Suspected viral myocarditis

 
Patient: I woke up dizzy and had some edema in my face after sleeping, and I was weak in climbing stairs, and after running, I had chest pain and dizziness and couldn’t stand up. Three days later, I was hospitalized and told that I had myocarditis. Since then, I’ve had several follow-ups and was told that I had post-myocarditis. Last year, my blood pressure was 163/110, and I took antibacterial drugs for both sexes, and I used them once, but recently I’ve been taking Q10 and Heartburn Oral Liquid.
Mao Jialiang, Department of Cardiology, Shanghai Renji Hospital: If the current treatment effect can maintain the original treatment, the ECG shows that the heartbeat can still not allow further treatment. Patient: Dr. Mao, good day! On September 4, I had a few kinds of review results and now I have liver damage. The liver is thickened, the spleen is 44mm thick, and the spleen is 123mm long. mild splenomegaly? Can I continue to take the medication as I have been suffering from cold, two leg pains and no energy? Thank you, thank you, I had a spherical heart shadow in the past, and it got better after I took antibacterial agents, but not after about six months.
I don’t see any obvious evidence of heart disease in your examination. Your clinic can do cardiac enzyme test, these days the heart pain uncomfortable do not know how to do good a little dizziness, a sit can fall asleep arm no strength
Shanghai Renji Hospital, Department of Cardiology Mao Jialiang: said you do not get angry, your current psychological problems are much more serious than heart problems, you should look at the psychological perspective to solve your problems, from the heart side you will not have a way out. Patient: Thank you, Dr. Mao! It’s okay. These days I have been in the hospital, I have seen the psychological aspects, the doctor told me to relax, just a little depression, as long as you regulate yourself will be happy, take drugs will increase the burden on my heart, this check bradycardia, left ventricular systolic function mildly reduced? I don’t care about anything now, I just want to have a healthy baby, but the doctor told me that there will be risks, I will upload the report for you some other time.
Mao Jialiang, Department of Cardiology, Shanghai Renji Hospital: Your condition has been understood, advice: Click here to refer to my article “Diagnosis and Treatment of Psychological Disorders in Cardiovascular Medicine” Patient: Thank you, Dr. Mao, after listening to your advice I went to the psychological consultation clinic in Xujiahui. Is there any other way?
Mao Jialiang, Department of Cardiology, Shanghai Renji Hospital.
I hope you can recover on your own patient: thank you very much Dr. Mao’s reply, I have recently left my job to rest at home, your article I have read, antidepressants to I can not adapt to the side effects are too powerful light is a little dizzy sleepy, heavy is the face is pale can not walk on their own, now only at home to do housework or walk around will not affect my body and mood o(∩_∩) o… A few days ago, I started to catch a cold and I haven’t gotten well, and I didn’t go to the hospital to see it.
Mao Jialiang, Department of Cardiology, Shanghai Renji Hospital.
If you think you need further help then you can come to the clinic Patient: Thank you, I will cheer up, can I go to your clinic to have a look, after I was discharged from the hospital in October I exercised for half an hour and rested every day, went to review the heart ultrasound results are left ventricular systolic hypokinesis
The results of the examination are as follows: hemoglobin 76.2, uric acid 507, electrocardiogram indicating bradycardia with arrhythmia, premature atrial beats heart rate 53, after taking a small amount of medication to reduce swelling, but the legs still swell up from time to time. The results of the review are as follows: hemoglobin 80, uric acid 426, is this important?
Mao Jialiang, Department of Cardiology, Shanghai Renji Hospital: Let’s see the Department of Hematology and Nephrology Patient: Thank you for your patience! Thank you for your patience!
Patient: Hello Dr. Mao, I listened to your words some time ago and did psychotherapy with good results, I just got married this year and now I want to have a child, but in the 24-hour ECG results are sinus rhythm, two degrees of first degree AV block, ST changes? I would like to see you in your clinic
Mao Jialiang, Department of Cardiology, Shanghai Renji Hospital.
Okay, yes, no problem.