Franzen D, Mertens T, Waidner T, Kruppenbächer J, Höpp H W, Hilger H H
Klinik III für Innere Medizin, Universität zu Köln.
Klin Wochenschr. 1991 Jun 18;69(9):404-8. doi: 10.1007/BF01647414.
A 48-year old man was admitted with suspected acute myocardial infarction because of severe precordial pain and monophasic ST-elevations in the ECG. The patient's history of an ongoing infection, the localization, extent, and course of the ECG changes as well as the development of a pericardial effusion suggested viral perimyocarditis. The diagnosis was supported by a significant rise of antibodies (seroconversion) against influenza A virus.
一名48岁男性因严重的心前区疼痛和心电图上的单相ST段抬高而被收治,怀疑患有急性心肌梗死。患者有持续感染史,心电图变化的定位、范围和过程以及心包积液的出现提示为病毒性心包心肌炎。甲型流感病毒抗体显著升高(血清转化)支持了这一诊断。