Does myocarditis always cause fever?

Patient's question:

Recently, I don't know why I've been feeling uncomfortable in my heart. Although I often take medication to control it, the effect is not obvious. When I went to the hospital for a check-up, they also prescribed medication. Please ask, does myocarditis always cause a fever?

Doctor's answer:

The most common cause of myocarditis is viral infection. One to three weeks before the onset, symptoms such as fever, general fatigue, and muscle pain, similar to a cold, may appear. Subsequently, symptoms of heart disease, such as chest tightness, shortness of breath, chest pain, and heart palpitations, may reappear. Mild cases may not cause any noticeable symptoms, while severe cases can manifest as serious arrhythmias, potentially endangering life. You must pay attention to getting adequate rest and can take oral medications that nourish the heart muscle for treatment.

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