{"id":14319,"date":"2022-02-15T20:51:17","date_gmt":"2022-02-15T09:51:17","guid":{"rendered":"https:\/\/mvec.mcri.edu.au\/?post_type=references&#038;p=14319"},"modified":"2024-11-19T13:34:42","modified_gmt":"2024-11-19T02:34:42","slug":"myocarditis-and-pericarditis","status":"publish","type":"references","link":"https:\/\/mvec.mcri.edu.au\/hi\/references\/myocarditis-and-pericarditis\/","title":{"rendered":"\u092e\u093e\u092f\u094b\u0915\u093e\u0930\u094d\u0921\u093f\u091f\u093f\u0938 \u0914\u0930 \u092a\u0947\u0930\u093f\u0915\u093e\u0930\u094d\u0921\u093f\u091f\u093f\u0938"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><div data-parent=\"true\" class=\"vc_row row-container\" id=\"row-unique-0\"><div class=\"row single-top-padding single-bottom-padding one-h-padding limit-width row-parent\"><div class=\"wpb_row row-inner\"><div class=\"wpb_column pos-top pos-center align_left column_parent col-lg-12 single-internal-gutter\"><div class=\"uncol style-light\"  ><div class=\"uncoltable\"><div class=\"uncell no-block-padding\" ><div class=\"uncont\" ><div class=\"uncode_text_column\" ><\/p>\n<h2>\u092a\u0943\u0937\u094d\u0920\u092d\u0942\u092e\u093f<\/h2>\n<p><span data-contrast=\"auto\">Myocarditis and pericarditis are rare but serious cardiac conditions. Myocarditis involves inflammation of the myocardium (the middle muscular layer of the heart wall). Pericarditis involves inflammation of the pericardium (the sac surrounding the heart). They can occur separately or together (myopericarditis). Complications of these conditions can include irregular heartbeat (arrhythmia), and\/or enlargement and weakening of the heart \u2013 both of which can impair the ability to pump blood effectively.<\/span><\/p>\n<p><span data-contrast=\"auto\">Myocarditis and pericarditis can be inherited conditions, or can be caused by infections (such as influenza and COVID<\/span><span data-contrast=\"none\"><div id=\"space\"><\/div><\/span><span data-contrast=\"auto\">19), injury, taking certain medications (including illicit drugs) and autoimmune diseases. A small number of cases have been reported following receipt of some vaccines (<a href=\"https:\/\/mvec.mcri.edu.au\/references\/covid-19\/\">COVID<\/a><\/span><a href=\"https:\/\/mvec.mcri.edu.au\/references\/covid-19\/\"><span data-contrast=\"none\"><div id=\"space\"><\/div><\/span><\/a><span data-contrast=\"auto\"><a href=\"https:\/\/mvec.mcri.edu.au\/references\/covid-19\/\">19<\/a> \u0914\u0930 <a href=\"https:\/\/mvec.mcri.edu.au\/references\/monkeypox\/\">mpox<\/a>).<\/span><\/p>\n<h2><span class=\"NormalTextRun SCXW98634612 BCX0\">\u0921\u0940<\/span><span class=\"NormalTextRun SCXW98634612 BCX0\">iagnosis<\/span><\/h2>\n<p><span data-contrast=\"auto\">Myocarditis and pericarditis present with a similar range of symptoms. In cases following vaccination, myocarditis symptoms have typically presented within 2 to 7 days, and pericarditis symptoms can occur within 2 to 3 weeks. Individuals may notice:<\/span><\/p>\n<ul>\n<li><span data-contrast=\"auto\">chest pain, pressure or discomfort<\/span><\/li>\n<li><span data-contrast=\"auto\">pain with breathing (pleuritic chest pain)<\/span><\/li>\n<li><span data-contrast=\"auto\">\u0938\u093e\u0902\u0938 \u0932\u0947\u0928\u0947 \u092e\u0947\u0902 \u0915\u0920\u093f\u0928\u093e\u0908<\/span><\/li>\n<li><span data-contrast=\"auto\">\u0927\u0921\u093c\u0915\u0928<\/span><\/li>\n<li><span data-contrast=\"auto\">syncope (faint)<\/span><\/li>\n<li><span data-contrast=\"auto\">other non-specific symptoms such as fatigue, dizziness, abdominal pain.