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[ECG in patients with hemorrhagic fever]
B Kapetanović1, Z Ridanović, O Petrović
1Klinika za infektivne bolesti i febrilna stanja, Klinicki centar Sarajevo.
Medicinski Arhiv
|January 1, 1992
Summary
Electrocardiogram (ECG) changes in hemorrhagic fever with kidney syndrome (HFKS) patients during an epidemic showed transient alterations, with prolonged QT intervals being most common. These ECG findings varied by disease phase, offering insights into HFKS progression.
Area of Science:
- Cardiology
- Infectious Diseases
- Epidemiology
Context:
- Hemorrhagic fever with kidney syndrome (HFKS) is a serious viral illness.
- An epidemic in 1989 near Sarajevo provided a unique study cohort.
- Electrocardiograms (ECGs) are crucial for assessing cardiac involvement.
Purpose:
- To analyze electrocardiogram (ECG) alterations in patients with hemorrhagic fever with kidney syndrome (HFKS).
- To correlate ECG findings with different phases of the disease.
- To identify the prevalence of specific ECG abnormalities during an HFKS epidemic.
Summary:
- 128 ECGs from 43 HFKS patients were analyzed, revealing transient cardiac alternations.
- Prolonged QT interval (45%) was the most frequent finding, followed by tall peaked T waves (40%) and U wave manifestation (31%).
- Incomplete right bundle branch block (21%) and first-degree AV block (19%) were also observed, with variations across disease phases.
Impact:
- Provides valuable data on the cardiac manifestations of HFKS.
- Highlights the diagnostic utility of ECG in monitoring disease progression.
- Informs clinical management strategies for HFKS patients during epidemics.