Arrhythmias in Dengue: Beyond Prevalence, Toward Pathophysiology and Clinical Risk Stratification. Reply to Iqhrammullah, M.; Rampengan, D.D.C.H. Arrhythmias in Dengue: Moving Upstream from Electrocardiographic Findings to Cardio-Hemodynamic Dysfunction. Comment on “López-Delgado et al. Arrhythmias in Dengue: A Systematic Review and Meta-Analysis. Pathogens 2026, 15, 497”

Key Points

• The aim is to explore the pathophysiology of arrhythmias in dengue and its implications for clinical risk stratification.
• Engagement with existing literature on arrhythmias related to dengue.
• Discussion on the association between electrocardiographic findings and cardio-hemodynamic dysfunction.
• Highlighted the need for nuanced understanding of arrhythmias beyond prevalence.
• Indicated potential cardiovascular risks in dengue patients requiring stratification.