Electrocardiographic findings in patients with symptoms of infection by Dengue, Chikungunya and Zika virus Centro Cardiovascular Regional ASCARDIO
Keywords:
virus, dengue, zika, chikungunya, electrocardiographyAbstract
Tropical Cardiology comprises a group of diseases with serious consequences in the cardiovascular system. The infection by the DENV (dengue), Chikungunya and ZICV (Zika) virus are responsible for various disease that despite being transmitted by the same vector, have different symptomatology and alterations in the myocyte. The aim of this study was to describe the electrocardiographic findings in patients with symptoms suggestive of infection by the previously mentioned virus that attended the Regional Cardiovascular Center ASCARDIO during the period September-November 2018. A descriptive, cross-sectional design, was carried out that included 20 patients with viral symptoms from which a 12-lead electrocardiogram was obtained. 60% of patients had symptoms suggestive of infection by DENV, 25% by Chikungunya virus and 15% by ZICV. All patients had some type pf electrocardiographic abnormality. The most predominant alteration was the presence of supra-level ST segment (50%) followed by rhythm disorders (40%) and conduction disorders (10%). Electrocardiographic abnormalities are common in patients with symptoms suggestive of infection by these tropical viruses which warrants the need of cardiologic evaluation in this group of patients.
Downloads
References
Fernández M, López R., Marqués J, Mendoza I. Impacto de las cardiopatías infecciosas en los trópicos, dengue y corazón. En: Cardio Tropical. España: Sociedad Española de Cardiología; 2014.
Mathers C, Ezzati M, Lopez A. Measuring the Burden of Neglected Tropical Diseases: The Global Burden of Disease Framework. PLos Negl Trop Dis 2007; 1(2): e114.
Lazear H, Diamond M. Zika Virus: New Clinical Syndromes and its Emergence in the Western Hemisphere. J Virol 2016; 90(10): 4864-4875.
Mendoza I, Morr I, Mendoza I, Morr C, Morr C, Meza Y, et al. Chikungunya Myocarditis: An emerging threat to America. J Am Coll Cardiol 2015; 65: A946.
Mitrakrishnan S, Mitrakrishnan N, Godwin C, Senaka R. Emerging Problems in Infectious Diseases. Cardiac involvement in dengue infection. J Infect Dev Ctrie 2015; 9(4): 338-346.
Obeyesekere I, Hermon Y. Arbovirus heart disease: Myocarditis and cardiomyopathy following dengue and chikungunya fever. Am Heart J 1973; 85(2): 186-94.
Kularatne S, Pathirage M, Kumarasiri P, Gunasena S, Mahindawanse S. Cardiac complicarions of a dengue fever outbreak in Sri Lanka, 2005. Trans R Soc Trop Med Hyg 2007; 101(8): 804-808.
Wali J, Biswas A, Chandra S, Malhotra A, Aggarwal P, Handa R, et al. Cardiac involvement in dengue haemorrhagic fever. Int J Cardiol 1998; 64(1): 31-36.
La-Orkhun V, Supachokchaiwattana P, Lertsapcharoen P, Khongphatthanayothin A. Spectrum of cardiac rhythm abnormalities and heart rate variability during the convalescent stage of dengue virus infection: a Holter study. Ann Trop Paediatr 2011; 31, 123–128.
Fernandes L, Abdalla J, Jales R, Martins E, Fonseca F, Borges M, et al. Atrial fibrillation in a patient with ICA virus infection. Virol J 2018; 15:23.
Grillet M, Hernández-Villena J, Llewellyn M, Paniz-Mondolfi A, Vicenti-González M. Venezuela´s humanitarian crisis, resurgence of vector-borne diseases, and implications for spillover in the region. The Lancet 2019; 19(5): E149-E151.
Published
How to Cite
Issue
Section
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Derechos del/de autor/es a partir del año de publicación
Esta obra está bajo la licencia:
Creative Commons Reconocimiento-NoComercial-CompartirIgual 4.0 Internacional (CC BY-NC-SA 4.0)
Las opiniones expresadas por los autores no necesariamente reflejan la postura del editor de la publicación ni de la UCLA. Se autoriza la reproducción total o parcial de los textos aquí publicados, siempre y cuando se cite la fuente completa y la dirección electrónica de esta revista. Los autores(as) tienen el derecho de utilizar sus artículos para cualquier propósito siempre y cuando se realice sin fines de lucro. Los autores(as) pueden publicar en internet o cualquier otro medio la versión final aprobada de su trabajo, luego que esta ha sido publicada en esta revista.
