Korean Circulation Journal

The Korean Society of Cardiology (대한심장학회)
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Complete Heart Block in Association with Dengue Hemorrhagic Fever

  • Virk, Hafeez Ul Hassan (Department of Medicine, Mount Sinai St. Luke's and Mount Sinai Roosevelt Hospitals, Icahn School of Medicine) ;
  • Inayat, Faisal (Department of Medicine, New YorkPresbyterian Hospital, Weill Cornell Medical College) ;
  • Rahman, Zia Ur (Department of Medicine, Johnson City Medical Center, Quillen College of Medicine)
  • Received : 2015.10.03
  • Accepted : 2015.12.17
  • Published : 2016.11.30
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Abstract

Dengue virus infection affects the heart structurally and functionally. Clinical manifestations of cardiac complications secondary to dengue virus infection vary from self-limiting arrhythmias to severe myocardial infarction, leading to hypotension, pulmonary edema, and cardiogenic shock. However, we report a case of dengue hemorrhagic fever (DHF) complicated by a complete heart block. A female with DHF due to dengue virus serotype 2, presented to the emergency department with fever, headache, rash, and fatigue followed by an episode of syncope. She was found to have a third-degree atrioventricular block, with pulseless polymorphic ventricular tachycardia. Patient was resuscitated and a temporary trans-venous pacemaker was placed. She reverted back to normal sinus rhythm after 4 days of syncope and was subsequently discharged from the hospital after complete resolution of symptoms, without the need for a permanent pacemaker. Physicians are warranted to have high index of suspicion for dengue virus infection as an etiology in patients with acute cardiovascular compromise, especially in tropical areas.

Keywords

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