A Descriptive Study: Electrocardiographic Changes in Severe Anaemia and its Reversibility after Correction of Anaemia

Dr Rajiv Girdhar, Dr Prajwal Boregowda, Dr Jawahar Pathi

Abstract: Introduction: Anaemia is one of the most common nutritional burden of world. Anaemia is one of the common most leading causes of disabilities and death. Current research aimed to: 1) To study electrocardiographic changes in patients with severe anaemia.2) To correlate ECG changes with haemoglobin concentration 3) To study their reversibility after treatment of anaemia. Materials and methods: 104 patients admitted in cardiology & medicine wards in Rajarajeshwari medical college & Hospital for severe anaemia (Hb concentration less than or equal to 7 gm %) were studied for ECG changes. Hb concentrations in patients with ECG changes were between 2 gm % to 6.5 gm % with an average of 4.4 gm %.32 patients were having ECG changes. Out of which 25 patients were having Hb concentration less than or equal to 5 gm %. All patients were reassessed for reversibility of changes after treatment. Results: 1) Out of 104 patients with severe anaemia, 38 patients were having Hb % of 2 to 5 gm %. Of which 29 patients were having ECG changes (22 were females and 7 were males) 2) Out of 32 patients, 27 were having Hb concentration 5 gm % 3) All ECG changes were reverted to normal after correction of anaemia, except one patient (showed pre-treatment Twave inversion and post-treatment flat Twaves) Conclusion: ECG abnormalities in patients with severe anaemia are more common in females. ECG abnormalities in patients with severe anaemia (Hb5 gm %) can get reverted to normal after correction of anaemia.

Keywords: Haemoglobin concentration, Anaemia, ECG changes