34例小儿心肌炎SVT的长期随诊  

The long-term follow-up of SVT in infants and children with myocarditis

作　　者：林树明[1] 李家宜[1] 郭行平[1] 熊永强[1] 

机构地区：[1]首都儿科研究所

出　　处：《北京医学》1994年第4期203-205,共3页Beijing Medical Journal

摘　　要：对３４例心肌炎或疑似心肌炎的室上性心动过速（ＳＶＴ）进行了随诊观察，结果显示ＳＶＴ复发多见于首次发作后的数月内，复发率１个月内为６５％，６个月内为７１％，１年内７９％。频发率占５３％，偶发率为３５％，仅１２％无复发。首次发作时间在１岁以上、心肌炎急性期及心脏扩大者频发率较高，抗心律失常药物预防ＳＶＴ复发有一定的意义。The follow-up study of 34 cases of paroxysmal supraventricular tachycardia(SVT)in infants and children with myocarditis was reported.The results showed that recurrences of SVT occured within months after the initial episode. The incidence of recurrence was 65%within one month, 71%within six months and 79% within one year,53% cases had frequent recurrences,35%cases had isolated recurrences and only 12% cases had no recurrence during the follow-up, There were greater risks of recurrence in the infants and children who were above one yearold during the first episode of SVT、he acute period of myocarditis and cardiomegaly. Antiarrythmiac drugs were helpfuI to prevention of recurrence of SVT.

关 键 词：心肌炎 室上性 心动过速 

分 类 号：R542.21[医药卫生—心血管疾病]