Increased carotid intima-media thickness in children with a history of dengue hemorrhagic fever

Tom Versteege*, Mulya R. Karyanti, Witri Septiani, Annisa L. Widjanarko, Nikmah S. Idris, Aryono Hendarto, Diederick E. Grobbee, David Burgner, Cuno S.P.M. Uiterwaal, Patricia C.J.L. Bruijning-Verhagen

*Corresponding author for this work

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Abstract

We assessed carotid intima-media thickness (cIMT) and arterial stiffness in 28 children and adolescents with previous dengue hemorrhagic fever (DHF) (mean interval between DHF and cardiovascular assessment, 8.4 years), and 34 controls in a low-resource setting. Participants with previous DHF had an adjusted increased cIMT of 42.6 µm (95% confidence interval [CI]: 10.0-75.3, P = 0.01), and 61.7 µm (95% CI: 21.5-102.0, P < 0.01) in a subgroup analysis on dengue shock syndrome. There were no differences in arterial stiffness. In this first exploratory study, children and adolescents with a history of DHF had an increased cIMT, which may be modulated by dengue severity.

Original languageEnglish
Pages (from-to)630-634
Number of pages5
JournalAmerican Journal of Tropical Medicine and Hygiene
Volume100
Issue number3
DOIs
Publication statusPublished - Mar 2019

Keywords

  • Adolescent
  • Adult
  • Carotid Intima-Media Thickness
  • Child
  • Child, Preschool
  • Female
  • Humans
  • Male
  • Severe Dengue/complications
  • Young Adult

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