New 🐟 Mercury Safety Guide & Omega-3 Rankings Updated for 2026. View Omega-3 Rankings →

HSMI Viral 🟡 Moderate

Heart and Skeletal Muscle Inflammation

🦠 Piscine orthoreovirus (PRV-1) · Reoviridae

📋 Overview

HSMI was first described in Norway in 1999 and is now the second most commonly diagnosed heart disease in Norwegian salmon farming. PRV-1 is extremely prevalent in wild salmon, suggesting it is a natural pathogen that causes disease under intensive aquaculture conditions.

📊 Key Facts

Causative Agent
Piscine orthoreovirus (PRV-1)
Agent Family
Reoviridae
Genome Type
dsRNA, 10 segments
Peak Mortality
20%
Onset to Peak
5–9 weeks
Geographic Range
Norway (primary), also UK, Canada, Chile
Transmission Routes
Horizontal, water-borne
Primary Host
Atlantic Salmon (sea-water phase)
Treatment
⚠ Supportive only
Vaccine
✗ None / Experimental
First Described
1999

🩺 Clinical Signs

Lethargy, anorexia, swimming at surface, pale heart with petechial haemorrhages, red/white muscle necrosis.

🔬 Symptoms

🔬
Heart inflammation and haemorrhage
Circulatory Subacute
🔬
Red muscle necrosis
Musculoskeletal Subacute
🔬
Lethargy
Systemic Acute
🔬
Swimming near surface
Neurological Acute

🧪 Diagnosis

Histopathology (heart lesions), RT-PCR for PRV.

💊 Treatment

ℹ️ Treatment options are supportive. Consult a qualified fish health professional.
Supportive care, reduce biomass.

🛡️ Prevention

ℹ️ Prevention is the most effective strategy for managing this disease in aquaculture and aquarium settings.
No vaccine. Reduce stocking density, avoid stress.