Cardiac Manifestations in Dengue
Aim: To study the prevalence of cardiac manifestations in patients of dengue fever. Settings and Design: This cross-sectional study was done in a tertiary care hospital conducted for a period of 2 years from September 2016 to October 2018. Methods: Patients with complaints of fever and suspected to...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2019-01-01
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| Series: | Indian Journal of Medical Specialities |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/INJMS.INJMS_34_18 |
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| author | Parag Viren Papalkar Rajesh R. Sarode Sourya Acharya Sunil Kumar |
| author_facet | Parag Viren Papalkar Rajesh R. Sarode Sourya Acharya Sunil Kumar |
| author_sort | Parag Viren Papalkar |
| collection | DOAJ |
| description | Aim:
To study the prevalence of cardiac manifestations in patients of dengue fever.
Settings and Design:
This cross-sectional study was done in a tertiary care hospital conducted for a period of 2 years from September 2016 to October 2018.
Methods:
Patients with complaints of fever and suspected to have dengue were subjected to dengue serology. Confirmed cases of dengue were then classified according to the World Health Organization criteria into dengue fever, dengue hemorrhagic fever (DHF), and dengue shock syndrome. The assessment of cardiac manifestations was done based on electrocardiogram (ECG), echocardiogram, and cardiac marker. The data was analyzed using statistical significance tests.
Results:
Out of 60 patients, 36 (60%) were male and 24 (40%) were female, and the male-to-female ratio was 1.5:1. The mean age of the patients was 38 ± 16.69 years. Patients of dengue fever, DHF, and dengue shock syndrome were 51, 7, and 2 respectively. The most common ECG abnormality was sinus bradycardia seen in 9 (15%) patients, followed by sinus tachycardia in 6 (10%) and ST-T changes in 5 (8.33%). Echocardiography was normal in 54 (90%) patients, systolic dysfunction was found in 4 (6.67%) patients, and pericardial effusion was found in 2 (3.33%) patients. Eight (13.33%) patients had abnormal creatine kinase-muscle/brain values.
Conclusion:
Cardiac manifestations are common in dengue fever, seen in one-third of the patients. Platelet counts < 100,000/mm3 and a higher hematocrit are more likely to be associated with cardiac manifestations. |
| format | Article |
| id | doaj-art-63be701ce1c34cd4aedceffb26e303c9 |
| institution | Kabale University |
| issn | 0976-2884 0976-2892 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Medical Specialities |
| spelling | doaj-art-63be701ce1c34cd4aedceffb26e303c92025-08-25T08:30:49ZengWolters Kluwer Medknow PublicationsIndian Journal of Medical Specialities0976-28840976-28922019-01-01101303410.4103/INJMS.INJMS_34_18Cardiac Manifestations in DengueParag Viren PapalkarRajesh R. SarodeSourya AcharyaSunil KumarAim: To study the prevalence of cardiac manifestations in patients of dengue fever. Settings and Design: This cross-sectional study was done in a tertiary care hospital conducted for a period of 2 years from September 2016 to October 2018. Methods: Patients with complaints of fever and suspected to have dengue were subjected to dengue serology. Confirmed cases of dengue were then classified according to the World Health Organization criteria into dengue fever, dengue hemorrhagic fever (DHF), and dengue shock syndrome. The assessment of cardiac manifestations was done based on electrocardiogram (ECG), echocardiogram, and cardiac marker. The data was analyzed using statistical significance tests. Results: Out of 60 patients, 36 (60%) were male and 24 (40%) were female, and the male-to-female ratio was 1.5:1. The mean age of the patients was 38 ± 16.69 years. Patients of dengue fever, DHF, and dengue shock syndrome were 51, 7, and 2 respectively. The most common ECG abnormality was sinus bradycardia seen in 9 (15%) patients, followed by sinus tachycardia in 6 (10%) and ST-T changes in 5 (8.33%). Echocardiography was normal in 54 (90%) patients, systolic dysfunction was found in 4 (6.67%) patients, and pericardial effusion was found in 2 (3.33%) patients. Eight (13.33%) patients had abnormal creatine kinase-muscle/brain values. Conclusion: Cardiac manifestations are common in dengue fever, seen in one-third of the patients. Platelet counts < 100,000/mm3 and a higher hematocrit are more likely to be associated with cardiac manifestations.https://journals.lww.com/10.4103/INJMS.INJMS_34_18cardiacdengueechocardiographyelectrocardiography |
| spellingShingle | Parag Viren Papalkar Rajesh R. Sarode Sourya Acharya Sunil Kumar Cardiac Manifestations in Dengue Indian Journal of Medical Specialities cardiac dengue echocardiography electrocardiography |
| title | Cardiac Manifestations in Dengue |
| title_full | Cardiac Manifestations in Dengue |
| title_fullStr | Cardiac Manifestations in Dengue |
| title_full_unstemmed | Cardiac Manifestations in Dengue |
| title_short | Cardiac Manifestations in Dengue |
| title_sort | cardiac manifestations in dengue |
| topic | cardiac dengue echocardiography electrocardiography |
| url | https://journals.lww.com/10.4103/INJMS.INJMS_34_18 |
| work_keys_str_mv | AT paragvirenpapalkar cardiacmanifestationsindengue AT rajeshrsarode cardiacmanifestationsindengue AT souryaacharya cardiacmanifestationsindengue AT sunilkumar cardiacmanifestationsindengue |