心肌致密化不全误诊2例临床分析

目的探讨心肌致密化不全的临床特点和诊断依据,分析误诊原因。方法回顾性分析2例患者的病史、临床表现及误诊经过。结果 2例均误诊为扩张型心肌病。结论心肌致密化不全临床表现与扩张型心肌病相似,超声心动图可显示本病心肌结构的异常特征,提高确诊率。

重剂炙甘草汤加味治疗病毒性心肌炎

经方炙甘草汤治疗心脏疾患,众所周知。笔者在临床上运用重剂炙甘草汤加味治疗病毒性心肌炎20例,疗效显著,现将情况介绍如下。 1 资料与方法 20例中,男8例。女12例,年龄15～60岁。急性期6例,慢性期10例,后遗症期4例,全部病例符合全国病毒性心肌炎诊断参考标准。并排除其他心肌疾患。其中3例患者否认发病前有明显上呼吸道感染史。胸闷、心慌、气短、乏力是全部病例的共有症,少数严重者,有心前区隐痛,气急、轻度浮肿、恶心、食欲减退等症。心浊音界扩大2例,心率增快3例,在心前区闻及Ⅰ-Ⅲ级柔和收缩期杂音2例。

Pharmacologic treatment of depression in patients with myocardial infarction

Depression is a common medical problem and is more prevalent among patients with coronary artery disease. Whether early detection and treatment of depression will enhance cardiovascular outcome is uncertain. Obviously, the safety and efficacy of the anti-depression drugs is an important link. This article reviews the patho-physiologic and behavioural links between depression and cardiovascular disease progression, the treatment of depression, and the potential benefits of anti-depressants in patients with coronary disease.