ion: viral isolation, specific antibody, PCR identification of a viral infection, myocardial biopsy etc.РDiagnosisР Diagnosis may require blood tests, a chest X-ray, electrocardiogram or radionuclide angiocardiogram, and, in rare cases, biopsy of a tissue sample from the heart muscle.РDiagnosisРClinical Findings ? 1. heart disfunction, cardiogenic shock or cardio-cerebral syndrome? 2.cardiac dilatation ( chest radiography, echocardiography )? 3. change of electrocardiogram? 4. CK-MB↑or cTnT(+)、cTnI(+)Р诊断Р心电图改变:以R波为主的2个或2个以上主要导联的ST-T改变持续4天以上伴动态变化;窦房、房室传导阻滞,完全右或左束支传导阻滞;成联律、多源、多型、成对或并行早搏;非房室结、房室折返引起的异位心动过速;低电压、异常Q波。РDiagnosisРPathogenies?1. Diagnosis indexes: from endocardium, myocardial tissue, or pericardial fluid? Viral isolation ? PCR identification of a viral infection? Specific antibody