Ｋｏｗａｌｓ１９５３年就注意到肝病患者心输出量增加，此后Ｌｅｅ［１］发现肝硬化患者有心脏改变。国内许昶报道病毒性肝炎合并心肌炎的病例［２］。以往对肝炎病人合并心脏病变的诊断主要是通过心电图。尽管心电图对心脏的电生理改变较为敏感，但电生理改变不明显的心脏病 Kowals increased the number of patients admitted to the hospital after 1953, and Lee [1] later found that there was a cardiac change in patients with cirrhosis. Xu Chang domestic viral myocarditis cases reported [2]. In the past the diagnosis of hepatitis patients with heart disease is mainly through the ECG. Although ECG is more sensitive to electrophysiological changes in the heart, changes in cardiac electrophysiology are not obvious