<\/span><\/li>\n<\/ul>\n<p><span class=\"TextRun SCXW128382625 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW128382625 BCX0\"><div id=\"space\"><\/div><\/span><span class=\"NormalTextRun SCXW128382625 BCX0\">imely<\/span><span class=\"NormalTextRun SCXW128382625 BCX0\"> medical review <\/span><span class=\"NormalTextRun SCXW128382625 BCX0\">by a GP or through a hospital emergency department <\/span><span class=\"NormalTextRun SCXW128382625 BCX0\">\u0939\u0948 <\/span><span class=\"NormalTextRun SCXW128382625 BCX0\">important<\/span><span class=\"NormalTextRun SCXW128382625 BCX0\">.<\/span> <span class=\"NormalTextRun SCXW128382625 BCX0\">Investigations <\/span><span class=\"NormalTextRun SCXW128382625 BCX0\">to support diagnosis <\/span><span class=\"NormalTextRun SCXW128382625 BCX0\">might include blood tests (f<\/span><span class=\"NormalTextRun SCXW128382625 BCX0\">or cardiac biomarkers<\/span><span class=\"NormalTextRun SCXW128382625 BCX0\">,<\/span> <span class=\"NormalTextRun SCXW128382625 BCX0\">e.g.<\/span><span class=\"NormalTextRun SCXW128382625 BCX0\"> troponin), ECG <\/span><span class=\"NormalTextRun SCXW128382625 BCX0\">\u0914\u0930 <\/span><span class=\"NormalTextRun SCXW128382625 BCX0\">imagin<\/span><span class=\"NormalTextRun SCXW128382625 BCX0\">\u091c\u0940<\/span><span class=\"NormalTextRun SCXW128382625 BCX0\"> (<\/span><span class=\"NormalTextRun SCXW128382625 BCX0\">e.g.<\/span><span class=\"NormalTextRun SCXW128382625 BCX0\"> chest X<\/span><\/span><span class=\"TextRun SCXW128382625 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW128382625 BCX0\"><div id=\"space\"><\/div><\/span><\/span><span class=\"TextRun SCXW128382625 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW128382625 BCX0\">ray, cardiac MRI, ultraso<\/span><span class=\"NormalTextRun SCXW128382625 BCX0\">und, echocardiogram)<\/span><span class=\"NormalTextRun SCXW128382625 BCX0\">.<\/span><\/span><\/p>\n<h2><span class=\"TextRun SCXW139495115 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW139495115 BCX0\">Association and incidence<\/span><\/span><\/h2>\n<p><span data-contrast=\"auto\">Myocarditis, from any cause, occurs more commonly in males than females. It is also more likely to affect younger adults, compared with children or older adults.<\/span><\/p>\n<p><span data-contrast=\"auto\">Pericarditis, from any cause, occurs in similar rates among males and females. It is more likely to affect adults, compared with children.<\/span><\/p>\n<h3><span class=\"TextRun SCXW266921261 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW266921261 BCX0\">COVID<\/span><\/span><span class=\"TextRun SCXW266921261 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW266921261 BCX0\"><div id=\"space\"><\/div><\/span><\/span><span class=\"TextRun SCXW266921261 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW266921261 BCX0\">19 vaccination<\/span><\/span><\/h3>\n<p><span data-contrast=\"auto\">Most cases of <a href=\"https:\/\/mvec.mcri.edu.au\/references\/covid-19\/\">COVID<\/a><\/span><a href=\"https:\/\/mvec.mcri.edu.au\/references\/covid-19\/\"><span data-contrast=\"none\"><div id=\"space\"><\/div><\/span><\/a><span data-contrast=\"auto\"><a href=\"https:\/\/mvec.mcri.edu.au\/references\/covid-19\/\">19<\/a> \u091f\u0940\u0915\u093e<\/span><span data-contrast=\"none\"><div id=\"space\"><\/div><\/span><span data-contrast=\"auto\">associated myocarditis and\/or pericarditis were reported following receipt of a second dose of mRNA vaccine. However, they have been reported following any dose and any type of COVID<\/span><span data-contrast=\"none\"><div id=\"space\"><\/div><\/span><span data-contrast=\"auto\">19 vaccine.