摘要
119例经血清学与临床诊断为急性柯萨奇病毒B心肌炎的病人,长期随访平均3.5年(4—98月),随访率93.3％。急性期后82％的患者有室性早搏长期间断发作。随访期间无一例发生昏厥、近乎昏厥、猝死或心电图证实的持久性室性心动过速发作,亦无扩张型心肌病的临床、X线或超声心动图表现。
Long term (mean 3.5 years) follow-up of 119 consecutive patients with acute viral myocarditis admitted between october 1978 and august 1986 at the Zhongshan Hospital by OPD follow-up with ECG recordings or written communications with the aims of defining the clinical outcome, prognostic significance, risk of life-threatening ventricular tachyarrhythmias, and risk of sudden unexpected death in order to provide implications for therapy revealed no death, no episodes of syncope or near syncope, no recurrence of ECG documented VT, while residual VPBs occurred occasionally in about 70% of patients studied. Incidence of residual VPBs showed no correlations with age,sex or antiarrhythmic therapy. Until more definitive prospectively obtained data in additional patients are available, we believe that the outlook of adult patients with acute viral myocar-ditis manifested as isolate ventricular tachyatrhythmia is favorable. A significant number of patients have residual VPBs over a period of 5 or more yeats, but the risk of clinical progression appears small.
出处
《临床心电学杂志》
1992年第1期19-21,共3页
Journal of Clinical Electrocardiology
关键词
心肌炎
柯萨奇病毒B
室性早搏
myocarditis
Coxsackie B viruses
ventricular premature beats
