How is the prognosis of the viral myocarditis? 's prevention and health care

How is the prognosis of the viral myocarditis? 's prevention and health care
Viral myocarditis 80% can fully recover, 5% - 20% can it leaves over cardiac dilatation and electrocardiograms to be unusual to send to chronic myocarditis or sequela, lt; But death of 5% of the patients decline because of the acute heart, serious arrhythmia or heart source shock.
The pathology of the viral myocarditis changes and clinical manifestation is widely different, so it transfers to belonging to very inconsistent with the prognosising. The viral myocarditis prognosis can roughly be divided into the following several kinds.
(1)Heavy-duty or breaking out viral myocarditis: The disease is worried that the patient gets up, condition of illness is critical. Will appear congestive and in heart failure in the 1 month often, heart source shock, it is getting more malignant continuously room break out arrhythmia, A syndrome, acute pericarditis or renal functions acute is to behave at the one Sri Lankan, can also cause and die suddenly or because died after all rescue measures proved ineffectual, the mortality report was 5% - 20% , Can be up to 50% sometimes in infant and pre-school children.
(2)Light, medium-sized viral myocarditis: This kind of patient's prognosis is better, acute one there can be obvious clinical manifestation, but can generally resume comparatively fast after treating, some even can resume through special treatment. It is unusual that a few patients may still leave over some electrocardiograms after recovering, but as time can lighten or disappear to pass gradually, do not influence life and work even if shrink before leaving over one for a long time. A few inferior clinical type patients, it is repeated not to have symptom one or condition by a segment, may develop into " expanding myocardium disease " .
(3)Expanding myocardium disease after chronic myocarditis or myocarditis: Mean acute or hide, get up after illness condition continue, develop, appear heart expand gradually or room wall tumour form, the intersection of heart and the intersection of function and deterioration of going on etc., or symptom break out repeatedly, result in myocardium the intersection of disease and person who behave of expanding etc. finally. Viral myocarditis has very long platform period, invite 10% - 20% Patient can develop into by chronic myocarditis, be developed into by expanding diseases myocardium finally patients a few among them. Once develop for expanding myocardium disease, half the patients die after making a definite diagnosis of 2 years, the most effective therapeutic method is the heart transplant.
(4)Children's viral myocarditis: Most infants return to normal when can ask when it is shorter after passing and treating appropriately, the case fatality rate is not high. Disease the dead mostly the intersection of age and little neonate or infant and pre-school children, causes of the death are mostly serious complications. Invite 30% - 40% Person can leave over by various arrhythmia,aroused in interest can exist axle skew or I degrees of atrio-ventricular blocks slow electric for a long time in sinus.
Children's acute myocarditis may relate to following factor to transfer to delaying or chronic: Acute one rest insufficiencies; It is inappropriate to treat; The repeated virus is infected; Acute conditions are relatively serious, not complete with cardiac dilatation and heart function, have not taken a good rest and monitored for a long time for convalescence; Age factor: The less age is, the worse the prognosis is.
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