<\/span><\/p>\n<p><span data-contrast=\"auto\">Local and international data shows that <\/span><span data-contrast=\"auto\">pericarditis following COVID<\/span><span data-contrast=\"none\"><div id=\"space\"><\/div><\/span><span data-contrast=\"auto\">19 vaccination is more common in the 18- to 39<\/span><span data-contrast=\"none\"><div id=\"space\"><\/div><\/span><span data-contrast=\"auto\">year<\/span><span data-contrast=\"none\"><div id=\"space\"><\/div><\/span><span data-contrast=\"auto\">old age group for both males and females. <\/span><span data-contrast=\"auto\">\u00a0\u0906\u0930<\/span><span data-contrast=\"auto\">ates of myocarditis occurring following COVID<\/span><span data-contrast=\"none\"><div id=\"space\"><\/div><\/span><span data-contrast=\"auto\">19 vaccination vary; however, they are above expected background rates for both sexes. The peak risk group for COVID<\/span><span data-contrast=\"none\"><div id=\"space\"><\/div><\/span><span data-contrast=\"auto\">19 vaccine related myocarditis is young adult males aged 16 to 17 years, with a smaller increased risk for males aged between 12 to 24 years.<\/span><\/p>\n<\/div>\n\t<div class=\"wpb_raw_code wpb_raw_html\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<div style=\"padding: 56.25% 0 0 0; position: relative;\"><iframe style=\"position: absolute; top: 0; left: 0; width: 100%; height: 100%;\" src=\"https:\/\/player.vimeo.com\/video\/594092904?color=f5e10f&amp;title=0&amp;byline=0&amp;portrait=0\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><span data-mce-type=\"bookmark\" style=\"display: inline-block; width: 0px; overflow: hidden; line-height: 0;\" class=\"mce_SELRES_start\">\u0964<\/span><span data-mce-type=\"bookmark\" style=\"display: inline-block; width: 0px; overflow: hidden; line-height: 0;\" class=\"mce_SELRES_start\">\u0964<\/span><\/iframe><\/div>\n\t\t<\/div>\n\t<\/div>\n<div class=\"uncode_text_column\" ><\/p>\n<h3>Mpox vaccination<\/h3>\n<p><span class=\"TextRun SCXW147259904 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW147259904 BCX0\">Myocarditis and<\/span><span class=\"NormalTextRun SCXW147259904 BCX0\">\/or<\/span><span class=\"NormalTextRun SCXW147259904 BCX0\"> pericarditis have been <\/span><span class=\"NormalTextRun SCXW147259904 BCX0\">associated with administration of <\/span><span class=\"NormalTextRun SCXW147259904 BCX0\">\u0935\u093e\u0902<\/span><\/span><span class=\"TextRun SCXW147259904 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW147259904 BCX0\">e smallpox vaccine <\/span><span class=\"NormalTextRun CommentStart CommentHighlightPipeRest CommentHighlightRest SCXW147259904 BCX0\">ACAM2000<\/span><span class=\"NormalTextRun CommentHighlightRest SCXW147259904 BCX0\">, occurring at a rate of approximately <\/span><span class=\"NormalTextRun CommentStart CommentHighlightPipeRest CommentHighlightRest SCXW147259904 BCX0\">1 in 175 adults<\/span><span class=\"NormalTextRun CommentHighlightPipeRest CommentHighlightRest SCXW147259904 BCX0\"> who receive the vaccine for the first time.<\/span> <span class=\"NormalTextRun CommentHighlightRest SCXW147259904 BCX0\">\u090f <\/span><span class=\"NormalTextRun CommentHighlightRest SCXW147259904 BCX0\">very<\/span><span class=\"NormalTextRun CommentHighlightRest SCXW147259904 BCX0\"> small<\/span> <span class=\"NormalTextRun CommentHighlightRest SCXW147259904 BCX0\">number of cases of myocarditis and<\/span><span class=\"NormalTextRun CommentHighlightRest SCXW147259904 BCX0\">\/or<\/span><span class=\"NormalTextRun CommentHighlightRest SCXW147259904 BCX0\"> pericarditis have been reported following receipt of <\/span><span class=\"NormalTextRun CommentHighlightPipeRest SCXW147259904 BCX0\">\u091c\u0948\u0928\u093f\u092f\u094b\u0938<\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW147259904 BCX0\"><span class=\"TextRun SCXW147259904 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW147259904 BCX0\"> (MVA-BN)<\/span><\/span><\/span><span class=\"TextRun SCXW147259904 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW147259904 BCX0\">,<\/span> <span class=\"NormalTextRun SCXW147259904 BCX0\">with<\/span><span class=\"NormalTextRun SCXW147259904 BCX0\"> no<\/span><span class=\"NormalTextRun SCXW147259904 BCX0\"> causal relationship <\/span><span class=\"NormalTextRun SCXW147259904 BCX0\">established<\/span> <span class=\"NormalTextRun SCXW147259904 BCX0\">with this <\/span><span class=\"NormalTextRun CommentStart CommentHighlightPipeRest CommentHighlightRest SCXW147259904 BCX0\">\u091f\u0940\u0915\u093e<\/span><span class=\"NormalTextRun CommentHighlightPipeRest SCXW147259904 BCX0\">.