Manifestaciones cardiovasculares en pacientes con dengue durante dos brotes epidémicos en Colombia
Introduction: cardiovascular involvement is an atypical presentation of dengue infection. There range from asymptomatic sinus bradycardia to severe life-threatening myocarditis. Data are lacking regarding epidemiology on this topic. Objective: To describe clinical characteristics of patient’s series...
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| Autores principales: | , , , , , , |
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| Formato: | Artículo |
| Lenguaje: | español |
| Publicado: |
2017
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| Materias: | |
| Acceso en línea: | https://dialnet.unirioja.es/servlet/oaiart?codigo=8741505 |
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| Sumario: | Introduction: cardiovascular involvement is an atypical presentation of dengue infection. There range from asymptomatic sinus bradycardia to severe life-threatening myocarditis. Data are lacking regarding epidemiology on this topic. Objective: To describe clinical characteristics of patient’s series with dengue and evidence of cardiovascular involvement. Materials and methods: It was performed a cross-section, observational study of patients admitted with dengue fever in a cardiovascular reference center in Medellín, Colombia during two epidemic viral outbreaks from June 2010 to December 2016. Results: A total of 60 patients were registred, 30% of them with evidence of cardiovascular involvement. Mean age of patients was 63 years old and 55% were male. Most common comorbidity was hypertension (61%, 11/18). Rhythm disturbances affected 72% (13/18) of patients: first grade AV block (46%), sinus bradycardia (38%), atrial fibrillation/flutter/tachycardia (23%) and junctional rhythm (8%). Myocarditis and pericarditis were present in 17% (3/18) and 11% (2/18) of patients, respectively. Other less common findings were left ventricular dysfunction and angor pectoris (11%, 2/18). There were no deaths during the study period. Conclusions: Asymptomatic rhythm disturbances were the most common cardiovascular dysfunction in patients with dengue.manifestations of dengue fever and severe forms of cardio-vascular dengue were rare. It is recommended to be attentive to the mild symptoms of cardiovascular dysfunction in patients with dengue. |
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