DIFFERENTIAL DIAGNOSTIC TECHNIQUE FOR VARIANTS OF DISTURBED MYOCARDIAL CONDUCTION SYSTEM IN INFECTIOUS CARDIOMYOPATHY IN CHILDREN

摘要

FIELD: medicine.SUBSTANCE: differential diagnostic of the variants of a disturbed myocardial conduction system in the children is ensured by a patient's clinical and laboratory examinations. That is followed by an electrocardiographic examination. The blood is examined for anti-cardiolipin antibodies ACAT to individual cardiac structure antigens; an increase of titres thereof with respect to the norm shows the presence of an inflammatory process in the respective myocardial structures. If the ECG shows a rhythm disturbance with underlying increase of the ACAT titre to the myocardial conduction system, the version of the disturbed myocardial conduction system in the form of the rhythm disturbance is diagnosed. If the ECG shows a conductance disturbance with underlying increase of the cardiomyocyte ACAT titre to the myocardial conduction system, the version of the disturbed myocardial conduction system in the form of the conductance disturbance is diagnosed. According to the ECG findings, a ST-T line's position above or below an isoline, and the increase of cardiomyocyte ACAT titre enables diagnosing the version of the disturbed myocardial conduction system in the form of a disturbed ventricular repolarisation.EFFECT: invention provides the early adequate therapy and prevents the developing life-threatening complications.3 ex