Title: A Study on Cardiac Manifestations of Dengue Fever
Authors: Abhinandya Mukhopadhyay, Rakesh Kumar, Dr B.K.Singh
DOI: https://dx.doi.org/10.18535/jmscr/v5i4.161
Abstract
Aims and Objectives: To study the cardiac manifestations of the dengue fever.
Method: This two year descriptive study was undertaken at Darbhanga Medical College and Hospital, department of medicine, Darbhanga, Bihar. 50 patients admitted with dengue NS1 Ag, dengue IgM or IgM and IgG positivity were studied. Grading of severity and management were done following WHO guidelines. Electrocardiogram, 2D echocardiography and cardiac enzymes assay were done to find out cardiac manifestation. Other major organ involvements were also assessed.
Results: Of the 50 patients, 32(64%) were males and 18(36%) were female. The mean age of the patients was 30 ± 8.5 years. The commonest clinical presentation was fever (94%). On clinical examination 54% of the patients had petecheia. Rhythm disturbance was noted in 8% of the patients. with AV block being the most common (66.67%). Cardiac manifestation in the form of changes in ECG and echocardiography were observed in 52% of the patients with a positive correlation with the severity of the dengue fever as defined by W.H.O. criteria. Cardiac manifestation was also found to be significantly related to other organ involvement.
Conclusion: Patients with dengue fever are at high risk of developing cardiac involvement and therefore require a close cardiac monitoring.
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