iarmsIARMSIARMS2709-3255https://doi.org/10.47310/iarms.2021.v02i01.007Cardio-Logical Manifestations in Pediatric Scrub Typus Patients of Hilly District of North IndiaRajuVipinRoachScrub typhus is endemic and documented zoonotic disease in the state of Himachal Pradesh as the climatic and geographical conditions are conducive for spread of vector of this disease. The aim of this study is to determine the Cardio-logical manifestations among patients with Scrub typhus. Materials and Methods: This cross-sectional Sero-Epidemiological study was conducted in the department of Paediatrics, Indira Gandhi Medical College and Shimla from 1st June 2017 to 30th Nov 2018. The study participants were newly diagnosed paediatric cases (n-102) of scrub typhus with a positive Scrub Typhus IgM ELISA test. Results: In the present study tachycardia was present in 96 (94.1%), hypotension in 37 (36.3%) and feature suggestive of congestive heart failure in 1 (0.9%) patient. On ECG, 1st degree heart block in 1 (0.9%) patient, complete heart block in 1 (0.9%) patient, atrial fibrillation and flutter in 1 (0.9%) patient. Other ECG findings like sinus tachycardia and nonspecific T wave changes were present in 24 (23.5%) patients. Echocardiography was done in patients with ECG changes and it revealed minimal pericardial effusion in 2 (1.9%) patients with normal myocardial function and ejection fraction. Conclusion: Early recognition and focused management of cardiac complications may help reducemorbidity and mortality associated with Scrub typhus infection.