<\/span><\/span><\/p>\n<h2>\u0907\u0932\u093e\u091c<\/h2>\n<p><span class=\"TextRun SCXW196296206 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW196296206 BCX0\">\u090f\u092e<\/span><span class=\"NormalTextRun SCXW196296206 BCX0\">yocarditis and\/or pericarditis<\/span> <span class=\"NormalTextRun SCXW196296206 BCX0\">(including arrhythmias, decreased cardiac function, congestive cardiac failure) are<\/span><span class=\"NormalTextRun SCXW196296206 BCX0\">\u00a0managed by a cardiologist. Treatment may include in-patient <\/span><span class=\"NormalTextRun SCXW196296206 BCX0\">monitoring<\/span><span class=\"NormalTextRun SCXW196296206 BCX0\"> and pharmacological agents such as <\/span><span class=\"NormalTextRun SCXW196296206 BCX0\">ACE-inhibitors and beta-blockers.<\/span><\/span><span class=\"EOP SCXW196296206 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:270,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Long<\/span><span data-contrast=\"none\"><div id=\"space\"><\/div><\/span><span data-contrast=\"auto\">term follow<\/span><span data-contrast=\"none\"><div id=\"space\"><\/div><\/span><span data-contrast=\"auto\">up of individuals who have experienced myocarditis and\/or pericarditis following COVID-19 vaccines continues to be evaluated to determine long<\/span><span data-contrast=\"none\"><div id=\"space\"><\/div><\/span><span data-contrast=\"auto\">term prognosis and impact. One of the key, long-term follow-up issues post-myocarditis is late gadolinium enhancement (LGE) seen on cardiac MRI, indicating heart scarring and a risk of future arrhythmias. LGE can occur following both infection and vaccination, so longer term follow-up remains important.<\/span><\/p>\n<h2>\u092d\u0935\u093f\u0937\u094d\u092f \u0915\u0940 \u0916\u0941\u0930\u093e\u0915 \u0915\u0947 \u0932\u093f\u090f \u0928\u093f\u0939\u093f\u0924\u093e\u0930\u094d\u0925<\/h2>\n<p><span class=\"TextRun SCXW196220884 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun CommentStart CommentHighlightPipeRest CommentHighlightRest SCXW196220884 BCX0\">All episodes of m<\/span><span class=\"NormalTextRun CommentHighlightRest SCXW196220884 BCX0\">yocarditis and\/or pericarditis occu<\/span><span class=\"NormalTextRun CommentHighlightRest SCXW196220884 BCX0\">r<\/span><span class=\"NormalTextRun CommentHighlightRest SCXW196220884 BCX0\">ring following vaccination <\/span><\/span><span class=\"TextRun SCXW196220884 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun CommentHighlightRest SCXW196220884 BCX0\">should be reported to the<\/span> <\/span><a class=\"Hyperlink HyperlinkGateOff SCXW196220884 BCX0\" href=\"https:\/\/mvec.mcri.edu.au\/references\/adverse-events-reporting-australia\/\" target=\"_blank\" rel=\"noreferrer noopener\"><span class=\"FieldRange SCXW196220884 BCX0\"><span class=\"TextRun Underlined UnderlinedGateOff SCXW196220884 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun CommentHighlightRest SCXW196220884 BCX0\" data-ccp-charstyle=\"Hyperlink\">adverse event reporting service<\/span><\/span><\/span><\/a><span class=\"TextRun SCXW196220884 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun CommentHighlightRest SCXW196220884 BCX0\"> in your <\/span><span class=\"NormalTextRun CommentHighlightRest SCXW196220884 BCX0\">jurisdiction<\/span><span class=\"NormalTextRun CommentHighlightRest SCXW196220884 BCX0\">.