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A healthy heart is crucial for the proper functioning of the body. The heart is an organ that is indispensable for the survival of human beings. It is a major part of the cardiovascular system apart from the blood vessels and blood.

The heart functions like a pump and by pumping the blood through the blood vessels, it provides the whole body with vital nutrients and oxygen necessary for the body cells and tissues.

The Linings of the Heart

The heart is a very complex organ and its structure, is comprised of four chambers, which are divided by valves, and a sac with two layers filled with fluid, which makes up the lining of the heart. Pericardium or pericardial sac is the medical term for the lining of the heart, while the fluid in the sac is called pericardial fluid.

The heart has also an inner lining, which is called the endocardium. Pericardium and endocardium can be infected by harmful bacteria, which can cause various diseases in the lining of the heart. The two most common diseases of the lining of the heart are endocarditis and pericarditis.

Endocarditis

Endocarditis is the medical name for the condition when the inner lining of the heart is inflamed. When this inflammation occurs, the heart chambers and heart valves are inflamed. Sometimes endocarditis is referred to as valve infection since mitral and pulmonary valves are most infected.

Endocarditis can be infective and non-infective endocarditis. Infective endocarditis is caused due to harmful bacteria or due to other harmful pathogens. On the other side, non-infective endocarditis is caused due to mechanical trauma while performing certain cardiac procedures.

The most common symptoms of endocarditis are fever, shortness of breath, unexplained weight loss, swelling of the abdomen, feet, and hands, and pain in the joints.

Pericarditis

Pericarditis is the name for the inflamed outer lining of the heart. In this condition, the pericardial sac is swollen and irritated, which results in pain in the chest. The pericardial fluid is increased, which makes pressure on the heart, thus causing restricted heart pumping.

The potential causes for this condition are viral or bacterial infections, tuberculosis, and renal failure. The most common warning signs of the inflammation of the outer lining of the heart are pain in the chest on the left side, which tends to expand to the left side of the body, dry cough, and chronic fatigue syndrome.

Diseases of the Lining of the Heart and Covid-19 Vaccines

Myocarditis and pericarditis have rarely been reported. When reported, the cases have especially been in adolescents and young adult males within several days after mRNA COVID-19 vaccination (Pfizer-BioNTech or Moderna).
  • More often after the second dose.
  • Usually within a week of vaccination.
  • Most patients with myocarditis or pericarditis who received care responded well to medicine and rest and felt better quickly.
  • Patients can usually return to their normal daily activities after their symptoms improve.
  • Those who have been diagnosed with myocarditis should consult with their cardiologist (heart doctor) about return to exercise or sports.
✓ Fact confirmed: Myocarditis and Pericarditis After mRNA COVID-19 Vaccination National Center for Immunization and Respiratory Diseases (NCIRD), Division of Viral Diseases; July 14, 2022

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