GW24-e3038 Influencing Factors of One-year Prognosis in 79 Patients with Viral Myocarditis. (1st October 2013)

• Record Type: Journal Article
• Authors: Guo, Xiaochen; Zhu, Yaping; Liu, Hong; Zhang, Junping
• Is Part Of: Heart. Volume 99(2013)Supplement 3
• Page Start: A122
• Page End: A123
• Publication Date: 2013-10-01
• Subjects: Heart -- Diseases -- Treatment -- Periodicals; Cardiology -- Periodicals; 616.12
• DOI: 10.1136/heartjnl-2013-304613.332
• Languages: English
• ISSNs: 1355-6037

Abstract

Abstract : Objectives: To investigate the one-year prognosis and its potential influencing factors of viral myocarditis (VMC). Methods: Eighty-six patients who were clinically diagnosed VMC involved in this one-year follow-up. Using the method of Logistic multivariant stepwise regression analysis to compare one-year outcome and recurrence condition of VMC with patients' general information, history, traditional Chinese medicine (TCM) syndrome score at zero point, antimyocardial antibody (AMA), therapeutic method and time, etc. Results: Finally seventy-nine VMC patients completed one-year follow-up, and the other seven patients were failed to visit. The result of this follow-up showed that 53.2% of the patients fully recovered from illness, 30.4% of the patients were still in convalescence stage, and the other 16.4% had remained arrhythmia. No cases changed into dilated cardiomyopathy or died, but seven patients had recurrence in one year. TCM syndrome score at zero point ( OR = 0.392) and recurrence ( OR = 0.143) were significant predictors for fully recovery from VMC one year later. TCM syndrome score at zero point ( OR = 3.509) and AMA ( OR = 0.643) were significant predictors for still in convalescence stage one year later. AMA ( OR = 1.809) was a significant predictor for remained arrhythmia one year later. Rest ( OR = 0.216) was a significant predictor for recurrence in one year. Conclusions: TCM syndrome score at zero point, recurrence and AMA are risk factors for one-year prognosis of VMC, while rest is a protective factor for recurrence in one year.