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Research news tip sheet: Story ideas from Johns Hopkins Medicine

A comprehensive review of research studies on SARS-CoV-2 infections in infants less than 3 months old found that the majority experience mild to moderate cases and usually recover with supportive care. No deaths were reported, contradicting earlier findings suggesting myocarditis as a rare but possible complication.

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Myocarditis: Overshooting the mark

Researchers have identified midkine as a key driver of inflammation in the heart muscle that can lead to heart failure in patients with myocarditis. The study found that inhibiting midkine reduced neutrophil infiltration and improved heart function.

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The immune system promotes spontaneous heart regeneration

Researchers at Osaka University found that the immune system promotes spontaneous heart regeneration after myocarditis. Cardiomyocytes can proliferate under specific conditions, such as inflammation, and this process is mediated by factors like STAT3 and interleukin 11.

Immune cell drives heart failure in mice

Researchers found that eosinophils play a key role in the progression of heart muscle inflammation to heart failure in mice. The study suggests that eosinophils may be responsible for the deterioration of heart muscle function, even in the absence of severe inflammation.

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Infections of the heart with common viruses

Viral myocarditis is a leading cause of sudden unexpected death from cardiovascular causes, particularly in men under 40 years old. Chronic myocarditis can lead to dilated cardiomyopathy requiring heart transplantation, with up to 30% of cases resulting from underlying viral infections.

Brain biomarker shows promise in heart

Researchers found elevated levels of translocator protein 18 kDa (TSPO) in patients with myocarditis and mice, suggesting its potential as a biomarker for heart inflammation. TSPO's role in driving disease progression and prognosis is also being explored.

New pediatric heart failure guidelines a first in Canada

The new guidelines aim to provide a framework for early recognition and treatment of pediatric heart failure, which often goes unrecognized until it's too late. The guidelines recommend specialized care, including echocardiography by a pediatric specialist, and evidence-based treatments such as diuretics and inotropic drugs.

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When T cells attack: Insight into the mechanism of myocarditis

Researchers discovered that autoimmune disease myocarditis occurs when immune system targets heart muscle cells expressing alpha myosin, a protein required for contraction. Preventing the disease involves exposing T cells to alpha myosin in thymus, suggesting measurement of alpha-myosin as diagnostic tool and potential therapeutic target

Myocarditis can attack hearts without warning

A 44-year-old sailor received a groundbreaking treatment for severe myocarditis, which caused inflammation of his heart muscle and led to heart failure. He was implanted with two small ventricular assist devices, making him the first person in North America to receive this life-saving therapy.

New methods found useful for diagnosing myocarditis

Several new diagnostic methods, such as cardiac magnetic resonance imaging (MRI), are useful for diagnosing myocarditis. Endomyocardial biopsy is also used in certain cases. The study highlights the importance of these methods in improving diagnosis accuracy.

MDC researchers prevent virus induced myocarditis

Researchers at MDC Berlin-Buch discovered a mechanism to prevent viral myocarditis by blocking the Coxsackie-adenovirus-receptor. Genetically engineered mice without this receptor were protected from cardiac infection caused by the Coxsackievirus, showing that autoimmune response may not be the primary cause of disease process.

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Studies describe heart disease following smallpox vaccination

A recent study has found a link between smallpox vaccination and rare heart diseases, including pericarditis and myocarditis. Twenty-four cases of these conditions were identified among 37,876 US civilian healthcare workers who received the vaccine as part of a bioterrorism readiness program.

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Rare but deadly heart disease is curable, study shows

A study led by Johns Hopkins researchers found that patients with fulminant myocarditis can fully recover from the condition within two weeks without much damage to the heart or chance of relapse. Effective treatments include medications and mechanical pumps, which can increase blood flow and assist heart function.

Heart Inflammation Declining In The United States

A study by Johns Hopkins Medicine found that cases of life-threatening heart muscle inflammation are declining in the US, corresponding with a decline in enteroviral infections. Since 1991, myocarditis was present in less than 5% of patients biopsied each year, correlating with reduced enterovirus cases reported by the CDC.

Adenovirus May Play A Role In Heart Inflammation

Researchers at Johns Hopkins Medicine found adenovirus in 71.4% of autopsied hearts from patients with viral myocarditis, a condition previously attributed to Coxsackie B enterovirus. The study suggests adenovirus and enteroviruses may work together to cause this condition.

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