Through the "Heart" and Strong!The Department of Cardiology, Taiyuan Hospital of Peking University successfully treats patients with acute severe myocarditis

On the evening of July 10, a rush sounded, and the sweaty Aunt Zhong was pushed by a group of people to the Department of Cardiology, Taiyuan Hospital of Peking University. At this time, she had continued to be unable to relieve chest pain for 72 hours.

Li Runqin, director of the Third Relief District of Cardiology, considers Aunt Zhong for many years of diabetes and hypertension history. Combined with the current patient's condition and electrocardiogram display results: "Sinicardia, complete right bouquet support block, frequent ventricular premature beats , Short -room speed, II, III, AVF lead T wave inverted ". During the treatment, Aunt Zhong had a sudden consciousness during the walking process, and reviewed the electrocardiographic icon: "Three -dimensional room conduction block", testing the muscle calcium protein 16.5ng/ml, significantly increased, considering "acute myocardial infarction" Essence

In order to rescue the dying myocardial muscle, after fully communicating and obtaining consent with the patients and their families, they were given the emergency vein film. The results showed that coronary heart disease, double -branch disease (accumulated LAD, RCA). The symptomatic treatment such as anti -platelet agglomeration, lipid regulation, and improvement of cycles were given after surgery.

Just as everyone was relieved, Aunt Zhong's situation worsened again! The symptoms of qi tightness, acute disorders and compensation for heart failure, the medical team immediately gave anti -heart failure treatment such as strong heart, diuretic, and vascular expansion, and improved the heart color ultrasound beside the bed. , Mitigatus, three -pointed reflection, reducing the left chamber diastolic function, 51%of ejection scores, and reminding the ejection score to retain sexual heart failure.

With rich clinical experience, the expert team finally determined the cause of the acute heart failure of Aunt Zhong -acute severe myocarditis. Doctors give symptomatic treatment such as improving myocardial energy metabolism, supplementing vitamin C, and suppressing acid and stomach. After rigorous and detailed nursing, Aunt Zhong's heart function correction, and they are discharged well in rehabilitation.

Technical advantages

Acute severe myocarditis that resembles acute myocardial infarction (AMI) is relatively rare, but the condition is dangerous and sudden. The ECG and myocardial enzyme spectrum change exactly like AMI. It is easy to be misdiagnosed as AMI.

Although the differential diagnosis of the two in some cases is very difficult, it is very important, because the treatment and prognosis of the two are completely different: for AMI patients, they need to be perfold for treatment as soon as possible; and for patients with acute severe myocarditis, often patients with patients with myocarditis often often do patients with patients with acute severe myocarditis. It can only support the treatment, and even the application of glucocorticoids and propion globulin requires immune regulation treatment. In severe cases, in severe cases need to perform aortic balloon reincarnation (IABP), vitamin lung oxygen (ECMO), breathing support therapy (non -invasive breathing breath Auxiliary ventilation/airway intubation and artificial mechanical ventilation), blood purification and continuous kidney replacement therapy (CRRT) life support treatment.

Subject leader

Li Runqin

Director of the Third Visi area of ​​the Cardiology City of Taiyuan Hospital of Peking University, Li Runqin Famous Medical Studio, Scholar of Massachusetts Heart Center, the Italian Toscan Foundation, executive member of the Hypertension Branch of the Shanxi Medical Association, and the heart and brain of Shanxi Medical Association Executive member of the Vascular Slow Disease Prevention Committee.

He is good at treating coronary heart disease, hypertension, heart failure and arrhythmia pacemaker implantation and radio frequency ablation.

Source: Taiyuan Central Hospital

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