115 cases of viral myocarditis ECG analysis.docVIP

 PAGE \* MERGEFORMAT 5 115 cases of viral myocarditis ECG analysis [Keywords:] viral myocarditis ECG Viral myocarditis, mainly in the young. The typical onset of acute viral myocarditis, severe illness, symptoms typical. In our hospital from August 2005 to July 2008 a total of 115 cases of diagnosis and treatment of patients with viral myocarditis, now the electrocardiogram changes in data analysis is as follows. A clinical data 1.1 General Information 115 cases in this group, both hospital in-patients, 89 patients were male and 26 females, aged 16 to 55 years, with an average 25.4 years of age. 109 cases before the onset of 1 ~ 3 weeks with upper respiratory tract infection or history of diarrhea and other viral infections. All patients had no past history of heart disease. The main clinical symptoms: chest tightness, palpitation in 13 cases, fatigue, dizziness in 31 cases, 3 cases of gas-tight, heart failure in 17 cases, syncope in 4 cases. Myocardial enzyme tests: aspartate aminotransferase (AST) abnormalities 40 cases, lactate dehydrogenase (LDH) anomaly in 47 cases, 52 cases of abnormalities of creatine kinase. 67 cases of hospitalization for blood sent to Provincial Anti-epidemic Station Determination of serum antibodies to the virus: double Coxsackie B virus serum neutralizing antibody titer ≥ 4-fold increase, measured in 63 cases, a Coxsackie B virus serum neutralizing antibody titer of measuring ≥ 640 were 52 cases. 1.2 ECG changes ECG normal in 1 case. Conventional ECG showing arrhythmia in 78 patients (multiple ECG for the same kind of arrhythmia by one cases of sub-terms, two kinds or more than two kinds of arrhythmias occur simultaneously or successively by several times appeared calculated to change in this group a total of 78 cases of arrhythmia 10 types of 92 cases times), of which 3 cases of atrioventricular block (Ⅱ ° ° I-AVB 1 Li, Ⅱ ° Ⅱ AVB 1 Li, Ⅲ ° AVB block 1 case), complete right bundle branch block in 2 cases , complete