FOLLOW-UP OBSERVATION OF
194 VIRAL MYOCARDITIS (VMC) IN CHILDREN
Xu Yi, Wang Xiu-Ying,
Yu Xiao-Liang
Department of Pediatrics, Second Xiangya
Hospital, Central South University, Changsha, Hunan, China
Objective: To explore the diagnosis and prognosis of VMC in
children.
Methods: Long-term
follow-up observation of 194 VMC children, in which 118 cases were
diagnosis VMC and 76 cases were suspected as VMC in our department during
1980~1998, were carried out. The average age was 8.8 years old and the average
follow-up time was 7.8 years. The items of observation included clinical
symptom, sign, electrocardiogram, exercise test, Holte，chest X-ray, echocardiogram , myocardium enzyme
and so on.
Results: According to
the “Dignostic standard
of children VMC in nine province / city”, 48 of 194 cases were dignosed
cardioneurosis and β
receptor anaphylactia syndrome and left ventricular false tendons and
hyperventilatoin syndrome. There were 75 of 146 cases fully recover (51.4%)
and 68 amelioration (46.6%) and 2 converted to dilated cardiomyopathy
(1.37) and 1 died (0.7%).
Conclusions: There
is a expandable tendency in the diagnosis of VMC. Myocardium enzyme result
is influenced by many factors such as upper respiratory tract infection and
intramuscular injection and hemolysis of the samples and drugs and heart
failure and arrhythmia, etc. Therefore, the pure abnormalities of
myocardium enzyme can’t be considered as VMC. The prognosis of VMC is
related to the onset and development of the disease, and related to promptly
treatment and bed rest.