Abstract

Introduction

Dengue is mosquito-borne viral infection caused by Flavivirus and transmitted by vector Aedes Aegypti. It is acute, infectious and self-limiting illness which has variable clinical manifestations ranging from asymptomatic to shock or death. The involvement of heart in dengue fever is not uncommon and usually it is transient, self-limiting and benign in nature. The exact mechanisms of involvement of heart not clear, although it is thought that there are several mechanisms such as direct viral invasion or immune mediated response through activation of complement system, ischemia, lactic acidosis may role in pathogenesis of viral myocarditis and cardiac dysfunction. Various studies have been documented that dengue fever can lead to elevation of Cardiac markers,