Demoulin J C, Servais J C, Bury J
Acta Cardiol. 1978;33(3):143-54.
Presentation of a case of diphteric myocarditis. The histological examination of the conduction system can explain the rhythm disturbances in the present case with the EKG characteristics of the sick sinus syndrome and the intraventricular conduction disturbances. The anatomical lesions are variables in their topography and age, explaining the variability of the troubles of the rhythm during the first weeks of the disease. The fibrotic scars and the ageing changes of the conduction system are probably the reason for the late constitution of AV block and sick sinus syndrome, years after the acute episode.
一例白喉性心肌炎病例报告。传导系统的组织学检查能够解释本例出现病态窦房结综合征心电图特征及室内传导障碍时的心律失常情况。解剖学病变在其部位和时期上存在差异，这解释了疾病最初几周内心律失常的变异性。纤维化瘢痕以及传导系统的老化改变可能是急性发作数年之后晚期发生房室传导阻滞和病态窦房结综合征的原因。
