How much does it divide into at the clinical myocarditis? 's general knowledge
Viral myocarditis according to the the intersection of disease and state, pass and rotate, return while being clinical, can be divided into the following types:
(1)Breaking out type: Get up disease to be worried and sudden, condition of illness violent, prognosis bad. Serious arrhythmia when appearing in early days,such as highly or atrio-ventricular blocks complete, or the room is fought early in pairs or running fire, short burst of room tachycardia appears repeatedly, even the room is quiver. No matter the slow or fast arrhythmia can be caused and fainted. Some patients present circulatory failure to behave promptly in early period, for instance, blood pressure drops, collapses, shock; Or serious heart failure appears; Or there is extensive myocardium necrosis, present the acute myocardium infarction kind and change on the electrocardiogram. Mortality is very high, much to die within l-2 week.
(2)Rhythm of the heart is not normal type: Regard arrhythmia as and mainly behave, can present various arrhythmia, in order to fight early to see more more particularly. It is very slight or scarce that other clinical symptoms including cardiac muscle are given much trouble symptom like. Can leave over the arrhythmia and reach even several years for several months while treating the last some patients.
(3)Cardiac dilatation and in heart failure type: Half the number patient can have cardiac dilatation at various degrees, a few, with the clinical manifestation in heart failure; Rely mainly on the fact that the left heart is depleted, it is rare but the hydropic patient of obvious lung happens.
(4)Dying suddenly type: The heart that the young and the middle aged happen suddenly stops the death suddenly, should consider the possibility of the viral myocarditis. Main reasons why the heart stops suddenly are mostly that the room is quiver.
(5)There is no symptom type: Though without symptom, do the myocardium zymology inspection, especially troponin is measured. Can still find that there is cardiac muscle that is damaged; The technology of molecular biology measures and can find the evidence that the virus attacks the cardiac muscle too. This kind of patient has a part that because does not treat in time, the condition delay, form delaying or chronic myocarditis, even change into expanding myocardium disease.
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