Electrocardiographic monitoring in severe falciparum malaria
Identifieur interne : 002A01 ( Main/Exploration ); précédent : 002A00; suivant : 002A02Electrocardiographic monitoring in severe falciparum malaria
Auteurs : Delia B. Bethell [Viêt Nam] ; Pham Tung Phuong [Viêt Nam] ; Cao Xuan Thanh Phuong [Viêt Nam] ; François Nosten [Thaïlande] ; Deborah Waller [Viêt Nam] ; Timothy M. E. Davis [Royaume-Uni] ; Nicholas P. J. Day [Viêt Nam] ; Jane Crawley [Royaume-Uni] ; David Brewster [Gambie] ; Sasithon Pukrittayakamee [Thaïlande] ; Nicholas J. White [Viêt Nam]Source :
- Transactions of the Royal Society of Tropical Medicine and Hygiene [ 0035-9203 ] ; 1996.
English descriptors
- Teeft :
- Abnormality, Admission parasitaemia, Agonal rhythm, American journal, Antimalarial, Antimalarial drug, Antimalarial drugs, Antimalarial treatment, Artemisinin derivatives, Bygbjerg lanng, Cardiac, Cardiac arrest, Cardiac arrhythmia, Cardiac arrhythmias, Cardiac index, Cerebral malaria, Children chloroquine, Chloroquine, Clinical details, Clinical pharmacology, Complex width, Confidence interval, Continuous electrocardiographic monitoring, Convulsion, Electrocardiographic, Electrocardiographic findings, Electrocardiographic monitoring, Electrocardiographic recording, Falciparum, Falciparum malaria, Fourth patient, Frequent convulsions, Gambian girl, Heart rate, High doses, Hypoglycaemia, Idioventricular rhythm, Intramuscular chloroquine, Jaundice, John radcliffe hospital, Malaria, Minh city, Monitoring period, Multiorgan failure, Organ dysfunction, Orthostatic hypotension, Oxford instruments, Parenteral quinine, Prospective studies, Quinine, Respiratory arrest, Royal society, Severe malaria, Sinus bradycardia, Sinus tachycardia, Square brackets, Tachycardia, Tropical diseases, Tropical medicine, Unpublished observations, Ventricular, Ventricular tachycardia, Vietnamese girl.
Abstract
Abstract: Electrocardiographic monitoring over 24 h was performed with 53 patients with severe Plasmodium falciparum malaria (11 adults and 42 children) to assess the frequency of unrecognized cardiac arrhythmias. Nine patients (17%) died, 5 during the monitoring period and 4 afterwards. Pauses lasting 2–3 s were observed in 3 children, a single couplet in one, and a further child experienced frequent supraventricular ectopic beats which had not been detected clinically. In none of the patients who died could death be attributed to cardiac arrhythmia. Furthermore, no abnormality was detected which could have resulted from the often large doses of quinine, chloroquine or the artemisinin derivatives used for treatment. These results suggest that the heart is remarkably resilient even in the face of heavy parasite sequestration and other vital organ dysfunction, and that deaths from cardiac arrhythmias in severe malaria are rare. The need for routine cardiac monitoring of patients with severe and complicated P. falciparum malaria is questionable.
Url:
- https://api.istex.fr/ark:/67375/6H6-STMGD07M-Z/fulltext.pdf
- https://api.istex.fr/ark:/67375/HXZ-0465DSXR-6/fulltext.pdf
DOI: 10.1016/S0035-9203(96)90241-2
Affiliations:
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White</name><affiliation wicri:level="1"><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>Centre for Tropical Diseases, Cho Quan Hospital, Ho Chi Minh City</wicri:regionArea><wicri:noRegion>Ho Chi Minh City</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j">Transactions of the Royal Society of Tropical Medicine and Hygiene</title><title level="j" type="abbrev">TRSTMH</title><idno type="ISSN">0035-9203</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1996">1996</date><biblScope unit="volume">90</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="266">266</biblScope><biblScope unit="page" to="269">269</biblScope></imprint><idno type="ISSN">0035-9203</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0035-9203</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="Teeft" xml:lang="en"><term>Abnormality</term><term>Admission parasitaemia</term><term>Agonal rhythm</term><term>American journal</term><term>Antimalarial</term><term>Antimalarial drug</term><term>Antimalarial drugs</term><term>Antimalarial treatment</term><term>Artemisinin derivatives</term><term>Bygbjerg lanng</term><term>Cardiac</term><term>Cardiac arrest</term><term>Cardiac arrhythmia</term><term>Cardiac arrhythmias</term><term>Cardiac index</term><term>Cerebral malaria</term><term>Children chloroquine</term><term>Chloroquine</term><term>Clinical