Myocarditis can be caused by a variety of infections and diseases such as viruses, sarcoidosis and autoimmune diseases, pregnancy, and others. The most common cause of myocarditis is an infection of the heart muscle by a virus. The virus invades the heart muscle causing local inflammation. After the immune system of the initial infection of the body decline continues to cause inflammatory damage to heart muscle. This immune response may actually prolong myocarditis.
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