Published Paper Details:

Background: Myocardial dysfunction in acute dengue has been documented as it causes fulminant cases such as fatal myocarditis as a sequelae of acute illness. Method: 40 (forty) adult patients aged between 20 to 45 were studied. Rapid test detection Non-structural protein-1 (NS1) and / or IgM antibody Elisa test Routine haemogram, LFT, Renal function test, chest-x-ray, USG abdomen. ECG test was performed in every patient and corroborated with clinical manifestation of Dengue fever. Results: Clinical manifestation was as per WHO guide lines. Major features were 20 (50%) abdominal pain, 16 (40%) persistent vomiting 15 (37.5%) Mucosal bleeding 12 (30%) Fluid accumulation 10 (25%) shock and ARDS, ECG had major features were 11 (15%) sinus tachycardia 30 (75%) sinus Bradycardia, 5 (12.5%) sinus rhythm, 6 (15%) first degree heart block. Conclusion: The spectrum of cardio vascular manifestations in dengue is broad ranging from myocardial impairment, arrhythmias to vascular barrier dysfunction. Hence such patient has to be treated meticulously to avoid significant morbidity and mortality.