There are many new emerging infectious diseases in the present day. In cardiology, the important concern is on the cardiac presentation of any new disease. Severe fever with thrombocytopenia syndrome is a new disease firstly reported from China and becomes the important emerging infection in East Asia at present. The disease is proved to be due to the new severe fever with thrombocytopenia syndrome virus, a newly identified pathogenic Bunyavirus, infection. This disease usually presents with high fever and thrombocytopenia. Focusing on cardiac presentation, it is evidenced that the cardiac arrhythmia can be observed in this new disease. Here, the author tries summarizing the observed arrhythmia in abnormal electrocardiograms from available 3 reports. Of 109 patients who got electrocardiography studies, 27 cases (24.8%) had arrhythmia. Focusing on the types of arrhythmia, there are sinus bradycardia (n=5), supraventricular arrhythmias (n=8), premature ventricular beats (n=5), atrial fibrillation (n=7), atrioventricular block (n=2), right bundle branch block (n=1) and ventricular fibrillation (n=1). Based on this summarization, the rate of arrhythmia in the patient with severe fever with thrombocytopenia syndrome is very high and there are several forms of possible arrhythmia in the patients. Sometimes, afebrile cases of severe fever with thrombocytopenia syndrome can be seen and the arrhythmia might be the chief complaint of the patient. In the present day with, good international transportation, the cardiologist has to keep in mind on the possibility of severe fever with thrombocytopenia syndrome in any patient with arrhythmia.
Viroj Wiwanitkit, Arrhythmia in Severe Fever with Thrombocytopenia Syndrome Journal of the Hong Kong College of Cardiology 2016;24(1) https://doi.org/10.55503/2790-6744.1022
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