Electrocardiographic Alterations in Patients Hospitalized with Leptospirosis in the Brazilian City of Salvador
OBJECTIVE: To report the frequency and types of electrocardiographic alterations in patients with leptospirosis in the first 24 hours of hospitalization. METHODS: We analyzed the electrocardiograms of 157 patients admitted to the Hospital Couto Maia in the city of Salvador, in the State of Bahia, Br...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Sociedade Brasileira de Cardiologia (SBC)
2002-03-01
|
| Series: | Arquivos Brasileiros de Cardiologia |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2002000300002 |
| _version_ | 1818507901379018752 |
|---|---|
| author | Edilson Sacramento Antonio Alberto Lopes Everaldo Costa Olaivio Lima Passos Yara Aragão Costa Eliana Dias Matos |
| author_facet | Edilson Sacramento Antonio Alberto Lopes Everaldo Costa Olaivio Lima Passos Yara Aragão Costa Eliana Dias Matos |
| author_sort | Edilson Sacramento |
| collection | DOAJ |
| description | OBJECTIVE: To report the frequency and types of electrocardiographic alterations in patients with leptospirosis in the first 24 hours of hospitalization. METHODS: We analyzed the electrocardiograms of 157 patients admitted to the Hospital Couto Maia in the city of Salvador, in the State of Bahia, Brazil, from March 1998 to June 1999. The electrocardiograms were performed in the first 24 hours after hospital admission, independent of the clinical manifestations of the patients. RESULTS: The mean ± SD for patients' age was 35.5± 13.7 (median = 32) years, and jaundice was present in 95.5% of them. Alterations in the electrocardiogram were detected in 68.2% (107/157) of the patients (95% confidence interval = 60.6% - 75.1%). Atrial fibrillation was the most frequent arrhythmia, occurring in 10.8% (17/157) of the patients. Other frequent findings were alterations in ventricular repolarization detected in 38.9% (61/157) of patients and first-degree atrioventricular block in 10.2% (16/157). The patients with atrial fibrillation were older and had higher levels of creatinine and aminotransferases. CONCLUSION: In this sample, approximately 2/3 of the patients had electrocardiographic alterations after hospital admission. Of the major arrhythmias, atrial fibrillation was the most frequent, and the patients with this arrhythmia had evidence of more severe disease. The relation between the presence and type of electrocardiographic alteration and the prognosis of leptospirosis is yet to be assessed. |
| first_indexed | 2024-12-10T22:24:31Z |
| format | Article |
| id | doaj.art-9762efb25c6d4632a18717a8bf443c51 |
| institution | Directory Open Access Journal |
| issn | 0066-782X 1678-4170 |
| language | English |
| last_indexed | 2024-12-10T22:24:31Z |
| publishDate | 2002-03-01 |
| publisher | Sociedade Brasileira de Cardiologia (SBC) |
| record_format | Article |
| series | Arquivos Brasileiros de Cardiologia |
| spelling | doaj.art-9762efb25c6d4632a18717a8bf443c512022-12-22T01:31:13ZengSociedade Brasileira de Cardiologia (SBC)Arquivos Brasileiros de Cardiologia0066-782X1678-41702002-03-0178326727010.1590/S0066-782X2002000300002Electrocardiographic Alterations in Patients Hospitalized with Leptospirosis in the Brazilian City of SalvadorEdilson SacramentoAntonio Alberto LopesEveraldo CostaOlaivio Lima PassosYara Aragão CostaEliana Dias MatosOBJECTIVE: To report the frequency and types of electrocardiographic alterations in patients with leptospirosis in the first 24 hours of hospitalization. METHODS: We analyzed the electrocardiograms of 157 patients admitted to the Hospital Couto Maia in the city of Salvador, in the State of Bahia, Brazil, from March 1998 to June 1999. The electrocardiograms were performed in the first 24 hours after hospital admission, independent of the clinical manifestations of the patients. RESULTS: The mean ± SD for patients' age was 35.5± 13.7 (median = 32) years, and jaundice was present in 95.5% of them. Alterations in the electrocardiogram were detected in 68.2% (107/157) of the patients (95% confidence interval = 60.6% - 75.1%). Atrial fibrillation was the most frequent arrhythmia, occurring in 10.8% (17/157) of the patients. Other frequent findings were alterations in ventricular repolarization detected in 38.9% (61/157) of patients and first-degree atrioventricular block in 10.2% (16/157). The patients with atrial fibrillation were older and had higher levels of creatinine and aminotransferases. CONCLUSION: In this sample, approximately 2/3 of the patients had electrocardiographic alterations after hospital admission. Of the major arrhythmias, atrial fibrillation was the most frequent, and the patients with this arrhythmia had evidence of more severe disease. The relation between the presence and type of electrocardiographic alteration and the prognosis of leptospirosis is yet to be assessed.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2002000300002electrocardiographyleptospirosis |
| spellingShingle | Edilson Sacramento Antonio Alberto Lopes Everaldo Costa Olaivio Lima Passos Yara Aragão Costa Eliana Dias Matos Electrocardiographic Alterations in Patients Hospitalized with Leptospirosis in the Brazilian City of Salvador Arquivos Brasileiros de Cardiologia electrocardiography leptospirosis |
| title | Electrocardiographic Alterations in Patients Hospitalized with Leptospirosis in the Brazilian City of Salvador |
| title_full | Electrocardiographic Alterations in Patients Hospitalized with Leptospirosis in the Brazilian City of Salvador |
| title_fullStr | Electrocardiographic Alterations in Patients Hospitalized with Leptospirosis in the Brazilian City of Salvador |
| title_full_unstemmed | Electrocardiographic Alterations in Patients Hospitalized with Leptospirosis in the Brazilian City of Salvador |
| title_short | Electrocardiographic Alterations in Patients Hospitalized with Leptospirosis in the Brazilian City of Salvador |
| title_sort | electrocardiographic alterations in patients hospitalized with leptospirosis in the brazilian city of salvador |
| topic | electrocardiography leptospirosis |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2002000300002 |
| work_keys_str_mv | AT edilsonsacramento electrocardiographicalterationsinpatientshospitalizedwithleptospirosisinthebraziliancityofsalvador AT antonioalbertolopes electrocardiographicalterationsinpatientshospitalizedwithleptospirosisinthebraziliancityofsalvador AT everaldocosta electrocardiographicalterationsinpatientshospitalizedwithleptospirosisinthebraziliancityofsalvador AT olaiviolimapassos electrocardiographicalterationsinpatientshospitalizedwithleptospirosisinthebraziliancityofsalvador AT yaraaragaocosta electrocardiographicalterationsinpatientshospitalizedwithleptospirosisinthebraziliancityofsalvador AT elianadiasmatos electrocardiographicalterationsinpatientshospitalizedwithleptospirosisinthebraziliancityofsalvador |