A Long-term Follow-up Study of Acute Myocarditis an Electrocardiographic and Echocardiographic Study : THE 8TH CONFERENCE ON PRVENTION FOR RHEUMATIC FEVER AND RHEUMATIC HEART DISEASE

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概要

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• In an attempt to prove that myocarditis may be a cause of idiopathic cardiomyopathy, 10 cases with acute myocarditis were involved in a long-term follow-up study. there were 9 males and 1 female patient, ranging in age from 22 to 63 years. The etiology of myocarditis was idiopathic in 9 cases and rubellavirus in case. clinical findings in the acute stage consisted of congestive heart failure in 6 case, Adams-Stokes syndrome in 2 cases and cardiomegaly in 2 cases. The mean follow-up period was 55 months. Follow-up studies included physical examinations, 12-lead ECG, chest X-rays and two-dimensional echocardiograms. Various patterns of residual ECG abnormalities in the chronic stage were found, such as conduction disturbance in 1 case, pseudoinfarction patter in 4 cases, ST-T changes in 2 cases and premature ventricular contractions in 2 cases. The cardiothoracic ratio of all cases was 60±4% in the acute stage. Two cases (Case1 and 2) died 16 and 36 months after the acute onset, respectively. Four cases had residual cardiomegaly even in the last study period. An echocardiographic follow-up study of 7 cases disclosed progressive left ventricular (LV) dilation and dysfunction in 3 cases, regression of LV dilatation in 2 cases and stable LV function in 2 cases. Two cases out of 3 with progressive LV dilatation and dysfunction expired after the acute illness. It was therefore suggested that acute myocarditis may cause LV dilatation and/or wall hypertrophy and that idiopathic cardiomyopathy may represent the end-stages of previous myocarditis.

• 社団法人日本循環器学会の論文
• 1984-12-20

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

• Takarada Akira

  The First Department of Internal Medicine, 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

• TAKARADA AKIRA

  First Department of Internal Medicine, Kobe University School of Medicine

• SEO TOSHIHIKO

  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

• Toh Shohshoh

  The First Department Of Internal Medicine Kobe University School Of Medicine

• Seo Toshihiko

  First Division Department Of Internal Medicine Kobe University School Of Medicine

• Takarada Akira

  Department Of Cardiology Himeji Cardiovascular Center

• Kawai Hiroya

  The First Department Of Internal Medicine Kobe University School Of Medicine

• Kawai Hiroya

  Himeji Cardiovascular Center

• Kawanishi Hideo

  Department Of Electonic Engineering Kogakuin University

• 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

• Takarada Akira

  First Division 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

• Seo Toshihiko

  The First Department Of Internal Medicine Kobe University School Of Medicine

• Kawai Hiroya

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

• 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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