Thursday, August 16, 2012

What _ symptoms of clinical manifestation does viral myocarditis have

What _ symptoms of clinical manifestation does viral myocarditis have
50% - 80% Patient have by symptom previously, generate heat, suffer from diarrhoea when forerunner. There is person who infects history of pioneer virus that accounts for 88% in the strange virus myocarditis of Ke Sa which the cardiovascular disease research institute of Shanghai makes a definite diagnosis of. Upper airway infection and one kind of symptoms are very slight or has no symptom, or only have at the time of tired senses slightly, the virus is infected in the history and sure often. It is (such as hepatitis, parotitis) that some patients are infected with in other virus And then have illness coming on. 1 after symptom of forerunner who is infected with the virus- 3 weeks or various symptoms (including symptom that the heart is given much trouble) in a longer time Appear gradually.
Clinical symptom includes:
(1)General symptom: Can be light and uncomfortable, etc to intermediate generating heat, having a headache, swallowing aching, cough, abdominal pain, diarrhoea and whole body. Some patients produce muscles and pain because the virus infringes the striated muscle, there can also be joints and pain.
(2)Heart symptom: Unless ache chest, common relatively, can't ache chests populars similar, it undertake by heart and (or) The pleura is given much trouble. Can also present palpitation, shortness of breath uncomfortable in chest, weak etc., a few serious patients can present reducing or shock, fainting and cyanosis of blood pressure,etc..
Viral myocarditis can cause the arrhythmia of many types, including continuation or the intersection of continuation and room room arrhythmia, atrio-ventricular block, bunch prop up block,etc..
(3)Digestive system symptom: A few patients have obvious gastrointestinal symptoms, such as suffer from abdominal pain, suffer from diarrhoea, vomit, sick, etc.
Main physical sign is various arrhythmia. There can be continuation tachycardia proportional to body temperature no, it is interesting too slow that can also appear, even block. Getting serious on the low side blood pressure can in the form of state or shock before shock. It is dizzy and cheating and fainting wickedly that the patient happens because of tachycardia, serious arrhythmia, hypotension. Apex of the heart department and tricuspid valve district can hear and soft 2- 3 grades of systolic phase noise, often have the third heart sound or the 4th heart sound, can present room or room galloping horse's law; The 1st heart sound is weakened. About half the a patient's cardiac dilatation, can touch the heartbeat in the left reason of brestbone sometimes. The person who gives much trouble pericardium can be heard and the pericardium fricative. , and neck vein full of and liver increase etc..
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