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- W2376301619 abstract "Objective:To study clinically different characteristics between viral myocarditis (VMC)and dilated cardiomyopathy(DCM) in children. Method: The clinical differences between 63 children with viral myocarditis and 23 children with dilated cardiomyopathy were analyzed. Result:In 4.3% of children with DCM, the age of onset was less than 2 years. In 61.0% of children with DCM, the course was more than 2 months. Compared with VMC, children with DCM was younger and the course of DCM was longer(P 0.05). The rate of cardiac enlargement and heart failure was higher in DCM than that in VMC(P 0.05). The rate of regurgitation of mitral valve ranged from middle degree to severe degree ( 82.6%) was also higher in DCM than that in VMC. The cardiac enlargement and heart failure was more severe in DCM than that in VMC. The cardiac systolic function was more significantly decreased in DCM than that in VMC (P 0.05). The course in 9.5% of children with VMC was more than 2 months,the course in VMC children was shorter compared with DCM. There was history of recent viral infection in 79.8% of children with VMC. The positive rate of viral IgM in serum was 77.1% in VMC. The level of CK-MB was increased in 77.8% of children with VMC. The rate of history of recent viral infection and increasing CK-MB was higher in VMC than that in DCM (P 0.05). The positive rate of viral IgM in serum was also higher in VMC than that in DCM (P 0.05).The slight heart enlargement in VMC recovered after treatment for 3 months. Conclusions:The clinical difference between VMC and DCM in children is relative though there are some differences between DCM and VMC in age of onset ,course of disease, history of recent viral infection ,rate and level of increasing CK-MB,incidence and degree of cardiac enlargement,heart failure,reduction of cardiac systolic function and reaction to treatment . General judgement must be made in order to take correct diagnosis. In those factors mentioned above ,echocardiography and responge to treatment are specially important in differential diagnosis." @default.
- W2376301619 created "2016-06-24" @default.
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- W2376301619 date "2005-01-01" @default.
- W2376301619 modified "2023-09-25" @default.
- W2376301619 title "Clinical characteristics and difference of viral myocarditis and dilated cardiomyopathy in children" @default.
- W2376301619 hasPublicationYear "2005" @default.
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