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Can myositis affect the heart?

Author

Rachel Ellis

Published Jan 20, 2026

The heart is a muscle, so just as myositis causes inflammation in other muscles in the body, inflammation can also occur in the heart muscle. Recent research suggests that, in a myositis patient, the process of inflammation in the heart occurs in the same way it does in skeletal muscles.

What is cardiac myositis?

Myocarditis is an inflammation of the heart muscle (myocardium). The inflammation can reduce the heart's ability to pump and cause rapid or irregular heart rhythms (arrhythmias). Infection with a virus usually causes myocarditis.

Can myositis cause heart palpitations?

The authors concluded that patients with scleroderma and myopathy are at increased risk of heart failure, sustained symptomatic arrhythmia and cardiac death, particularly sudden death (9). As reported in the first case, one of the main complaints was palpitations.

What organs are affected by myositis?

The main muscles to be affected are around the shoulders, hips and thighs. Having myositis can also lead to other parts of the body being affected, such as the skin, lungs or heart. Sometimes myositis can affect the muscles that carry out tasks such as breathing and swallowing.

Can inclusion body myositis affect the heart?

Raised levels of cardiac troponin T have been reported in patients with sporadic inclusion-body myositis presenting without clinical signs or symptoms of a diseased heart; however, this observation has been attributed to reexpression of cardiac troponin T in the regenerating muscle fiber.

35 related questions found

Does myositis cause chest pain?

Symptoms of lung problems in people with myositis include: chest pain, cough, and shortness of breath with exertion.

Does myositis affect blood pressure?

Among patients with dermatomyositis, polymyositis, or inclusion body myositis, 62% and 29% had high blood pressure and diabetes mellitus, respectively, according to Vidya S. Limaye, MD, of the University of Adelaide, and colleagues.

What is the life expectancy of someone with myositis?

While sporadic inclusion body myositis is a progressive disease, life expectancy for those with sIBM is usually the same as for those without the disease. In fact, IBM patients usually don't die from the disease, but from complications (often preventable) that are associated with it.

What triggers myositis?

Viral infections are the most common infections causing myositis. Rarely, bacteria, fungi, or other organisms can cause myositis as well. Viruses or bacteria may invade muscle tissue directly, or release substances that damage muscle fibers.

What does myositis pain feel like?

muscle weakness. aching or painful muscles and feeling very tired. finding it hard to sit up, or stand after a fall. swallowing problems, or finding it hard to hold your head up.

What does inflammation of the heart feel like?

Myocarditis, pericarditis and endocarditis refer to inflammation around or in the heart. Inflammation of the heart often causes chest pain, and you may feel like you are having a heart attack.

How do you test for inflammation of the heart?

Heart MRI (Cardiac MRI ).

A cardiac MRI shows your heart's size, shape and structure. This test can show signs of inflammation of the heart muscle.

What are symptoms of heart inflammation?

Heart inflammation is your body's natural reaction to an infection or injury to the heart. To protect your body, your white blood cells send chemicals that increase blood flow to the affected area, which can lead to redness, swelling, or pain.

How is inflammation of the heart treated?

Antibiotics, heart medications, corticosteroids and drugs that reduce inflammation can usually treat and resolve minor inflammatory heart disease.

Can polymyositis cause heart problems?

One of the most frequently reported clinical cardiac manifestations in polymyositis and dermatomyositis is congestive heart failure that could be caused by myocarditis. The myocarditis could also lead to impaired left ventricular dysfunction and restrictive cardiomyopathy.

How does myositis affect the lungs?

Myositis can cause inflammation and weakness in the breathing muscles as well as the skeletal muscles, which makes breathing difficult or less effective. Dysphagia (difficulty swallowing) can make the patient choke on food or fluids causing them to be aspirated (inhaled) into the lungs.

What are the first signs of myositis?

Early symptoms in patients with myositis include:

  • Difficulty standing up from a seated position.
  • Difficulty climbing stairs.
  • Difficulty lifting the arms.
  • Fatigue after standing or walking a long time.
  • Trouble swallowing or breathing.
  • Muscle pain that does not subside within a few weeks.

How quickly does myositis progress?

Patients diagnosed with IBM progress to disability usually over a period of years. The older the age of onset is, the faster the loss of strength and mobility. By 15 years, most patients require assistance with basic daily routines, and some become wheelchair- bound or bedridden.

Can myositis be fatal?

Treatment and Disease Management

With inadequate or no treatment, myositis can cause significant disability and even death. There is no cure for any of the forms of myositis.

Can myositis affect the brain?

Myositis can be an invisible illness, meaning you may look perfectly healthy on the outside but are terribly ill nonetheless. Myositis can cause “brain fog” making concentration, organization, and other related tasks difficult. Myositis causes a variety of symptoms and affects each person differently.

Does exercise help myositis?

Physical exercise has been shown to reduce inflammation, reduce fatigue, increase stamina, and build muscle, even in patients with myositis. Indeed, exercise is currently the only treatment recommendation for patients with inclusion body myositis.

What kind of doctor treats myositis?

Many new patients have difficulty finding health care practitioners who know about myositis. Patients with dermatomyositis, polymyositis, or necrotizing myopathy are usually treated by rheumatologists. Those with dermatomyositis may also work with a dermatologist. Those with IBM are often treated by neurologists.

Does myositis affect one side of body?

Myositis typically affects the large muscles of the arms and legs on both sides of the body, but can also affect muscles associated with swallowing or breathing, and in rare cases can affect the heart as well.

What is the difference between myositis and polymyalgia rheumatica?

Polymyositis vs.

Polymyositis is an inflammatory, destructive, autoimmune muscle disease, usually with weakness but unusually with pain. Polymyalgia rheumatica is an inflammatory disease of muscle that always causes symmetrically painful muscles.

Can myositis cause muscle loss?

In some cases, myositis is a short-term problem that goes away after a few days or weeks. In other cases, it is part of a chronic (long-term) condition. Chronic forms of myositis can lead to muscle atrophy (wasting and shrinking) and severe disability.