CAJ | 학술논문

目的：分析合并心律失常的心肌炎患者的心脏超声表现及临床预后。方法回顾性分析成人急性病毒性心肌炎126例患者的临床资料。按是否存在心律失常分为心律失常及非心律失常组，比较两组临床表现、心脏超声检查及预后的差异。结果心律失常组临床表现更重，心律失常组与非心律失常组左室收缩末期内径分别为（38.30±7.30）mm和（35.24±5.11）mm（P=0.009），左室射血分数分别为（0.46±0.14）和（0.53±0.11）（P=0.005）。心律失常组与非心律失常组病死率分别为14.29%和1.79%（P=0.031）。结论心律失常患者临床表现更重，心律失常患者心脏超声指标更差，病死率更高。
목적：분석합병심률실상적심기염환자적심장초성표현급림상예후。방법회고성분석성인급성병독성심기염126례환자적림상자료。안시부존재심률실상분위심률실상급비심률실상조，비교량조림상표현、심장초성검사급예후적차이。결과심률실상조림상표현경중，심률실상조여비심률실상조좌실수축말기내경분별위（38.30±7.30）mm화（35.24±5.11）mm（P=0.009），좌실사혈분수분별위（0.46±0.14）화（0.53±0.11）（P=0.005）。심률실상조여비심률실상조병사솔분별위14.29%화1.79%（P=0.031）。결론심률실상환자림상표현경중，심률실상환자심장초성지표경차，병사솔경고。
Objective To analyses relationship between echocardiography fi ndings and the clinical prognosis of myocarditis patients complicated with arrhythmia.MethodsAn retrospectively analysis of clinical profi les of 126 patients of adult acute viral myocarditis who were hospitalized between 2006-11 and 2013-11 in our hospital was performed.126 patients were divided into two groups according to the presence of arrhythmia or not . We compared clinical manifestations,laboratory data,echocardiography Resultsand prognosis of the two groups.ResultsCompared to nonarrhythmia group,the group with arrhye thmia had more severe clinical manifestations. The LVSD of patients with and without arrhythmia were(38.30±7.30) mm and(35.24±5.11)mm(P=0.009),and the EF were(0.46±0.14)and(0.53±0.11)(P=0.005). The mortality of two groups was14.29% and 1.79%(P=0.031).ConclusionArrhythmia is closely related to the severity of myocarditis,worse echocardiography index and higer mortality.