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Related Experiment Videos

The electrocardiographic changes in kwashiorkor

M T Olowonyo1, F O Akinbami, O O Ogunkunle

  • 1Iye-Subomi Child Care Centre, Ijebu-Ode, Nigeria.

Annals of Tropical Paediatrics
|January 1, 1993
PubMed
Summary

Kwashiorkor in Nigerian children causes significant electrocardiogram (ECG) abnormalities, including low QRS amplitude and prolonged QTc intervals. These ECG changes are linked to myocardial atrophy, highlighting the cardiac impact of severe malnutrition.

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Area of Science:

  • Pediatrics
  • Cardiology
  • Nutritional Science

Background:

  • Kwashiorkor, a severe form of malnutrition, affects children globally.
  • Cardiac complications are a significant concern in kwashiorkor.
  • Electrocardiogram (ECG) findings in kwashiorkor require further elucidation.

Purpose of the Study:

  • To investigate ECG abnormalities in Nigerian children with kwashiorkor.
  • To compare ECG parameters between children with kwashiorkor and healthy controls.
  • To explore correlations between ECG findings and biochemical/hematological parameters.

Main Methods:

  • A case-control study involving 90 Nigerian children with kwashiorkor and 90 matched controls.
  • Electrocardiograms (ECGs) were recorded for all participants.

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  • Serum electrolytes, albumin, haematocrit, and cardiothoracic ratio were measured.
  • Main Results:

    • Children with kwashiorkor exhibited high rates of sinus tachycardia (91%), 100% low QRS amplitude, and 17% prolonged QTc intervals.
    • Significantly lower mean serum sodium, potassium, calcium, albumin, haematocrit, and cardiothoracic ratio were observed in the kwashiorkor group (p < 0.001).
    • A strong positive correlation was found between QRS amplitude and cardiothoracic ratio (r = 0.91, p < 0.001).

    Conclusions:

    • ECG changes in kwashiorkor, particularly low QRS amplitude, are strongly associated with myocardial atrophy.
    • The study underscores the significant cardiac involvement in kwashiorkor.
    • Findings emphasize the need for cardiac monitoring in malnourished children.