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Autumn and winter are the seasons when children have colds, and children with colds complicated by myocardial damage or viral myocarditis are the most worrying things for parents. Hu Yanhong, deputy chief physician of the Department of Pediatrics at Beijing Friendship Hospital, said that during the season of high incidence of colds, among the children who are treated in the pediatric department of Beijing Friendship Hospital, there will be children who develop acute myocardial injury and myocarditis due to lack of timely medical treatment. xk(x, Biothumb Pharmaceutical.
Viral myocarditis is a disease in which a viral infection causes damage to the heart muscle. It is more common in adolescents and children. The main symptoms are palpitation, chest tightness, shortness of breath (long breath), and fatigue.
Because children are in the stage of growth and development, their metabolism is vigorous, and their body functions are not perfect, and they are susceptible to the invasion of various foreign bacteria, viruses and other factors, and the heart is one of them. Due to the low tolerance of the heart to hypoxia and ischemia, the heart of children is very prone to arrhythmias and even acute heart failure. In children, heart failure generally has a rapid onset and rapid progression, and some children suddenly develop dyspnea or rapid breathing within a few minutes or hours, and vomiting, irritability, excessive sweating, paleness, cyanosis, cold limbs, rapid pulse and weakness, and rales in the lungs on auscultation.
At this time, if the child is not seen in time, the child's life is likely to be in danger. xk(x, Biothumb Pharmaceutical.
The incidence of viral myocarditis has been increasing in recent years. The age of onset is more common in children aged 3 to 10 years, and the clinical manifestations vary from mild to severe, and about half of the children present with cold or gastrointestinal symptoms from a few days to 1 3 weeks before the onset of myocarditis, such as fever, cough, vomiting, nausea, general malaise, etc., often accompanied by myalgia and arthralgia. Mild patients may have no obvious self-conscious symptoms, only electrocardiogram changes, generally listlessness, paleness, fatigue, excessive sweating, loss of appetite or nausea and vomiting, epigastric pain, etc.
Older children may report dizziness, palpitations, chest tightness, and precordial discomfort or pain. In severe cases, in addition to the above symptoms, cardiac insufficiency symptoms such as edema, shortness of breath, and limited activity may also occur. Sometimes the onset is abrupt, and cardiogenic shock suddenly appears, which is manifested as irritability, pale complexion, shiny appearance, cold limbs, purple and other symptoms, and even sudden death.
xk(x, Biothumb Pharmaceutical.
Experts remind that because children have a poor sense of self-protection, they will run, play and play even during illness, which will increase the burden on the heart, further aggravate the cold and induce myocardial damage and even develop myocarditis. Therefore, when children have a cold, they should pay attention to rest and keep warm to prevent repeated colds, and at the same time should drink appropriate amounts of water, eat a light diet, eat vegetables and fruits with high vitamin C content or supplement vitamin C appropriately. It is worth noting that some children and parents insist on going to school during the cold because they are afraid of delaying their studies, which will increase the burden on the heart due to overwork and aggravate the condition, which is not advisable.
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Don't panic just yet. There are 3 items to be determined for myocardial injury in children.
1. Creatine kinase isoenzyme is elevated.
2 ECG. 3 Symptoms Are you sure it's pneumonia?
In the case of viral myocarditis, a peak of troponin occurs within half a month of the course of the disease and lasts for a long time.
Isolated cardiac troponin excessibility is not used as a diagnostic criterion. Without**.
Let's see if we can help you.
What causes heart muscle damage? 1.The most common are various viral infections, and so far more than 30 viruses have been found to cause myocarditis.
Among them, the most common are coxaki virus, echo virus, coronavirus, etc., followed by other viruses such as: influenza virus, rhinovirus, mumps virus, chickenpox virus, herpes virus, astrovirus, rotavirus, etc., and in recent years, it has been found that hepatitis B virus can also cause myocarditis. 2.
