Neonatal enteroviral myocarditis: a potentially devastating disease

Myocarditis is the most common cause of dilated cardiomyopathy. Diagnosis can be challenging—the presentation can vary from mild heart failure to cardiogenic shock and is often preceded by respiratory or gastrointestinal symptoms. The aetiology is predominantly viral in childhood. The electrocardiogram, echocardiogram, and cardiac biomarkers all assist in making the diagnosis. There is an emerging role for cardiac magnetic resonance imaging as a diagnostic tool. Endocardial biopsy is the gold standard for the diagnosis, but the risk of the procedure often precludes its use in childhood. Treatment of myocarditis comprises standard heart failure management and, in the most severe cases, mechanical support and transplant. Overall, myocarditis has a better outcome than other causes of dilated cardiomyopathy. Surviving the initial episode is not assured but does lead to excellent long-term outcomes, both in terms of survival and recovery of left ventricular function.

A Descriptive Study of Self Care among Patient with Congestive Heart Failure in Kraton Hospital, Pekalongan District

Background: Heart failure is a cardiovascular disease that has an increased incidence and prevalence. The risk of death from congestive hearth failure ranges from 5-10% per year in mild heart failure which will increase to 30-40% in severe heart failure. In addition, heart failure is a disease that most often requires re-treatment in a hospital, and outpatient treatment must be performed optimally.one of the factors that influence the incidence of hospitalization for heart failure patients is the independence of patients in self-care. Objectives: The purpose of this study was to find out the description of self care in congestive heart failure patients at Kraton Hospital Pekalongan District. Methods: The research model used in this study was descriptive qualitative with sampling using purposive sampling. The inclusion criteria in this study were patients with heart failure with NYHA I-III with stable conditions, patients hospitalized, who were hospitalized with rehospitalization, heart failure patients who were willing to become participants, not having cognitive impairment., patients with NYHA I-III with stable conditions. For exclusion criteria in this study were heart failure patients with comorbidities such as stroke, kidney failure and heart failure patients who were treated in the ICU. The sample in this study was five respondents. This research was conducted by interviewing heart failure patients about their experience in self care. Results: The results of this study obtained 4 themes are knowledge about self care, the implementation of self care, barriers in carrying out self care and social support in doing self care. Conclusion: patients consider that self care is very important but they have not been able to do self care optimally because they feel unsure of themselves. Thereforeweneedaninterventionaimedatimproveself-carebehaviorinpatientswith congestive heart failure.