Clinical manifestation _ symptom of the viral myocarditis
The clinical symptom of the viral myocarditis has widely different intensity of weight, symptom displays the characteristic often lacking peculiar typicality. Nearly have half the number patient before having illness coming on (about 1- 3 weeks) Upper airway infection and digestive tract infect the history. But often the weight is different in their original disease, symptom, it is getting often light and apt to be ignored by the patient, must inquire carefully that is noticed.
First, symptom:
1.Symptom that the heart is given much trouble can be shown as secret anguish, palpitation, shortness of breath in the district,etc. before the heart uncomfortable in chest.
2.Some viral myocarditis is to regard a kind of outstanding symptom relating to heart or having nothing to do as mainly or first publish symptom and go to a doctor. Such as Often see with the arrhythmia for the main suit and first publish the symptom client. A few ached for the main suit person with the violent chest suddenly, and whole body symptom was very light. This kind of situation sees more the person who involves pericardium or pleura of viral myocarditis. Minority take acute or serious heart function not complete symptom as the core and go to a doctor. A few are serious in order that the main fact, heart symptom are not obvious and go to a doctor with whole body symptoms such as body aching, generating heat, few urine, fainting,etc..
Second, physical sign:
1.The heart rate changes and is increased fast by the heart rate, and rise with the body temperature unbecomingly, the heart rate is slow.
2.The intersection of arrhythmia and rhythm present neat, fight most common early, it becomes rooms to be whether room nature has fight early often. The other slow rhythms of the heart are not normal: Atrio-ventricular block, the sinus room of the morbid state can also present to form syndrome.
3.The heart circle expands heart of the lighter of disease and has not expanded, there can generally be temporary enlargement, can resume.
4.Heart sound and first sound of the apex of the heart of heart murmur district can be lowered or split, can also present one kind of heart sounds of fetus heart. Pericarditis takes place occasionally the friction sound of pericardium appears. The apex of the heart district can hear systolic phase dry one kind of noises. Department this generate heat and heart expand; Can also hear and the intersection of relaxation and issues of noise, department of apex of the heart, expand and relative mitral stenosis produce for ventricle too.
5.Physical sign in heart failure that heavier case of the physical sign in heart failure can present the left heart or right heart, even a few a series of physical sign which present the source shock of heart.
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