The early stage of myocarditis, a heart you

The early stage of myocarditis, a heart do not mean the best answer myocarditis myocarditis myocardium have limitations or diffuse acute, subacute or chronic inflammatory lesions. In recent years, the relative incidence of viral myocarditis rate of increase. Severity was different, very different, infant illness and more serious, more adult light, light can no obvious symptoms, severe cases may be complicated by serious arrhythmias, heart failure and even sudden death. Acute or subacute disease prodrome of myocarditis, the patient may have fever, fatigue, sweating, palpitation, dyspnea, precordial men Tong and so on. Examination showed shrinkage of the former, conduction block and other arrhythmias. Aspartate aminotransferase, creatine phosphokinase increased ESR. ECG, X-ray diagnosis. Treatment includes rest, improvement of myocardial nutrition, control of heart failure and correct the arrhythmia and prevent secondary infections. Viral Reference: ���� myocarditis is cardiac causes occurred in limited or diffuse inflammation, may be primary in the myocardium, but also as part of systemic disease. Cause of infection, physical and chemical factors, drugs, the most common is viral myocarditis, which went enteroviruses, particularly Coxsackie B virus infection most common. ���� 1, clinical manifestations, symptoms: fatigue, fever, chest tightness, palpitations, shortness of breath, dizziness, severe heart failure may occur, or cardiogenic shock. 2, the signs: heart rate, body temperature and disproportionate expansion of the heart border, noise changes, arrhythmia. ��1�� medication, the primary disease treatment: is critical. HIV can be antiviral drugs, amantadine, daily 200mg; M morpholine guanidine 0.1g, orally, 3 times a day, with bacterial infection, antibiotics may be. 2, symptomatic treatment: acute period should stay in bed, the symptoms and signs improved, normal ECG before gradually increasing activities for nutritious, digestible diet. Occur heart failure, arrhythmia, shock and should be actively corrected. 3, to promote myocardial metabolism (1) Vitamin C: 4 ~ 5g intravenous solution by adding 250ml, 1 day, 10 to 15 days for a course of treatment can be repeated. (2) energy mixture: ATP20mg + coenzyme A100u + cytochrome C30mg 500ml 5% glucose intravenous infusion, day 1, 10 to 15 days for a course of treatment can be repeated. (3) Inosine: 200 ~ 400mg orally or intramuscularly, 2 times a day. (4) cyclic adenosine monophosphate (CAMP): 20 ~ 40mg, intramuscular injection, 2 times a day. (5) GIK: 10% glucose 500ml plus regular insulin 8u, 15% potassium chloride intravenous infusion of 10ml, 7 to 10 days for a course of treatment. (6) immunosuppressive drugs: for chronic, persistent type of cases. Glucocorticoids: general incidence of 10 to 14 days does not advocate application, but if high fever, heart failure, serious arrhythmia, cardiogenic shock may use, may be strong to loose 40 ~ 60mg, daily Dayton clothing, or hydrogenated cortisone 400 ~ 600mg / day, intravenous drip, his condition improved gradually after the reduction, 26 weeks after withdrawal. ��Prevention�� exercise, and improve the body resistance to diseases, avoid fatigue and to prevent viruses, bacteria infection. After the onset of attention to rest, into the nutrient-rich diet, in order to facilitate cardiac recovery. Spring to prevent myocarditis in recent years, the extensive application of antibiotics, rheumatic fever caused by streptococcus infection gradually decreased incidence of rheumatic myocarditis was significantly reduced, while the incidence of viral myocarditis is increasing. Viral infection caused by a variety, of which the most common Ke Saji virus B, varicella, EB virus can cause. According to studies, about 5% of HIV infection can affect the heart of the heart occurred myocarditis. Virus infection can be a direct invasion of the myocardium, but also for viral infection caused by the autoimmune response. The former is more common in children, which is more common in young people. The spring of viral myocarditis is high season, should be cause for alarm. Early disease and upper respiratory tract infection or intestinal infection symptoms ,7-10 days after chest tightness, heart palpitations, extreme fatigue, easy sweating and other symptoms. At this point, such as electrocardiogram, may be found to have premature beats and other cardiac arrhythmias and myocardial damage performance. For ESR, serum creatine kinase determination may be increased. Charles Ke Saji 2-4 weeks after virus antibodies, anti-myocardial antibody positive. Viral disease severity varies, so the symptoms also vary widely. Mild, localized lesions may have no symptoms, no abnormal electrocardiogram, ESR, and no increase in myocardial enzymes. Some people because of an accident until an autopsy had found that myocarditis lesions. Severe cases, there are obvious symptoms, diffuse expansion of the cardiac, heart failure, resulting in a significant shortness of breath, can not be supine; some serious abnormal heart rhythms, so as to cause repeated syncope, and even sudden death. Studies have shown that sustained tension after infection, excessive tiredness, engaged in heavy manual labor and strenuous exercise, high incidence of viral myocarditis. In addition, malnutrition is also an incentive. After the occurrence of viral myocarditis, have absolute bed rest, or make sicker, causing serious complications. Prevalence of viral myocarditis, the general should rest for 3 months. After such as asymptomatic, can gradually resume normal work and study, but should be careful not to fatigue, a year can not engage in manual labor and sports. Also, pay attention to proper diet, eat fresh vegetables, fruits, to ensure nutritional balance. To ensure adequate sleep and rest, avoid cold, or easy to relapse. Repeated attacks can be transformed into chronic myocarditis, cardiomyopathy, endanger life Reference: health / zaozhidao / xinjiyan.htm