Adult viral myocarditis with prognosis of ECG.docVIP

 PAGE \* MERGEFORMAT 6 Adult viral myocarditis with prognosis of ECG [Keywords:] viral myocarditis, ECG, prognosis Viral myocarditis is a clinical one of the more common cardiovascular diseases, infections by the virus (especially Coxsackie B group virus-induced myocarditis localized or diffuse lesions. Understanding electrocardiographic changes, for the clinical diagnosis, clinical observation and have important prognostic significance. In this paper, I admitted to hospital in 2003 -2007 in 96 cases of viral myocarditis in patients with ECG analysis reported below. 1 Materials and Methods 1.1 Source of this group of patients from our hospital in 2003 -2007 in 96 cases of treated patients with viral myocarditis ECG data, male 50 cases, female 46, aged 18 to 55 years (mean 35.4 years) .92 patients in 1 to 3 weeks prior to the onset of upper respiratory infections or diarrhea virus history (95.8%), all patients without previous history of heart disease. 1.2 The diagnostic criteria for full compliance with the 1995 National Symposium myocarditis, cardiomyopathy, adults made reference standard for diagnosis of acute viral myocarditis [1]. 1.3 The main clinical features and laboratory data, clinical symptoms: chest tightness, palpitation in 39 cases, 68 cases of fatigue dizziness, gas tight in 7 cases, 21 cases of heart failure, syncope in 6 patients. Myocardial enzyme tests: aspartate aminotransferase (AST) abnormalities (34 cases 35.4%), lactate dehydrogenase (LDH) anomaly in 39 cases (40.6%), creatine kinase abnormalities in 43 cases (44.8%). HIV antibody determination: double Coxsackie B virus serum neutralizing antibody titer testgt; = 4 times in 91 cases, a Coxsackie B, and serum antibody titers measuredgt; 67 cases = 640. 2 Results 2.1 ECG changes in 1 case with normal ECG, electrocardiogram Q wave changes similar to myocardial infarction, 1 patient samples. In all cases, ECG divided into the following 4 types: (1, 78 cases of arrhythm