Granath A, Kimby E, Södermark T, Volpe U, Zetterquist S
Acta Med Scand. 1980;207(3):177-81. doi: 10.1111/j.0954-6820.1980.tb09701.x.
Three patients, aged 16--44 years, with complete heart block in acute myocarditis are reported. The diagnosis of myocarditis was based on the development of transitory repolarization disturbances on the ECG in association with clinical signs of acute infectious disease. All patients were brought to hospital due to repeated Stokes-Adams attacks and demonstrated ventricular asystoles for up to 25 sec. The patients were all successfully treated with temporary intracardiac pacing but one of them later turned out to require a permanent pacemaker. The possibility of differences in localization and in prognostic importance of conduction disturbances between infectious and ischemic myocardial disease is discussed.
本文报告了3例年龄在16至44岁之间、患有急性心肌炎并伴有完全性心脏传导阻滞的患者。心肌炎的诊断基于心电图上短暂复极异常的出现，并伴有急性传染病的临床症状。所有患者均因反复出现斯托克斯-亚当斯发作而入院，且出现长达25秒的心室停搏。所有患者均通过临时心内起搏成功治疗，但其中1例后来需要植入永久性起搏器。本文还讨论了感染性和缺血性心肌病在传导障碍的定位及预后重要性方面存在差异的可能性。
