Because the child often “out of breath” “big gas”, many parents to seek medical treatment, some also went to a number of hospitals, in this hospital’s examination has abnormalities, while in other hospitals to do the same examination, the results are normal, not to mention how much money was spent. The problem is that the child’s symptoms do not disappear, or recurring, serious cases are also said to be “viral myocarditis” by the hospital. The parents do not know what to do, so, “long out of breath” “big gasp” is necessarily myocarditis? The answer is no, this is clinically known as cardiac neurosis, is a common symptom of school-age children, medical also known as sighing syndrome, is a special case of “neurosis”, its typical symptoms are chest tightness, breathlessness, shortness of breath, that is, parents describe the “long out of breath “The typical symptoms include chest tightness, breath-holding and shortness of breath, or “long breath” as described by parents. The reason for the “long breath” and “big gasp” in cardiac neurosis is that children’s nervous system is not well developed and cannot withstand excessive pressure from the outside world, which can easily produce mental tension and emotional instability. The strong personality and introversion are also factors in the occurrence of these symptoms. Because of the similarity between such symptoms and the initial symptoms of myocarditis, it is easy to misdiagnose the condition. To accurately diagnose cardiac neuropathy rather than myocarditis, further necessary tests must be done. Characteristics of cardiac neurosis in children: 1. More school-age children, more females than males, especially pampered only children or children who are introverted and withdrawn, often have a history of colds, coughs and throat discomfort before the attack, or changes in the family or environment, such as parental divorce, quarrels, over-stimulated learning, fear of exams, etc.; 2. Often have symptoms of sympathetic excitation, such as palpitations, pain in the precordial region, chest tightness, shortness of breath The “long breath”, “big gasp” is the medical “sigh-like exhalation”, “sigh-like exhalation” and physical The “sigh-like exhalation” is not closely related to physical activity, but to the surrounding environment, mental tension, suggestion, emotional instability, etc.; 3, “long out-breath” and “big gasp” children are often accompanied by symptoms of plant nerve disorders and other neurological symptoms, such as excessive sweating, cold hands and feet, frequent urination, insomnia, sleeplessness, sleeplessness, and other symptoms. Clinical examination may include tachycardia, strong apical beats, and strong heart sounds, while laboratory tests for cardiovascular disease show no evidence of organic heart disease or other disorders. When your child has a “long breath” or “big gasp”, carefully observe the child’s mental and physical condition, such as the color of the face and lips, the time of the attack, and the environment at the time of the attack. If the child is doing something he or she likes, such as playing games, watching TV, or playing with friends, the “long breaths” and “big gasps” disappear or decrease significantly, while when the child is doing nothing or doing something he or she does not want to do, the “long breaths” and “big gasps” disappear or decrease significantly. The possibility of cardiac neurosis is high in children who have frequent episodes of “long breath” and “big gasp”, and who have more frequent episodes when prompted by their parents, and whose mental and physical condition does not change significantly before and after the episode. When I say this, there must be some parents who are worried about what if their child really has viral myocarditis due to negligence and is not treated in time. I would like to briefly introduce the early clinical manifestations of viral myocarditis to parents in the hope that they can further distinguish the difference between “cardiac neuropathy” and “viral myocarditis”. Most of the viral myocarditis has a history of upper respiratory tract infection or other viral infections within 2 to 3 weeks before the onset of cardiac symptoms, and the severity of the disease varies. The mild type is mainly weakness, followed by excessive sweating, pallor, palpitations, shortness of breath, chest tightness, dizziness, and loss of mental and appetite. In addition to the aforementioned symptoms, malaise is prominent in the intermediate type, and older children often complain of precordial pain and may have perioral cyanosis, cold hands and feet, and cold sweats. The severe type has a rapid onset, with cardiac insufficiency or sudden cardiogenic shock within 1 to 2 days, manifesting as extreme weakness, irritability, clammy skin, dyspnea, and rapid progression of the disease, which can be life-threatening if not rescued in time. It is true that the palpitations, shortness of breath and chest tightness of viral myocarditis can make a child “out of breath” and “gasping for air”, but the two are fundamentally different in nature. First of all, observe the phenomenon of “long breath” and “big gasp”, whether it is continuous or selective as mentioned earlier, and secondly, carefully observe the child’s mental state, whether it is depressed all the time? Or is it temporary. Also look at the child’s physical condition, such as weakness, pallor, shortness of breath, etc. is occasional or continuous. Once this is cleared up, if there is indeed a suspicion of viral myocarditis, take your child to the hospital as early as possible to avoid aggravating the condition of myocarditis. In addition, parents are reminded that some children with upper respiratory tract infections have elevated blood myocardial enzyme profiles, especially elevated creatine phosphokinase myocardial isoenzyme (CK-MB) or troponin I or T. The electrocardiogram has non-specific manifestations that do not fully meet the diagnostic criteria for myocarditis and can be treated as suspected myocarditis, which is known abroad as adventitious myocarditis, and suspected myocarditis is easier to deal with than The management of suspected myocarditis is simpler than that of viral myocarditis. Because of the prevalence of viral infections, it is even more important for parents to take care of their children and try to prevent viral infections. We recommend that parents create a relaxing and pleasant environment for their children, and that they do not exaggerate their children’s symptoms of “long breath” or “big gasp” in front of their children, or to their friends, colleagues, or neighbors, after the doctor has examined them to rule out viral myocarditis. “If possible, take an “out of sight, out of mind” attitude, or take the child’s attention away from his or her own symptoms. The “long breaths” and “big gasps” are not a problem. Never say “why are you doing this again”, “why are you always doing this”, “don’t do this”, “if you do this, I will ……” and so on, we know that the role of suggestion is huge, the more you say such things, the more the child will focus on this matter, but will aggravate the “long out of breath” The “big gasp” happens. Children are the jewels of their parents, parents have an obligation to provide a healthy environment for their children to grow up, if because of parental negligence and ignorance, so that the symptoms of “outgassing” “gasping for air”, causing additional mental burden to the child, it should not be. Parents are urged to pay attention to the physical development of children, but also to pay attention to the spiritual and emotional development of children, life should avoid exerting excessive pressure on children, so that children from childhood to develop an optimistic, cheerful character, maintain a happy mental state, to prevent and reduce the occurrence of cardiac neurosis in children.