Cardiac effects of common viral illnesses.
Cardiac effects of common viral illnesses.
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常见病毒性疾病对心脏的影响。
作者：
Terrence J. Montague;T. Marrie;David J. Bewick;C. A. Spencer;Fred Kornreich;B. Horáček
我们比较了32例病毒性疾病急性期和恢复期患者的临床、心电图和超声心动图结果，并与来自健康年龄和性别匹配的正常对照组的类似数据进行了比较。在急性期，没有患者出现心脏症状，也没有左心室或瓣膜功能障碍或心包炎的临床证据。心电图显示两组之间的平均窦性心率或异位心律失常无差异。30例患者的空间12和120导联体表心电图模式正常;另外2例患者有非特异性T波异常。两组间超声心动图测定的左室腔大小或收缩期缩短分数无差异。3例患者出现节段性心室运动功能减退; 17例患者出现少量心包积液。本文的数据表明对病毒性疾病患者心肌电和机械功能的影响。这可能是谨慎的，这样的病人，以尽量减少心脏的压力，在疾病。
We compared the clinical, electrocardiographic and echocardiographic findings of 32 patients during the acute and recuperative phases of viral illness with similar data from a healthy age- and sex-matched normal control group. During the acute phase, no patient had cardiac symptoms and none had clinical evidence of left ventricular or valvular dysfunction, nor pericarditis. Electrocardiograms revealed no differences in mean sinus rate or ectopic dysrhythm between the two groups. Spatial 12- and 120-lead body surface electrocardiographic patterns were normal in 30 patients; two others had nonspecific T wave abnormalities. There were no differences in echo-determined left ventricular cavity size or systolic shortening fraction between the two groups. Three patients had segmental ventricular hypokinesis; 17 patients had small pericardial effusions. Data herein suggest effects on myocardial electrical and mechanical function in patients with viral illness. It may be prudent for such patients to minimize cardiac stress during illness.
持续病毒感染的医疗后果。
DOI：
10.1056/nejm198602063140606
发表时间：
1986
期刊：
The New England journal of medicine
影响因子：
--
作者：
Southern,P;Oldstone,MB
通讯作者：
Oldstone,MB