details</term><term>Clinical pharmacology</term><term>Complex width</term><term>Confidence interval</term><term>Continuous electrocardiographic monitoring</term><term>Convulsion</term><term>Electrocardiographic</term><term>Electrocardiographic findings</term><term>Electrocardiographic monitoring</term><term>Electrocardiographic recording</term><term>Falciparum</term><term>Falciparum malaria</term><term>Fourth patient</term><term>Frequent convulsions</term><term>Gambian girl</term><term>Heart rate</term><term>High doses</term><term>Hypoglycaemia</term><term>Idioventricular rhythm</term><term>Intramuscular chloroquine</term><term>Jaundice</term><term>John radcliffe hospital</term><term>Malaria</term><term>Minh city</term><term>Monitoring period</term><term>Multiorgan failure</term><term>Organ dysfunction</term><term>Orthostatic hypotension</term><term>Oxford instruments</term><term>Parenteral quinine</term><term>Prospective studies</term><term>Quinine</term><term>Respiratory arrest</term><term>Royal society</term><term>Severe malaria</term><term>Sinus bradycardia</term><term>Sinus tachycardia</term><term>Square brackets</term><term>Tachycardia</term><term>Tropical diseases</term><term>Tropical medicine</term><term>Unpublished observations</term><term>Ventricular</term><term>Ventricular tachycardia</term><term>Vietnamese girl</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Abstract: Electrocardiographic monitoring over 24 h was performed with 53 patients with severe Plasmodium falciparum malaria (11 adults and 42 children) to assess the frequency of unrecognized cardiac arrhythmias. Nine patients (17%) died, 5 during the monitoring period and 4 afterwards. Pauses lasting 2–3 s were observed in 3 children, a single couplet in one, and a further child experienced frequent supraventricular ectopic beats which had not been detected clinically. In none of the patients who died could death be attributed to cardiac arrhythmia. Furthermore, no abnormality was detected which could have resulted from the often large doses of quinine, chloroquine or the artemisinin derivatives used for treatment. These results suggest that the heart is remarkably resilient even in the face of heavy parasite sequestration and other vital organ dysfunction, and that deaths from cardiac arrhythmias in severe malaria are rare. The need for routine cardiac monitoring of patients with severe and complicated P. falciparum malaria is questionable.</div></front></TEI><affiliations><list><country><li>Gambie</li><li>Royaume-Uni</li><li>Thaïlande</li><li>Viêt Nam</li></country><region><li>Angleterre</li><li>Oxfordshire</li></region><settlement><li>Oxford</li></settlement></list><tree><country name="Viêt Nam"><noRegion><name sortKey="Bethell, Delia B" sort="Bethell, Delia B" uniqKey="Bethell D" first="Delia B." last="Bethell">Delia B. Bethell</name></noRegion><name sortKey="Day, Nicholas P J" sort="Day, Nicholas P J" uniqKey="Day N" first="Nicholas P. J." last="Day">Nicholas P. J. Day</name><name sortKey="Phuong, Cao Xuan Thanh" sort="Phuong, Cao Xuan Thanh" uniqKey="Phuong C" first="Cao Xuan Thanh" last="Phuong">Cao Xuan Thanh Phuong</name><name sortKey="Phuong, Pham Tung" sort="Phuong, Pham Tung" uniqKey="Phuong P" first="Pham Tung" last="Phuong">Pham Tung Phuong</name><name sortKey="Waller, Deborah" sort="Waller, Deborah" uniqKey="Waller D" first="Deborah" last="Waller">Deborah Waller</name><name sortKey="White, Nicholas J" sort="White, Nicholas J" uniqKey="White N" first="Nicholas J." last="White">Nicholas J. White</name></country><country name="Thaïlande"><noRegion><name sortKey="Nosten, Francois" sort="Nosten, Francois" uniqKey="Nosten F" first="François" last="Nosten">François Nosten</name></noRegion><name sortKey="Pukrittayakamee, Sasithon" sort="Pukrittayakamee, Sasithon" uniqKey="Pukrittayakamee S" first="Sasithon" last="Pukrittayakamee">Sasithon Pukrittayakamee</name></country><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Davis, Timothy M E" sort="Davis, Timothy M E" uniqKey="Davis T" first="Timothy M. E." last="Davis">Timothy M. E. Davis</name></region><name sortKey="Crawley, Jane" sort="Crawley, Jane" uniqKey="Crawley J" first="Jane" last="Crawley">Jane Crawley</name></country><country name="Gambie"><noRegion><name sortKey="Brewster, David" sort="Brewster, David" uniqKey="Brewster D" first="David" last="Brewster">David Brewster</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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