Myocarditis can occur due to various bacterial infections, such as severe sepsis and shock caused by bacteria such as Staphylococcus aureus and Escherichia coli, and suppuration of common surgical sores. After these bacteria are infected in the human body, they grow and multiply in the blood and then release various toxins, which are very toxic and can damage the brain, kidneys, lungs, heart, liver and other organs, resulting in damage to various organs.
3.All kinds of poisoning, such as: pesticide poisoning, medicine poisoning, snake venom, bee venom, eating wild mushroom poisoning, etc.
4.Various connective tissue diseases, e.g. rheumatic fever, lupus erythematosus.
5.The tumor invades the heart muscle.
What are the best measures for myocardial injury in children? 1.If you have myocarditis, you should get enough rest immediately, and in severe cases, you need to stay in bed for 1 to 2 months.
Because rest is so important for myocarditis recovery, scientific experiments have found that myocarditis mice were divided into two groups, one group was normal and sleeping, and the other group kept them running. The final results were significantly different between the two groups, and when the myocardial biopsy was done, it was found that the myocardial damage was very serious in the mice that kept running, while the myocardial changes in the normal mice were very light. The necessity and importance of rest for myocarditis is illustrated.
2.To actively protect the myocardium**, you can use a large amount of vitamin C, energy mixture, phosphofructose, Chinese medicine astragalus, salvia, etc. 3.
Prompt symptomatic treatment, e.g., correction of heart failure, correction of cardiogenic shock, correction of severe arrhythmias. 4.
Active control and prevention of infection, with the use of effective antibiotics. 5.Actively ** various primary diseases, so as not to lead to constant damage to the myocardium.
I wish you a speedy child**.
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This condition is very common, the infection usually causes liver and heart damage, and it is generally okay to wake up after symptomatic treatment, but you can't be too careless. Myocardial damage cannot be avoided unless infection, common colds, diarrhea, pneumonia, etc., can strengthen the resistance, but it is not necessary. The child's diet is a reasonable diet, good health, strong resistance, and the heart muscle will not be damaged if it is not diseased.
Infection causes myocardial damage that can happen to everyone, but the general hospital does not check, most of them are good, and some cause myocarditis, which has little to do with trace elements.
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Myocardial injury is the damage of myocardial cells, and the causes are varied, which need to be investigated in detail to be targeted. The diet is mainly light, rich in vitamins and high-quality protein. Myocarditis is generally not inherited.
For children, if it is viral myocarditis, it can be cured if it is reasonable and regular**.
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The child has pneumonia and rotavirus after causing myocardial damage, and the general recovery time takes about 2 months, the key is to pay attention not to have another infection in these two months, continue to nourish the heart**, and test the electrocardiogram once a month.
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Myocarditis is a localized or diffuse inflammation of the heart muscle that can originate in the heart muscle or be part of a systemic disease. It's not just heart muscle damage. Pediatric myocarditis patients often have cold symptoms first, such as fever, cough, sore throat, runny nose, general malaise, nausea and vomiting, abdominal pain, diarrhea, and some joint pain and muscle pain.
Slowly, these symptoms gradually improve or disappear, and signs of abnormal heart begin to appear: the heart beats faster or slows significantly, or there is arrest and irregularity. The baby's mental malaise, paleness, weakness, sweating, loss of appetite or repeated nausea and vomiting, epigastric pain; or complain of headache, dizziness, palpitations, chest tightness, precordial discomfort or pain.
In severe cases, symptoms of cardiac insufficiency such as facial swelling, inability to lie flat, and shortness of breath can also be seen. **Myocarditis can take some Chinese medicine - myocarditis (rehabilitation).Soup, **myocarditis has a good effect, green, safe, no***, and can also consolidate the foundation.
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Hello, generally, you can consider fatigue and susceptibility to colds and chlorosis, etc., it is recommended that if you have the above symptoms, it is best to go to the hospital for a heart test.
Then you can do electrocardiogram and blood routine examination, which is convenient to do the right symptoms in time**I hope mine can help you.
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3 years ago, I often gasped for breath after crying in kindergarten, felt chest tightness, especially after crying, couldn't sleep at night when it was serious, often had a cold and runny nose but didn't often have a fever, and went to the hospital for examination and said that it was myocardial damage. So, what should be done about myocardial damage in children?
