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Analysis of Electrocardiogram Among 108 Patients with Brucella
Li-Hong Lu1, Yu-Qing Song1, Qi-Ming Wu1
1Department of Cardiology, Beijing Ditan Hospital, Capital Medical University, Beijing, 100015, People's Republic of China.
Insights
Cardiac brucellosis is rare but serious. Analyzing electrocardiograms (ECGs) in brucellosis patients revealed abnormalities in 28.7%, highlighting the need for early cardiac damage detection to reduce mortality.
Area of Science:
- Infectious Diseases
- Cardiology
- Internal Medicine
Background:
- Brucellosis is a zoonotic infection with potential systemic complications.
- Cardiac involvement in brucellosis is not well-characterized.
- Electrocardiography (ECG) can reveal cardiac abnormalities.
Purpose of the Study:
- To investigate the prevalence and types of cardiac manifestations in brucellosis patients.
- To analyze electrocardiogram (ECG) findings in a cohort of brucellosis-infected individuals.
Main Methods:
- Retrospective analysis of 108 brucellosis patients' electrocardiograms.
- Categorization and summary of all observed ECG abnormalities.
Main Results:
- 71.3% of patients had normal ECGs; 28.7% showed abnormalities.
- Common ECG findings included nodal tachycardia, sinus bradycardia, and abnormal ST-T waves.
- Less frequent findings included bundle branch blocks and arrhythmias.
Conclusions:
- Cardiac manifestations of brucellosis are uncommon but associated with high mortality.
- Abnormal ECGs in brucellosis warrant further cardiac evaluation, such as echocardiography.
- Early ECG detection can indicate cardiac damage and guide timely intervention.
Objective:
To improve our knowledge of cardiac manifestations caused by brucellosis through analyzing abnormal electrocardiograms of patients infected with brucella.
Methods:
A total of 108 cases were enrolled, and their electrocardiograms were analyzed and summarized retrospectively.
Results:
Among 108 cases, 77 (71.3%) had a normal electrocardiogram, and 31 (28.7%) had an abnormal electrocardiogram. There were 13 cases with nodal tachycardia (12%), 9 cases with sinus bradycardia (8%), 7 cases with sinus arrhythmia (6%), 8 cases with left ventricular high voltage (7%), 13 cases with abnormal ST segment and T wave (12%), 2 cases with abnormal Q wave (1.85%), 3 cases with complete right bundle branch block (2.78%), 3 cases with ventricular premature beat (2.78%), 1 case with left anterior fascicular block (0.9%), 1 case with first degree a-v block (0.9%), 1 case with QT internal prolongation (0.9%), 1 case with poor R wave progression (0.9%), and 1 case with short PR interval (0.9%).
Conclusion:
The cardiac manifestations of brucellosis were rare, but the mortality was high. Patients with abnormal electrocardiogram should have improved echocardiography in time. Early detection of the abnormal electrocardiogram could give a hint of cardiac damage to avoid the serious consequences.
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