To characterize the nature and frequency of ECG abnormalities in adult Vietnamese patients with non-severe dengue and explore their potential clinical significance, particularly in relation to patient management.
Key Findings:
136 out of 143 patients had 330 ECGs analyzed.
Common ECG abnormalities included sinus bradycardia and atrioventricular block, which may indicate underlying cardiac stress.
Signs of myocardial injury were rare in non-severe dengue cases.
Interpretation:
ECG abnormalities in non-severe dengue patients are generally nonspecific and may not be clinically significant, suggesting routine ECG monitoring may not be essential in resource-limited settings, although individual patient assessment is still important.
Limitations:
The study was limited to a single hospital and may not represent the broader population, introducing potential biases.
Small sample size of severe dengue cases limits generalizability.
Conclusion:
Routine ECGs may not be necessary for detecting cardiac complications in non-severe dengue patients, although some abnormalities were observed, highlighting the need for individualized clinical assessment.
