Autoimmune myocarditis

Overview

Autoimmune myocarditis is a form of myocarditis (inflammation of the heart muscle) in which the immune system mistakenly attacks healthy heart tissue, causing inflammation that can weaken the heart muscle and interfere with its ability to pump blood effectively. Autoimmune myocarditis may occur on its own or alongside other autoimmune diseases. If left untreated, it can lead to abnormal heart rhythms (arrhythmias), dilated cardiomyopathy, chronic heart failure, or, in severe cases, sudden cardiac death.

Common Symptoms

Chest pain, shortness of breath, fatigue, palpitations or abnormal heart rhythms (arrhythmias), lightheadedness or fainting, reduced exercise tolerance, swelling of the legs, ankles, or feet, signs of heart failure in more severe cases.

Risk Factors and Prevalence

Autoimmune myocarditis is a rare disease that most commonly affects young and middle-aged adults, although it can occur at any age. Risk factors include having another autoimmune disease, certain genetic susceptibility factors, and immune system dysregulation. Some cases develop after immune checkpoint inhibitor cancer therapy, which can trigger an autoimmune attack against the heart.

Sources

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