Rapid Heartbeat After B-Type Influenza: Is It Myocarditis? - Cardiology

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Influenza B sudden palpitations?


I received a positive result for influenza B today, and after taking antiviral medication, I've been experiencing an increased heart rate.
I'm not sure if this is a psychological effect or if I might have developed myocarditis.

Qi, 20~29 year old female. Ask Date: 2018/01/24

Dr. He Dongjin reply Cardiology


Hello, experiencing shortness of breath and an increased heart rate can be reasonable indicators of myocarditis.
However, the likelihood is low.
It is advisable to monitor your condition, and Changhua Hospital is here to support you.

Reply Date: 2018/01/24

More Info


Experiencing a rapid heartbeat after being diagnosed with B-type influenza can understandably raise concerns about potential complications, including myocarditis. Myocarditis is an inflammation of the heart muscle, which can occur as a result of viral infections, including influenza. However, it is essential to understand the context and the likelihood of developing myocarditis in this situation.

Firstly, it is common for viral infections, including influenza, to cause an increase in heart rate. This phenomenon, known as tachycardia, can occur due to several reasons. When the body is fighting an infection, it releases various chemicals called cytokines, which can stimulate the heart to pump faster to ensure adequate blood flow and oxygen delivery to vital organs. Additionally, fever, which often accompanies influenza, can also elevate heart rate as the body works to regulate its temperature.

In your case, since you have recently been diagnosed with B-type influenza and are experiencing a rapid heartbeat, it is more likely that this is a physiological response to the infection rather than an indication of myocarditis. Myocarditis typically presents with more severe symptoms, such as chest pain, shortness of breath, fatigue, and sometimes arrhythmias. If you are not experiencing these additional symptoms, the likelihood of myocarditis is considerably lower.

However, it is crucial to monitor your symptoms closely. If your rapid heartbeat persists or worsens, or if you begin to experience chest pain, shortness of breath, or any other concerning symptoms, it would be prudent to seek medical attention. A healthcare professional may perform a physical examination, review your medical history, and possibly order tests such as an electrocardiogram (ECG) or echocardiogram to assess your heart's function and rule out myocarditis or other cardiac issues.

Moreover, anxiety and stress can also contribute to an increased heart rate. If you are feeling anxious about your health, this could further exacerbate your symptoms. Engaging in relaxation techniques, such as deep breathing exercises, meditation, or gentle physical activity, may help alleviate some of the anxiety and, in turn, help regulate your heart rate.

In summary, while it is essential to be aware of the potential for myocarditis following a viral infection like B-type influenza, the rapid heartbeat you are experiencing is more likely a normal response to the infection. Keep monitoring your symptoms, and do not hesitate to reach out to a healthcare provider if you have any concerns or if your symptoms change. Your health and well-being are paramount, and seeking professional guidance is always a wise choice when in doubt.

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