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重症病毒性心肌炎心电图特征
引用本文:缪慧玉,林文珍,欧阳静娥,侯建萍,王在钰,邱亮华. 重症病毒性心肌炎心电图特征[J]. 安徽医学, 2016, 37(10): 1236-1238
作者姓名:缪慧玉  林文珍  欧阳静娥  侯建萍  王在钰  邱亮华
作者单位:350025 福建福州 福州总医院心内科电生理室,350025 福建福州 福州总医院心内科电生理室,350025 福建福州 福州总医院心内科电生理室,350025 福建福州 福州总医院心内科电生理室,350025 福建福州 福州总医院心内科电生理室,350025 福建福州 福州总医院心内科电生理室
摘    要:目的 分析重症病毒性心肌炎(VMC)患者心电图改变特征及临床意义。方法 收集58例VMC患者,其中重症VMC 16例,回顾性分析其心电图改变尤其是重症VMC心电图特征。结果 58例患者均出现心电图异常改变,其中最常见为ST-T改变,其次为早搏;重症VMC主要表现为ST段抬高、III度房室传导阻滞、酷似心肌梗死或伴QRS波电压降低。结论 VMC患者心电图常出现异常改变,尤其是重症VMC心电图表现复杂、多变,常见为ST段抬高。

关 键 词:重症病毒性心肌炎  心电图  心肌梗死
收稿时间:2015-11-16

The electrocardiogram characteristics and clinical significance of severe virus myocarditis
MIAO Huiyu,LIN Wenzhen,OUYANG Jing''e. The electrocardiogram characteristics and clinical significance of severe virus myocarditis[J]. Anhui Medical Journal, 2016, 37(10): 1236-1238
Authors:MIAO Huiyu  LIN Wenzhen  OUYANG Jing''e
Affiliation:Electrophysiological Department of Cardiology, Fuzhou General Hospital, Fuzhou 350025, China,Electrophysiological Department of Cardiology, Fuzhou General Hospital, Fuzhou 350025, China,Electrophysiological Department of Cardiology, Fuzhou General Hospital, Fuzhou 350025, China,Electrophysiological Department of Cardiology, Fuzhou General Hospital, Fuzhou 350025, China,Electrophysiological Department of Cardiology, Fuzhou General Hospital, Fuzhou 350025, China and Electrophysiological Department of Cardiology, Fuzhou General Hospital, Fuzhou 350025, China
Abstract:Objective To analyze the electrocardiogram(ECG) characteristics and clinical significance of severe viral myocarditis(VMC). Methods The electrocardiogram of 58 cases with VMC especially 16 severe VMCs were retrospectively analyzed. Results All the cases had abnormal ECG changes; the most common was ST-T change, the second was cardiac premature beat. Sixteen severe VMCs had the abnormal ECG changes of ST segment elevation, III degree atrioventricular block, acute myocardial infarction like ECG expression or QRS voltage amplitude decreased. Conclusion VMC cases usually have abnormal ECG changes and severe VMC cases always have complex, severe ECG changes, such as ST segment elevation.
Keywords:Severe viral myocarditis  Electrocardiogram  Myocardial infarction
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