National Academy of Agricultural Sciences (NAAS)
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PRINT ISSN : 2319-7692
Online ISSN : 2319-7706 Issues : 12 per year Publisher : Excellent Publishers Email : editorijcmas@gmail.com / submit@ijcmas.com Editor-in-chief: Dr.M.Prakash Index Copernicus ICV 2018: 95.39 NAAS RATING 2020: 5.38 |
Dengue Fever an acute febrile infectious disease, caused by any of four serotypes. Severe dengue infections may give rise to many complications such as liver failure, disseminated intravascular coagulation, encephalopathy, myocarditis, acute renal failure and haemolytic uraemic syndrome. ST segment and T wave changes in the electrocardiogram together with low ejection fraction and global hypokinesia on radionuclide ventriculography have been found. Hence, this study was intended to assess the cardiac manifestations in dengue fever patients. To determine the clinical profile of Dengue patients in the study and to Study the cardiac manifestations in patients with dengue fever. This study was a hospital based study conducted in Karnataka Institute of Medical Sciences, Hubli. Universal Sample size was taken in the study. I.e. all the cases of Dengue Fever admitted to KIMS Hospital, Hubli for the period of 1 ½ year. All the cases which satisfy the inclusion criteria were included in the study. Informed consent was taken and the clinical and laboratory parameters were recorded in predesigned data sheet. Diagnosis and management were done according to WHO guidelines. Serological tests for detection of IgM dengue antibodies and NS1 antigen was done. All the subjects were subjects for laboratory investigations. Data was entered into Microsoft excel data sheet and was analyzed using SPSS 22 version software. p value (Probability that the result is true) of <0.05 was considered as statistically significant after assuming all the rules of statistical tests. CK-MB and Troponin I at admission were raised in 18% and 72% respectively. On ECG, 56% of the patients had normal rhythm, 15% had sinus Bradycardia, 9% had sinus tachycardia, 10% had T wave changes, 3% had ST Changes, 2% had Sinus Bradycardia with T Wave Changes, 2% had Sinus Tachycardia with T wave changes and 1% had LVH and 2% had Abnormal Rhythm. From this study we can conclude that cardiac manifestations cause significant morbidity and in our study no mortality occurred. Hence cardiac manifestations are important in the management and assessing the prognosis of the patients with dengue.
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