Gordon S C, Patel A S, Veneri R J, Keskey K A, Korotkin S M
Department of Internal Medicine, William Beaumont Hospital, Royal Oak, Michigan 48072.
J Med Virol. 1989 Aug;28(4):219-22. doi: 10.1002/jmv.1890280404.
The cardiovascular complications of viral hepatitis are not widely recognized. Profound hypotension and a variety of dysrhythmias, including sinus arrest, have been reported in association with viral hepatitis, but most of these cases were described before the advent of specific viral serologic markers. Furthermore, previous instances of cardiovascular complications occurred during the course of an established viral syndrome. We report the cases of two previously healthy women who presented with unexplained hypotension and bradycardia as the initial manifestations of acute icteric hepatitis A. This phenomenon appears to represent a variant clinical presentation of a common viral entity.
病毒性肝炎的心血管并发症尚未得到广泛认识。已有报道称，病毒性肝炎可伴有严重低血压及包括窦性停搏在内的多种心律失常，但大多数此类病例是在特异性病毒血清学标志物出现之前描述的。此外，既往心血管并发症的病例均发生在已确诊的病毒综合征病程中。我们报告了两名既往健康女性的病例，她们以不明原因的低血压和心动过缓作为急性黄疸型甲型肝炎的首发表现。这种现象似乎代表了一种常见病毒实体的变异临床表现。