1.**One: Give the child an electrocardiogram and draw blood to test cardiac enzymes, if it is found to be caused by myocardial damage or myocarditis, (the disease is mostly caused by the upper sense) the child should pay attention to rest, the application of drugs to nourish the myocardium, commonly used are 1-6 bisphofructose, astragalus, Shengmai VC, etc.
2.**2: People with myocarditis should stay on bed rest and eat foods that are easy to digest and rich in vitamins and proteins.
Heart failure should be controlled promptly, but digitalis drugs should be used with caution, starting with low doses, vasodilators and diuretics. Antiarrhythmics are used for patients with frequent premature beats or tachyarrhythmias.
3.Three: At present, there are not many drugs for myocarditis, and the effect is not too good.
Prolonged medication is required. In addition, the condition may be advanced, so the first problem you mentioned arises. Myocardial damage is caused by a viral infection.
As long as the positive ** can generally be controlled, it will not have a great impact on the child when he grows up.
Precautions. Children with myocardial damage should enhance their physical fitness, and preventing and treating viral gastrointestinal and respiratory tract infections is the key to preventing this disease.
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Myocardial bridge and wall coronary artery surgery**.
Surgery is the most commonly used method for symptomatic myocardial bridges. One is to remove the myocardial bridge that is pressing on the walled coronary artery (myocardial release) and the other is coronary artery bypass grafting (CABG). In patients with atherosclerosis of the proximal coronary arteries, a combination of the two approaches is required.
Surgery is more invasive than interventional**. At present, the understanding of myocardial bridging is still controversial, but more and more studies have shown that myocardial bridging can change the structure of the coronary arteries compressed by it under certain conditions, and hemodynamic abnormalities can occur, which can lead to the occurrence of different degrees of cardiac events. Individualization should be emphasized, and clinical experience should be further accumulated for the selection of methods.
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Hello, creatine kinase isoenzyme is a more specific enzymatic index that suggests myocardial damage, this examination is normal, and the diagnosis of myocardial damage is insufficient, and it can be observed again.
Reply expert: Chief Physician Yuan Yue, Department of Cardiology, Beijing Children's Hospital.
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Analysis: The child is a typical viral myocarditis, even if the inflammation is not severe, it cannot be said that it has not reached the level of myocarditis, this sentence is not accurate.
Guidance: If the condition is not serious, it should also be myocarditis, but the myocardial damage is mild, and the recovery will be very fast, but the child should also pay attention to rest, just 2-3 weeks, avoid strenuous activities, so as not to recover incompletely, causing other heart lesions, medication will be effective for symptoms, that is, you need to pay attention to rest, there is no other problem.
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Hello! Myocardial damage is a noisy petrosal or diffuse inflammation of the myocardium that can originate in the myocardium or be part of a systemic disease. **There are infections, physical and chemical factors, drugs, etc., the most common is viral myocarditis, among which enteroviruses, especially coxsackie B virus infection are the most common.
Prodromal symptoms of acute or subacute myocarditis, patients may have fever, fatigue, sweating, palpitation, shortness of breath, and dull pain in the precordial area. Arrhythmias such as premature systole and conduction block may be seen on examination. Aspartate aminotransferase and creatine phosphokinase are elevated, and erythrocyte sedimentation rate (ESR) is increased.
From the results you gave, you can see that several items such as aspartate aminotransferase are increased, and it is recommended to do electrocardiogram and X-ray examination for further diagnosis. Also observe your child for any of the above clinical manifestations.
The prescription given by the doctor is that jujube eggplant is symptomatic, which plays a role in nourishing myocardium and promoting myocardial metabolism, and is aimed at myocardial damage.
I wish the child a speedy **!
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Analysis: Myocardial damage caused by Xun virus infection.
Opinion crack scum suggestion:
Don't worry, this diagnosis is correct and reasonable. Pay attention to rest, keep the stool smooth, in addition to the infusion, at the same time oral coenzyme Q10 capsules.
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