Does electrocardiography at admission predict outcome in Crimean-Congo hemorrhagic fever?

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dc.authoridYILMAZ, MEHMET BIRHAN -- 0000-0002-8169-8628; YILMAZ, Mehmet Birhan -- 0000-0002-8169-8628; dokmetas, ilyas -- 0000-0003-3523-3923en_US
dc.contributor.authorYilmaz, Mehmet Birhan
dc.contributor.authorEngin, Aynur
dc.contributor.authorBektasoglu, Gokhan
dc.contributor.authorZorlu, Ali
dc.contributor.authorEge, Meltem Refiker
dc.contributor.authorBakir, Mehmet
dc.contributor.authorDokmetas, Ilyas
dc.date.accessioned2019-07-27T12:10:23Z
dc.date.accessioned2019-07-28T10:05:09Z
dc.date.available2019-07-27T12:10:23Z
dc.date.available2019-07-28T10:05:09Z
dc.date.issued2011
dc.department[Yilmaz, Mehmet Birhan -- Bektasoglu, Gokhan -- Zorlu, Ali] Cumhuriyet Univ, Sch Med, Dept Cardiol, TR-58140 Sivas, Turkey -- [Engin, Aynur -- Bakir, Mehmet -- Dokmetas, Ilyas] Cumhuriyet Univ, Sch Med, Dept Infect Dis & Clin Microbiol, TR-58140 Sivas, Turkey -- [Ege, Meltem Refiker] Yuksek Ihtisas Educ & Res Hosp, Ankara, Turkeyen_US
dc.description.abstractBackground & objectives: Crimean-Congo hemorrhagic fever is an acute viral hemorrhagic fever with considerable mortality. Despite increasing knowledge about hemorrhagic fever viruses, the pathogenesis of Crimean-Congo hemorrhagic fever and causes of death were not well described. We aimed to evaluate whether there were electrocardiographic parameters designating mortality among these patients. Study design: This retrospective study was performed among confirmed Crimean-Congo hemorrhagic fever cases in Turkey. Electrocardiography was available in 49 patients within 24 h of hospitalization. All electrocardiograms were evaluated by two expert cardiologists according to Minnesota coding system. Results: Among patients with available electrocardiograms, there were 31 patients who survived, and 18 patients who died of Crimean-Congo hemorrhagic fever. Both groups were similar in terms of age, sex, body temperature, heart rate, and blood parameters. T-wave changes and bundle branch block were more frequently encountered among those who died. Presence of T-wave negativity or bundle branch block in this cohort of patients with Crimean-Congo hemorrhagic fever predicted death with a sensitivity of 72.7%, specificity of 92.6%, positive predictive value of 88.9%, negative predictive value of 80.6%. Conclusions: We think within the light of our findings that simple electrocardiography at admission may help risk stratification among Crimean-Congo hemorrhagic fever cases.en_US
dc.identifier.endpage154en_US
dc.identifier.issn0972-9062
dc.identifier.issue3en_US
dc.identifier.pmid21946714en_US
dc.identifier.scopus2-s2.0-80052889329en_US
dc.identifier.scopusqualityQ4
dc.identifier.startpage150en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12418/9465
dc.identifier.volume48en_US
dc.identifier.wosWOS:000296169600005en_US
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherMALARIA RESEARCH CENTRE, INDIAN COUNCIL MEDICAL RESEARCH-ICMRen_US
dc.relation.ispartofJOURNAL OF VECTOR BORNE DISEASESen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCrimean-Congo hemorrhagic feveren_US
dc.subjectelectrocardiographyen_US
dc.subjectoutcomeen_US
dc.titleDoes electrocardiography at admission predict outcome in Crimean-Congo hemorrhagic fever?en_US
dc.typeArticleen_US

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