<\/span><\/span><span class=\"EOP CommentHighlightPipeRest SCXW196220884 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335559738&quot;:270,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<h3><span class=\"TextRun SCXW121083226 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW121083226 BCX0\">COVID-19 \u091f\u0940\u0915\u093e\u0915\u0930\u0923<\/span><\/span><\/h3>\n<p><span data-contrast=\"auto\">Further vaccination should be withheld until review by a specialist immunisation service if the individual has experienced:<\/span><\/p>\n<ul>\n<li><span data-contrast=\"auto\">suspected myocarditis following COVID-19 vaccination (with no clear alternate diagnosis)<\/span><\/li>\n<li><span data-contrast=\"auto\">suspected pericarditis following COVID-19 vaccination with abnormal investigations (and no clear alternate diagnosis)<\/span><\/li>\n<li><span data-contrast=\"auto\">suspected pericarditis where investigations were unable to be performed\/unavailable (in those aged 39 years or younger).<\/span><\/li>\n<\/ul>\n<h3><span class=\"TextRun SCXW79162026 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW79162026 BCX0\">Mpox vaccination<\/span><\/span><\/h3>\n<p><span class=\"TextRun SCXW197278827 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW197278827 BCX0\">Individuals who have been diagnosed with myocarditis and\/or pericarditis following mpox vaccination should be referred to a specialist <\/span><span class=\"NormalTextRun SpellingErrorV2Themed SCXW197278827 BCX0\">immunisation<\/span><span class=\"NormalTextRun SCXW197278827 BCX0\"> service for follow<span data-contrast=\"auto\">&#8211;<\/span><\/span><span class=\"NormalTextRun SCXW197278827 BCX0\">up and advice on fut<\/span><span class=\"NormalTextRun SCXW197278827 BCX0\">ure doses.<\/span><\/span><\/p>\n<h2>\u090f\u0939\u0924\u093f\u092f\u093e\u0924<\/h2>\n<p><span data-contrast=\"auto\">If both COVID-<\/span><span data-contrast=\"auto\">19 and mpox vaccination are recommended and the timing is not urgent, an interval of 4 weeks is recommended to minimise the risk for developing myocarditis and\/or pericarditis.<\/span><\/p>\n<p><span data-contrast=\"auto\">However, if mpox primary preventative vaccination (PPV) or post-exposure preventative vaccination (PEPV) is urgent, it should not be delayed or withheld in individuals who recently received a COVID<\/span><span data-contrast=\"auto\">&#8211;<\/span><span data-contrast=\"auto\">19 vaccine.<\/span><\/p>\n<\/div><div class=\"uncode_text_column\" ><\/p>\n<h2>\u0938\u0902\u0938\u093e\u0927\u0928<\/h2>\n<ul>\n<li><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0264410X21015486\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">Sexson Tejtel SK, Munoz FM, Al-Ammouri I, et al. Myocarditis and pericarditis: Case definition and guidelines for data collection, analysis, and presentation of immunization safety data. <\/span><i><span data-contrast=\"none\">\u091f\u0940\u0915\u093e<\/span><\/i><span data-contrast=\"none\">. 2022;40(10):1499-1511. doi:10.1016\/j.vaccine.2021.11.074<\/span><\/a><\/li>\n<li><a href=\"https:\/\/www.health.gov.au\/resources\/publications\/covid-19-vaccination-guidance-on-myocarditis-and-pericarditis-after-covid-19-vaccines\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"auto\">ATAGI: COVID-19 vaccination \u2013 Guidance on myocarditis and pericarditis after COVID-19 vaccines<\/span><\/a><\/li>\n<li><a href=\"https:\/\/mvec.mcri.edu.au\/references\/monkeypox\/\"><span data-contrast=\"auto\">MVEC: Mpox<\/span><\/a><\/li>\n<li><a href=\"https:\/\/mvec.mcri.edu.au\/references\/covid-19\/\"><span data-contrast=\"auto\">\u090f\u092e\u0935\u0940\u0908\u0938\u0940: \u0915\u094b\u0935\u093f\u0921-19<\/span><\/a><\/li>\n<\/ul>\n<p>\n<\/div><div class=\"uncode_text_column\" ><\/p>\n<div class=\"reviewedSection\">\n<p><strong>\u0932\u0947\u0916\u0915: <\/strong>Rachael McGuire (MVEC Education Nurse Coordinator), Francesca Machingaifa (MVEC Education Nurse Coordinator), Daryl Cheng (MVEC Medical Lead) and Nigel Crawford (Director SAEFVIC, Murdoch Children&#8217;s Research Institute)<\/p>\n<p><strong>\u0926\u094d\u0935\u093e\u0930\u093e \u0938\u092e\u0940\u0915\u094d\u0937\u093f\u0924: <\/strong><span class=\"TextRun SCXW50843774 BCX0\" lang=\"EN-AU\" xml:lang=\"EN-AU\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW50843774 BCX0\">\u0930\u093e\u091a\u0947\u0932 \u092e\u0948\u0915\u0917\u0941\u0907\u0930 (\u090f\u092e\u0935\u0940\u0908\u0938\u0940 \u0936\u093f\u0915\u094d\u0937\u093e \u0928\u0930\u094d\u0938 \u0938\u092e\u0928\u094d\u0935\u092f\u0915)<\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW50843774 BCX0\"><span class=\"TextRun SCXW50843774 BCX0\" lang=\"EN-AU\" xml:lang=\"EN-AU\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW50843774 BCX0\"> and Nigel Crawford (Director, Melbourne Vaccine Education Centre)<\/span><\/span><\/span><\/p>\n<p><strong>\u0924\u093e\u0930\u0940\u0916:<\/strong> November 2024<\/p>\n<p>\u0928\u0908 \u091c\u093e\u0928\u0915\u093e\u0930\u0940 \u0914\u0930 \u091f\u0940\u0915\u0947 \u0909\u092a\u0932\u092c\u094d\u0927 \u0939\u094b\u0924\u0947 \u0939\u0940 \u0907\u0938 \u0905\u0928\u0941\u092d\u093e\u0917 \u0915\u0940 \u0938\u093e\u092e\u0917\u094d\u0930\u093f\u092f\u094b\u0902 \u0915\u094b \u0905\u0926\u094d\u092f\u0924\u0928 \u0915\u093f\u092f\u093e \u091c\u093e\u0924\u093e \u0939\u0948\u0964 \u092e\u0947\u0932\u092c\u0930\u094d\u0928 \u0935\u0948\u0915\u094d\u0938\u0940\u0928 \u090f\u091c\u0941\u0915\u0947\u0936\u0928 \u0938\u0947\u0902\u091f\u0930 (MVEC) \u0915\u0930\u094d\u092e\u091a\u093e\u0930\u0940 \u0938\u091f\u0940\u0915\u0924\u093e \u0915\u0947 \u0932\u093f\u090f \u0928\u093f\u092f\u092e\u093f\u0924 \u0930\u0942\u092a \u0938\u0947 \u0938\u093e\u092e\u0917\u094d\u0930\u093f\u092f\u094b\u0902 \u0915\u0940 \u0938\u092e\u0940\u0915\u094d\u0937\u093e \u0915\u0930\u0924\u0947 \u0939\u0948\u0902\u0964<\/p>\n<p>You should not consider the information on this site to be specific, professional medical advice for your personal health or for your family\u2019s personal health. For medical concerns, including decisions about vaccinations, medications and other treatments, you should always consult a healthcare professional.<\/p>\n<\/div>\n<p>\n<\/div><\/div><\/div><\/div><\/div><\/div><script id=\"script-row-unique-0\" data-row=\"script-row-unique-0\" type=\"text\/javascript\" class=\"vc_controls\">UNCODE.initRow(document.getElementById(\"row-unique-0\"));<\/script><\/div><\/div><\/div>\n<\/div>","protected":false},"featured_media":0,"template":"","meta":{"_acf_changed":false,"_lmt_disableupdate":"no","_lmt_disable":"","footnotes":"","_wp_rev_ctl_limit":""},"first_letter":[21],"class_list":["post-14319","references","type-references","status-publish","hentry","first_letter-m"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Myocarditis and pericarditis - The Melbourne Vaccine Education Centre (MVEC)<\/title>\n<meta name=\"description\" content=\"Myocarditis and pericarditis are rare inflammatory diseases most commonly associated with viral infections (including SARS-CoV-2).\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/mvec.mcri.edu.au\/hi\/\u092a\u094d\u0930\u0924\u093f\u0915\u094d\u0930\u093f\u092f\u093e-\u0926\u0947\u0902-\u0938\u0902\u0926\u0930\u094d\u092d\/myocarditis-and-pericarditis\/\" \/>\n<meta property=\"og:locale\" content=\"hi_IN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Myocarditis and pericarditis - 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