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运动诱发胸痛作为儿童心肌炎的孤立症状

Exercise-Triggered Chest Pain as an Isolated Symptom of Myocarditis in Children.

作者信息

Tshimanga Prisca, Daron Benoît, Farhat Nesrine, Desprechins Brigitte, Gewillig Marc, Seghaye Marie-Christine

机构信息

Department of Pediatrics, University Hospital Liège , Liège, Belgium.

Department of Pediatrics, Regional Hospital Center , Verviers, Belgium.

出版信息

Clin Pract. 2016 Apr 26;6(2):843. doi: 10.4081/cp.2016.843.

DOI:10.4081/cp.2016.843
PMID:27478581
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4943101/
Abstract

In childhood, chest pain occurring at exercise is a common complaint. A cardiac etiology for it is exceptionally found, explaining that most children do not undergo systematic cardiological investigation. However, chest pain at exercise may manifest as the unique symptom of a viral myocarditis. Recognizing this form of myocardial injury, however, might help to avoid clinical deterioration by providing adequate care. In this paper, we report on two children presenting with the unique clinical symptom of chest pain related to physical activity and in whom laboratory and cardiac investigations suggested transient myocardial damage related to myocarditis.

摘要

在儿童时期,运动时出现胸痛是一种常见的主诉。极难发现其心脏病因,这也解释了为何大多数儿童未接受系统的心脏检查。然而,运动时的胸痛可能是病毒性心肌炎的独特症状。然而,认识到这种心肌损伤形式可能有助于通过提供适当的护理来避免临床病情恶化。在本文中,我们报告了两名儿童,他们表现出与体力活动相关的胸痛这一独特临床症状,并且实验室和心脏检查提示存在与心肌炎相关的短暂性心肌损伤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c5b/4943101/de6d81444292/cp-2016-2-843-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c5b/4943101/3d855bd87bb9/cp-2016-2-843-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c5b/4943101/7da1a655e026/cp-2016-2-843-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c5b/4943101/de6d81444292/cp-2016-2-843-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c5b/4943101/3d855bd87bb9/cp-2016-2-843-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c5b/4943101/7da1a655e026/cp-2016-2-843-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c5b/4943101/de6d81444292/cp-2016-2-843-g003.jpg

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Noninvasive imaging in acute myocarditis.急性心肌炎的无创成像
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Myocarditis.心肌炎。
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