Study Of Cardiac Manifestations In Patients With Seropositive Dengue Fever

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P. V. F. S. B. S S Bhat, “Study Of Cardiac Manifestations In Patients With Seropositive Dengue Fever”, ijmhs, vol. 6, no. 6, Dec. 2016.
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Abstract

Aims and Objectives: To study the cardiac manifestations of the dengue fever. Method: This one year descriptive study was undertaken at SSIMS & RC,Davangere under the Department of Medicine. A total of 100 patients with either dengue NS1 or IgM or IgM and IgG were studied. The assessment of cardiac manifestations was done based on electrocardiogram, 2D echocardiography and cardiac enzymes. Results: Of the 100 patients, 64 (64%) were males and the male to female ratio was 1.7:1. The commonest clinical presentation was myalgia followed by fever On clinical examination 23% of the patients had bradycardia, 10% patients had tachycardia and 6% had hypotension at the time of presentation.94% patients had thrombocytopenia A raised CK-MB and Troponin I was observed in 51% and 11%. patients ECG findings revealed 5% of the patients had first degree heart block, 20% had sinus bradycardia. 9% had sinus tachycardia. 5% had ST segment changes, 2% had T wave changes. Cardiac manifestation was observed in 94% of the patients with a positive correlation with the severity of the dengue fever defined as by W.H.O. criteria. Conclusion: Patients with dengue fever are at high risk of developing myocarditis and rhythm disturbance and other cardiac manifestations therefore require a close cardiac monitoring.

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