Gavalova R F, Borodina V I
Kardiologiia. 1992 Apr;32(4):65-7.
A total of 42 patients with rheumatic carditis were examined in the acute-subacute period and following 3-5 years. Seventeen patients were diagnosed as having primary rheumatic carditis, 9 presented with tonsillogenic rheumatic carditis, and 16 had viral rheumatic carditis. The diagnosis of myocarditis was established on the basis of clinical, immunological, and virological findings. The study involved ECG, PhCG, PCG, and bicycle ergometer testing recordings. Groups of patients with good and poor prognosis were identified. Low threshold exercise, exercise-inadequate tachycardia, complex cardiac arrhythmias, phasic myocardial hypodynamic syndrome and volume exercise syndrome that are formed during performance are prognostically poor indicators. More profound electric and mechanic dysfunctions were observed in patients with tonsillogenic or viral myocarditis.
共有42例风湿性心脏病患者在急性-亚急性期以及之后的3至5年接受了检查。17例患者被诊断为原发性风湿性心脏病，9例表现为扁桃体源性风湿性心脏病，16例患有病毒性风湿性心脏病。心肌炎的诊断基于临床、免疫学和病毒学检查结果。该研究涉及心电图、心音图、心尖搏动图以及自行车测力计测试记录。确定了预后良好和预后不良的患者组。低阈值运动、运动时心率增加不足、复杂心律失常、阶段性心肌功能减退综合征以及运动时形成的容量运动综合征都是预后不良的指标。在扁桃体源性或病毒性心肌炎患者中观察到更严重的电和机械功能障碍。
