Electrocardiogram Profile in Children with Dengue Infection at Dr. Hasan Sadikin General Hospital and Bandung City Hospital
Abstract: Dengue is a
mosquito-borne infection which causes many manifestations on the organs, mainly
heart. According to the histopathological analysis in heart, there is a direct
action of dengue virus towards myocardium. This study was an initial study of
cardiac involvement in dengue infection using electrocardiogram as a
measurement tool.
Methods: This study was a descriptive cross-sectional study and data
collection were performed consecutively. A total of 17 children was taken which
had been diagnosed with dengue infection according to World Health Organization
criteria and had fulfilled inclusion and exclusion criteria of this study in
Dr. Hasan Sadikin General Hospital and Bandung City Local Hospital. Once
informed consent was obtained, the electrocardiogram procedure was performed
according to standard electrocardiogram procedure in pediatrics. Data were
analyzed by a pediatric cardiology consultant. Data were interpreted based on
the electrocardiogram characteristics according to the type of dengue
infection.
Results: P wave amplitude was getting shorter as the severity of dengue
infection increased. P wave duration increased slightly with increased severity
of dengue infection. There was a significant increase in PR interval as the
severity of dengue infection increased. The same was also true for ST and QTc
wave.
Conclusions: The pattern of electrocardiogram profile in children with
dengue infection were within normal range.
Keywords: Cardiac Involvement,
Dengue Infection, Electrocardiogram
Author: Sakinah Binti Shabbir
Hussain, Rahmat Budi Kuswiyanto, Januarsih Iwan
Journal Code: jpkedokterangg160297
