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Congestive cardiac failure and electrocardiographic abnormalities in acute glomerulonephritis.

Fifty cases of AGN, aged between 3-13 years admitted to the Pediatric wards of J.J.M. Medical College formed the material of this study. The criteria for selection of cases were: acute onset of edema, oliguria and hematuria with or without hypertension and proteinuria along with evidence of antecedent streptococcal infection (history of recent pyoderma, healed ulcers or raised ASO titer). A detailed history and clinical examination was done. CCF was considered to be present when the child had enlarging liver size, tachycardia, tachypnea and basal crepitation with or without raised jugular venous pressure, respiratory distress, gallop rhythm and orthopnea. Patients were checked daily for blood pressure, urine examination and weight, and intake-output charts were maintained. Specific gravity, macroscopic and microspic appearance, urine protein and 24 hours urine protein were estimated, serum cholesterol, serum sodium and potassium, ASO titers and serum C3 levels were estimated in all cases