\n\u003c/ul\u003e\n\u003cp\u003eBei Verschlimmerung der Erkrankung gilt als letzte Option die Herztransplantation.\u003cbr\u003e\u003c/p\u003e\n\u003ch3\u003eWas können Sie selber tun?\u003c/h3\u003e\n\u003cp\u003eEs braucht eine körperliche Schonung über eine längere Zeit. Schon bei leichten Erkältungen (auch ohne Fieber) muss auf Ausdauersport verzichtet werden. \u003c/p\u003e\n\u003cp\u003eSelbstverständlich müssen sämtliche Herz- Risikofaktoren (Rauchen, Alkohol)\u0026nbsp;vermieden werden.\u003c/p\u003e"}},"extraContentBox":false,"extraContentSize":"0.33"}}]},{"type":"Area","children":[{"type":"Wrapper","children":[{"type":"Pe009TeaserGridHeader","props":{"componentColor":{"mainColor":"#F7F2E9","secondaryColor":"#FFFFFF"},"headline":"Könnte Sie auch interessieren"}},{"type":"Pe008TeaserGrid","props":{"componentColor":{"mainColor":"#F7F2E9","secondaryColor":"#FFFFFF"},"teaserCount":3},"children":[{"type":"Teaser","props":{"date":{"type":"Text","props":{"type":"small","content":"12.05.2021"}},"image":{"type":"Image","props":{"src":"/.imaging/focus/dam/MyMed/Adobe/Adobe_Skoliose.jpeg","loadingIndicator":false,"alt":"Scoliosi","ratio":"0.0"}},"teaserType":"default","link":{"type":"Anchor","props":{"href":"/it/malattie_e_sintomi/nell_80_percento_dei_casi_la_scoliosi_colpisce_le_ragazze"}},"text":{"type":"Text","props":{"type":"normal","content":"Il professor Pierre-Yves Zambelli, primario di chirurgia dell'infanzia e dell'adolescenza al CHUV di Losanna, ci parla della scoliosi..."}},"category":"Malattie e sintomi","headline":{"type":"Headline","props":{"type":"h5","content":"Nell'80 percento dei casi la scoliosi colpisce le ragazze"}}}},{"type":"Teaser","props":{"date":{"type":"Text","props":{"type":"small","content":"10.05.2021"}},"image":{"type":"Image","props":{"src":"/.imaging/focus/dam/MyMed/Adobe/Adobe_HFM_Krankheit.jpeg","loadingIndicator":false,"alt":"Virus","ratio":"0.0"}},"teaserType":"default","link":{"type":"Anchor","props":{"href":"/it/malattie_e_sintomi/malattia_mani_piedi_bocca_anche_gli_adulti_possono_contrarla"}},"text":{"type":"Text","props":{"type":"normal","content":"Prof. Dr. med. 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