[Cardiovascular function in leptospirosis convalescents]

Area of Science:

• Cardiology
• Infectious Diseases
• Nephrology

Background:

• Leptospirosis can lead to significant cardiovascular complications.
• Understanding the long-term effects of leptospirosis is crucial for patient recovery.

Observation:

• Cardiovascular assessment of 121 leptospirosis convalescents aged 17-58 years was performed.
• Clinical examination, electrocardiography (ECG), and serum troponin-T levels were utilized.
• Myocardial damage was identified in 42.1% of patients 6-12 months post-infection.

Findings:

• Elevated troponin-T and myoglobin suggest myocardial damage linked to rhabdomyolysis in advanced leptospirosis.
• Abnormal ECG readings persisted despite the absence of cardiac pain.
• Hypertension of renal origin developed in 19.8% of convalescents.

Implications:

• Serum troponin-T and ECGs serve as valuable indicators for assessing rehabilitation progress in leptospirosis patients.
• Renal hypertension is a significant concern in convalescents, requiring consideration in rehabilitation strategies.
• Targeted prophylaxis and rehabilitation programs are essential for at-risk populations, particularly in regions like the North Caucasus.