Cardiac manifestations and echocardiographic findings associated with multisystem inflammatory syndrome due to COVID-19 in children A single-center observational study during and after the pandemic.
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Abstract
Introduction: In children hospitalized for multisystem inflammatory syndrome (MIS) due to COVID-19, cardiac manifestations may occur, the outcome of which may be fatal. This study analyzed the cardiac manifestations and echocardiographic findings associated with SIM in children with COVID-19.
Methods: The present observational study was conducted at the “Vicente Corral Moscoso” Hospital in Cuenca, Ecuador. The study period was from April 2020 to March 2022. Children with SIM and COVID-19 were included, and medical records and echocardiograms were examined.
Results: There were 19 patients; 31.6% of the affected children were between 1 and 4 years old, and 52.6% were girls. Notably, 63.2% were overweight. Obesity was the most common comorbidity, affecting 84.2% of the patients. The predominant symptoms were fever (68.4%), vomiting (47.4%), and abdominal pain (42.1%). The echocardiographic findings were pericardial effusion in 15.8% and right ventricular dysfunction in 5.3%. The most common cardiac complications were pericardial and valvular dysfunction, arrhythmias, and pericardial effusion, each occurring in 10.5% of patients. In addition, 26.3% mortality was recorded in the sample studied.
Conclusions: A clear relationship between inflammatory symptoms and cardiac complications after contracting COVID-19 infection was observed.
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