If Bartonella is affecting my heart, can I treat it with oral antibiotics alone?

I was successful at treating bartonella with oral antibiotics.

As you have noticed, certain meds can 'wake up' bartonella without killing it. After waking up bartonella, I would kill it with minocycline (although azithromycin+atovaquone also worked. I found it was resistant to azithromycin alone.)

I had heart symptoms too.

Have the little heart image video whatever that’s called. I had some sort of miniature short-circuiting going on.

Heart doctors were confused.

All this gradually went away with tick infection treatment.

Notice I say “tick infection” treatment. I very seldom say what specific infection it was because when most of us are saying that - it’s a guess.

bartonella can (rarely) infect the heart valves and cause a serious case of infective endocarditis

however this seems v rare - you can find it in the medical literature- but v few people here, if any, have experienced it

what most people with bartonella do experience is various type of pain in the heart area, palpitations, other irregular rhythms etc

these two things are very separate conditions - the first is generally rapidly fatal if not treated - the second can niggle or rumble on, coming and going for years with no significant long term damage, and tends to resolve with effective treatment of the underlying infections

if you confuse the two you might draw the erroneous conclusion that - if you have ANY heart symptoms - you are pretty much doomed unless you get immediate heavy IV abx - as that is often how bacterial endocarditis is treated.

i have the second one myself - have been screened for all the more serious things - and given the all clear

if you have heart symptoms - its worth getting the appropriate screens - Angio CAT Scan, Echocardiogram, EKG etc to rule out any serious issue - but be aware that its far more likely that you are experiencing the second issue than the first.

the cause of the second issue is not well documented - but it seems likely that its down to the microcirculation disruption or "small vessel disease" that bartonella causes ( this much is documented) by interfering with the supply of nutrients and removal of waste products from the cells in the heart tissue - the heart tissue is the tissue in the body with the greatest energy demand - and so is most susceptible to such issues.

this may also be why hawthone can hep some people - as it improves microcirculation particularly in the heart

in my case it tends to get worse with anything that drives inflammation - as that tends to worsen the inflammation in the small vessels - treatment with antimicrobials and herx reactions for instance or for example a bout of respiratory infection.

i hope its of some help

mine started after my 2nd or 3rd COVID infection also

COVID is known to cause inflammation in the microvasculature also
see the work or Dr Bruce Patterson