A Long-term Follow-up Study of Acute Viral and Idiopathic Myocarditis : THE 7th CONFERENCE ON PREVENTION FOR RHEUMATIC FEVER AND RHEUMATIC HEART DISEASE

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概要

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• In order to clarify the prognosis of myocarditis and the relationship between myocarditis and idiopathic cardiomyopathy, 20 patients with myocarditis (one with Coxsackie B, one with rubella and 18 with idiopathic myocarditis) were followed up for a long period using echocardiography and Holter electrocardiographic monitoring. The follow-up period was 49.1± 39.3 months (mean ± SD). Subjects were classified into the following 4 groups according to their prognoses, left ventricular end-diastolic dimensions (LVDd) and the presence or absence of life-threatening ventricular arrhythmias : Group I with a fatal prognosis, Group II with LVDd ⩾ 55 mm, Group III with LVDd < 55 mm but associated with life-threatening ventricular arrhythmias, and Group IV with LVDd < 55 mm and with no life-threatening ventricular arrhythmias. Patients of Group I (2 cases) had a marked left ventricular dilatation and a poor left ventricular and left atrial dilatation, and 2 of them had serious ventricular arrhythmias. All 3 patients of Group III had ventricular arrhythmia (ventricular tachycardias, coupled premature ventricular contractions and multifocal premature ventricular contractions, respectively), and 2 of them had asymmetric septal hypertrophy. All 10 patients of Group IV had no residual cardiac abnormalities. In conclusion, 50% of 20 myocarditis patients had residual cardiac abnormalities ; 6 patients (2 of Group I and 4 of Group II) were complicated by left ventricular dilatation, simulating dilated cardiomyopathy, and 3 (one of Group II and 2 of Group III) showed asymmetric septal hypertrophy, simulating hypertrophic cardiomyopathy.

• 社団法人日本循環器学会の論文
• 1983-11-20

著者

• Inoh Tsutomu

  Kobe University School Of Medicine First Department Of Internal Medicine

• Fukuzaki Hisashi

  First Department of Internal Medicine Kobe University School of Medicine

• Inoh Tsutomu

  The First Dept of Int Med Kobe University School of Medicine

• KUMAKI TOMOYUKI

  First Department of Internal Medicine, Kobe University School of Medicine

• YOKOTA YOSHIYUKI

  First Department of Internal Medicine, Kobe University School of Medicine

• HAYAKAWA MASANORI

  First Department of Internal Medicine, Kobe University School of Medicine

• Hayakawa Masanori

  三木市民院循環器内科

• Inoh Tsutomu

  Department Of Internal Medicine. Division I School Of Medicine Kobe University

• Yasaka Yoshinori

  Department Of Cardiology Himeji Cardiovascular Center

• KAWANISHI HIDEO

  Department of Internal Medicine, Miki City Hospital

• Kumaki Tomoyuki

  The 1st Department Of Internal Medicine Kobe University School Of Medicine

• MATSUMOTO KOHEI

  The 1st Dep.of Inter. Med. Kobe Univ.

• Yoshida Y

  Faculity Of Health Science Kobe University School Of Medicine

• Kawai Hiroya

  The First Department Of Internal Medicine Kobe University School Of Medicine

• Kawai Hiroya

  Himeji Cardiovascular Center

• MATSUMOTO KOHEI

  First Division, Department of Internal Medicine, Kobe University School of Medicine

• Hayakawa Masanori

  First Division Department Of Internal Medicine Kobe University School Of Medicine Kobe

• Fukuzaki Hisashi

  First Department Of Internal Medicine Kobe University

• Kawanishi Hideo

  The First Department Of Internal Medicine Kobe University School Of Medicine

• Kawai Hiroya

  The Ist Department Of Internal Medicine Kobe University School Of Medicine

• Hayakawa Masanori

  Miki City Hospital Department Of Cardiology

• Yokota Yoshiyuki

  First Department Of Internal Medicine Kobe University School Of Medicine

• Inoh Tsutomu

  Department Of Cardiology And Internal Medicine Miki Municipal Hospital

• Inoue Tomoo

  First Department Of Internal Medicine. Kobe University School Of Medicine

• Kawanishi Hideo

  Department Of Cardiology Himeji Cardiovascular Center

• Hayakawa Masanori

  First Department Of Internal Medicine Kobe University School Of Medicine

• Kawai Hiroya

  Division Of Cardiovascular Medicine Department Of Internal Medicine Kobe University Graduate School

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