Children with acute respiratory tract infections. An electrocardiographic survey.
Children with acute respiratory tract infections. An electrocardiographic survey.
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患有急性呼吸道感染的儿童。
DOI：
10.1001/archpedi.1970.02100050113003
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发表时间：
1970
影响因子：
--
通讯作者：
R. Parrott
中科院分区：
文献类型：
--
作者：
L. P. Scott;M. F. Gutelius;R. Parrott
737例呼吸道感染患儿心电图异常提示心肌炎的发生率为1.49%，与108例无呼吸道疾病的对照组比较无显著性差异。13例心电图异常患者中有6例（46.2%）和832例心电图正常患者中有412例（49.5%）显示近期病毒感染的实验室证据。有心电图变化和无心电图变化的两组中病毒血清型分布也相同。这些结果表明，ECG异常是随机发生的，与疾病或病毒感染的实验室证据无关。诊断测试更敏感和/或更具体的心电图是必要的，以确定是否心肌炎发生急性呼吸道感染的并发症。
The prevalence of electrocardiographic abnormalities suggestive of myocarditis among 737 children with respiratory tract infection was 1.49%, which did not differ significantly from that encountered in a control group of 108 cases without respiratory tract illness. Six (46.2%) of 13 patients with abnormal electrocardiograms and 412 (49.5%) of 832 patients with normal ECGs showed laboratory evidence of recent virus infection. The distribution of virus serotypes was also the same in the two groups with and without ECG changes. These findings indicate that the ECG abnormalities were a random occurrence not associated with illness or with laboratory evidence of virus infections. Diagnostic tests more sensitive and/or more specific than the ECG are necessary to determine whether or not myocarditis occurs as a complication of acute infections of the respiratory tract.