重症病毒性心肌炎心电图特征及其发病机制研究进展  

Analysis of electrocardiogram characteristics and research progress on the pathogenesis of severe viral myocarditis

作　　者：李岚 刘双珲 陈婷 LI Lan;LIU Shuanghui;CHEN Ting(Department of Health Management,Xinqiao Hospital,the Second Affiliated Hospital of Army Medical University,Chongqing 400037,China;Health Management Center,Liangjiang New District People's Hospital)

机构地区：[1]陆军军医大学第二附属医院新桥医院健康管理科,重庆400037 [2]重庆市两江新区人民医院健康管理中心

出　　处：《中国病原生物学杂志》2024年第6期733-735,740,共4页Journal of Pathogen Biology

摘　　要：重症病毒性心肌炎(SVMC)病情进展迅速,死亡率高,严重危害了患者生命健康,现阶段重症病毒性心肌炎在其心电图特点及致病机理方面,已有较大进步,本文综述了近年来相关文献,从重症病毒性心肌炎心电图特征出发,总结出SVMC患者的心电图特征主要表现为:心律失常,QT间期延长,ST段改变,T波反位。临床以心率不齐为多见,主要有室性早搏、室性心动过速等。SVMC的致病机理与病毒感染、免疫应答、氧化胁迫密切相关。病毒是诱发SVMC的重要致病因素,氧化应激是一个主要的病理过程,通过总结其发病机制,旨在为SVMC的诊断和治疗提供新的思路。bjective Severe viral myocarditis(SVMC)progresses rapidly,has a high mortality rate,and seriously endangering the life and health of patients.At present,there has been significant progress in the study of electrocardiogram characteristics and pathogenesis of severe viral myocarditis.This article reviews relevant literature in recent years,based on the electrocardiogram characteristics of severe viral myocarditis,the electrocardiogram characteristics of SVMC patients are summarizedas follows:arrhythmia,prolonged QT interval,ST segment changes,and T-wave inversion.In clinical practice,arrhythmia is common,mainly including ventricular premature beats,ventricular tachycardia.The pathogenic mechanism of SVMC is closely related to viral infection,immune response,and oxidative stress.Viruses are important pathogenic factors that induce SVMC,and oxidative stress is a major pathological process.We aim to provide new insights for the diagnosis and treatment of SVMC by summarizing its pathogenesis.

关 键 词：重症病毒性心肌炎 心电图特征 发病机制 综述 

分 类 号：R542.21[医药卫生—心血管疾病]