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CASE REPORT2 cases of acute myocarditis have serious clinical manif estation, heart failure, and arrythmia.DIS CUSSI ONAcute myocardiditis must be carefully differentiated with AMI. 2例急性重症病毒性心肌炎病人臨牀表現嚴重,發生嚴重心力衰竭及心律失常。