Liên quan giữa biến đổi điện tâm đồ với một số đặc điểm lâm sàng, cận lâm sàng ở bệnh nhân sốt xuất huyết Dengue

Abstract

Objective: Investigation of the relationship between electrocardiography (ECG) variability and clinical and subclinical features in patients with Dengue hemorrhagic fever at Infectious Faculty of 4 Corps Hospital. Subject and method: Cross-sectional descriptive study of 217 Dengue hemorrhagic in-patients hospitalized at 4 Corps Hospital in 2017. Result: ECG variations were quite diverse, including arrhythmias, conduction disorders and abnormalities of individual electrocardiogram. Rates of ECG abnormalities, tachycardia, ST down-slope and negative T-waves were decreased significantly after 3 days of treatment compared with the first day of hospitalization (p<0.05). We was not found correlation between ECG abnormalities and other clinical, subclinical characteristics. The rate of ST segment abnormality in the patients with chest pain (17.4%) and dyspnea (50%) was higher significantly than those without chest pain (2.9%), dyspnea (5.2%) (p<0.001). Conclusion: Rates of ECG abnormalities, tachycardia, ST down-slope and negative T-waves were statistically significant differences between baseline and after 3 days of treatment. Abnormal changes in the ST segment were associated with significant chest pain and dyspnea in patients with Dengue hemorrhagic fever.