Author/Authors :
Yantie, Ni Putu Veny Kartika University of Udayana - Faculty of Medicine, Sanglah Hospital - Pediatric Department, Integrated Cardiac Services, Indonesia , Gunawijaya, Eka University of Udayana - Faculty of Medicine, Sanglah Hospital - Pediatric Department, Integrated Cardiac Services, Indonesia , Suradipa, I Wayan University of Udayana - Faculty of Medicine, Sanglah Hospital - Pediatric Department, Integrated Cardiac Services, Indonesia , Gustawan, I Wayan University of Udayana - Faculty of Medicine, Sanglah Hospital - Pediatric Department, Integrated Cardiac Services, Indonesia
Abstract :
Background: Dengue fever cases in Indonesia were 90.245 at 2012, with a mortality rate reached 0.88%. Cardiac complications are uncommon but it can occur in some cases. Myocarditis is the most common cardiac complication reported worldwide. Case: We report 10 cases of dengue virus infections with ECG abnormalities in normal heart structure. Based on ECG test during the covalescent stage, sinus arrhythmias were present in 3 patients, sinus bradycardia in 3 patients, sinus tachycardia without fever in 1 patient, first-degree AV block in 2 patients and mobitz type I second-degree AV block in 1 patient. ECG abnormalities in all cases did not cause any clinical symptoms, then no medication was needed. Continues clinical monitoring was done in all of our cases, and ECG evaluation showed improvement after several days. Conclusions: Myocarditis following dengue infection was clinically diagnosed in some asymptomatic children and need a ECG evaluation. Continues monitoring needed in patient who develop cardiac rhythm abnormalities and all the patient completely recovered.
