Laloğlu Fuat, Ceviz Naci
Division of Pediatric Cardiology, Department of Pediatrics, Atatürk University Faculty of Medicine, Erzurum, Turkey.
Eurasian J Med. 2022 Oct;54(3):239-241. doi: 10.5152/eurasianjmed.2022.22102.
Myopericarditis is reported as a benign clinical entity in children and adolescents. However, there is no study investigating specifically the arrhythmias in these children. In the present study, we aimed to investigate the frequency of arrhythmias and conduction disturbances from surface electrocardiography and 24-hour Holter monitor, in children with myopericarditis.
The medical records of the children with the diagnosis of myopericarditis between 2016 and 2021 were retrospectively reviewed. Clinical features, surface electrocardiography, and 24-hour Holter recordings were evaluated in terms of rhythm and conduction abnormalities.
Mean troponin level was 7980.52 ± 14880.27 ng/L at admission. At discharge, the mean troponin level was 8.27 ± 10.73 ng/L and it was above the upper limit of normal in 19/27 (70.4%) patients. Surface electrocardiography was normal in terms of arrhythmias and conduction disturbances in all patients. Twentyfour-hour Holter monitarization was found to be normal in 23 patients. In 4 patients, there were clinically insignificant arrhythmias; nonsustained accelerated idioventricular rhythm=1, ventricular couplet with low rate=1, infrequent supraventricular premature contractions=1, and infrequent ventricular premature contractions+Wenckebach type atrioventricular block=1.
Our findings support that myopericarditis is a benign clinical problem in children also in terms of arrhythmia.
心肌炎心包炎在儿童和青少年中被报道为一种良性临床病症。然而，尚无专门针对这些儿童心律失常情况的研究。在本研究中，我们旨在通过体表心电图和24小时动态心电图监测，调查心肌炎心包炎患儿心律失常和传导障碍的发生率。
回顾性分析2016年至2021年间诊断为心肌炎心包炎的患儿的病历。从节律和传导异常方面评估临床特征、体表心电图和24小时动态心电图记录。
入院时肌钙蛋白平均水平为7980.52±14880.27 ng/L。出院时，肌钙蛋白平均水平为8.27±10.73 ng/L，27例患者中有19例（70.4%）高于正常上限。所有患者的体表心电图在心律失常和传导障碍方面均正常。24小时动态心电图监测显示23例患者正常。4例患者出现临床意义不显著的心律失常；非持续性加速性室性自主心律1例、低心率室性成对搏动1例、偶发室上性早搏1例、偶发室性早搏+文氏型房室传导阻滞1例。
我们的研究结果支持，心肌炎心包炎在儿童中即使就心律失常而言也是一个良性临床问题。
