伊巴丹大学学院医院重症恶性疟原虫疟疾患儿的心电图特征。

Research Journal of Health Sciences Pub Date : 2022-01-01 Epub Date: 2022-09-28 DOI:10.4314/rejhs.v10i3.4
B F Akinkunmi, O O Ogunkunle, F O Akinbami, A E Orimadegun
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引用次数: 0

摘要

导言:由于疟疾可能导致多器官功能障碍,儿童疟疾发病率和死亡率居高不下。目的:调查伊巴丹大学学院医院重症恶性疟原虫疟疾(SM)和急性无并发症疟疾(AUM)患儿的心电图(ECG)特征:这是一项横断面比较研究,研究对象是 398 名有症状并确诊为恶性疟原虫疟疾的儿童和表面健康的对照组。研究对这些儿童的心电图特征频率进行了描述和比较:结果:重症疟疾 SM 和急性无并发症疟疾 AUM 患者的心电图异常发生率分别为 79.7% 和 63.2%。窦性心动过速在重症疟疾组的发生率明显高于急性无并发症疟疾组和对照组(p 结论:重症疟疾患者的心电图异常率明显高于急性无并发症疟疾组:重症疟疾患者有明显的心电图异常(窦性心动过速)。
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Electrocardiographic features in children with severe falciparum malaria at the University College Hospital, Ibadan.

Introduction: The high burden of Malaria morbidity and mortality in children is due to its potential to cause multi-organ dysfunction. There is however limited information on the specific electrocardiographic features in falciparum malaria in paediatric age group.

Aim: To investigate the electrocardiographic (ECG) features in children with (complicated) severe falciparum malaria (SM) and acute uncomplicated malaria (AUM) at the University College Hospital, Ibadan.

Methods: This was a comparative cross-sectional study conducted among 398 children with symptomatic and confirmed Plasmodium falciparum malaria and apparently healthy controls. The frequencies of ECG features were described and compared among these children.

Results: The prevalence of ECG abnormality was 79.7% and 63.2% in Severe Malaria SM and Acute uncomplicated malaria AUM patients, respectively. Sinus tachycardia was significantly more frequent in SM than AUM and control groups (p <0.001). The risk of an ECG abnormality was about three times higher in SM than healthy children (p<0.001; OR=2.89;95%CI[1.68,4.99).

Conclusion: Severe malaria patients had significant ECG abnormalities (Sinus Tachycardia).

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