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Methods for ECG Evaluation of Indicators of Cardiac Risk, and Susceptibility to Aconitine-induced Arrhythmias in Rats Following Status Epilepticus
08:28

Methods for ECG Evaluation of Indicators of Cardiac Risk, and Susceptibility to Aconitine-induced Arrhythmias in Rats Following Status Epilepticus

Published on: April 5, 2011

Does electrocardiography at admission predict outcome in Crimean -Congo hemorrhagic fever?

Mehmet Birhan Yilmaz1, Aynur Engin, Gokhan Bektasoglu

  • 1Department of Cardiology, Cumhuriyet University School of Medicine, 58140 Sivas, Turkey. mehmet.birhan.yilmaz@tkd.org.tr

Journal of Vector Borne Diseases
|September 28, 2011
PubMed

Insights

Electrocardiography can predict mortality in Crimean-Congo hemorrhagic fever (CCHF). T-wave changes and bundle branch block on ECG indicate a higher risk of death in CCHF patients.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Public Health

Background:

  • Crimean-Congo hemorrhagic fever (CCHF) is a severe viral illness with high mortality.
  • Understanding CCHF pathogenesis and mortality predictors is crucial.

Purpose of the Study:

  • To identify electrocardiographic (ECG) parameters that predict mortality in CCHF patients.
  • To assess the utility of ECG for risk stratification in CCHF.

Main Methods:

  • Retrospective study of 49 confirmed CCHF cases in Turkey.
  • ECG analysis using the Minnesota coding system by expert cardiologists.

Main Results:

  • 18 of 49 patients died; survivors and non-survivors were similar in baseline characteristics.
  • T-wave changes and bundle branch block were more common in non-survivors.
  • ECG findings predicted death with high sensitivity and specificity.

Conclusions:

  • Simple ECG at admission can aid in risk stratification for CCHF patients.
  • ECG may serve as a valuable tool for early identification of high-risk CCHF cases.
Abstract

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