Bogomolov B P, Mol'kova T N, Deviatkin A V
Klin Med (Mosk). 2002;80(12):34-8.
The study enrolled 53 patients (29 males, 24 females) with respiratory mycoplasmosis aged 15-88 years. Most of them were 59 years of age and younger. In 1/3 of the patients the diseases started with symptoms of acute respiratory viral infection, in 2/3 of them--with pulmonary affection. Pneumonia was diagnosed in 50 patients (94.3%), acute bronchitis--in 3 patients. ECG changes were registered in about half of the examinees who had no cardiac complaints. 25 of them had alterations in the end part of the ventricular ECG complex; rhythm and conduction disturbances occurred rarely. Mycoplasmosis patients suffering from ischemic heart disease (IHD) had stable ECG changes while in those free of IHD the changes were short. Myocardial necrosis foci were absent. Cardiac damage comparison in patients with respiratory mycoplasmosis and in other acute respiratory infections has found that cardiovascular system suffers less in acute mycoplasmosis. These data are useful in differential diagnosis of myocardial infections.
该研究纳入了53例年龄在15至88岁之间的呼吸道支原体病患者（29例男性，24例女性）。他们大多数年龄在59岁及以下。1/3的患者疾病始于急性呼吸道病毒感染症状，2/3的患者始于肺部感染。50例患者（94.3%）被诊断为肺炎，3例患者被诊断为急性支气管炎。约一半无心脏不适的受检者记录到心电图改变。其中25例患者心室心电图复合波末端有改变；节律和传导障碍很少发生。患有缺血性心脏病（IHD）的支原体病患者心电图改变稳定，而无IHD的患者改变短暂。未发现心肌坏死灶。对呼吸道支原体病患者和其他急性呼吸道感染患者的心脏损害比较发现，急性支原体病时心血管系统受累较轻。这些数据有助于心肌感染的鉴别诊断。
