Department of Pediatrics, LLRM Medical College, Meerut, Uttar Pradesh. Correspondence to: Dr Munesh Tomar, Consultant, Pediatric Cardiologist, LLRM Medical College, Meerut, Uttar Pradesh 250 002.
Department of Pediatrics, Manipal Hospital, Bangalore, Karnataka.
Indian Pediatr. 2023 May 15;60(5):385-388. doi: 10.1007/s13312-023-2886-1. Epub 2023 Mar 10.
To evaluate the incidence and pattern of cardiac involvement in children post-COVID (coronavirus disease) infection in a tertiary care referral hospital in India.
A prospective observational study was conducted including all consecutive children with suspected MIS-C referred to the cardiology services.
Of the 111 children with mean (SD) age was 3.5 (3.6) years, 95.4% had cardiac involvement. Abnormalities detected were coronary vasculopathy, pericardial effusion, valvular regurgitation, ventricular dysfunction, diastolic flow reversal in aorta, pulmonary hypertension, bradycardia and intra-cardiac thrombus. The survival rate post treatment was 99%. Early and short-term follow-up data was available in 95% and 70%, respectively. Cardiac parameters improved in majority.
Cardiac involvement post COVID-19 is often a silent entity and may be missed unless specifically evaluated for. Early echocardiography aided prompt diagnosis, triaging, and treatment, and helps in favorable outcomes.
评估印度一家三级转诊医院中 COVID（冠状病毒病）感染后儿童心脏受累的发生率和模式。
进行了一项前瞻性观察研究，包括所有被转诊至心脏病科的疑似 MIS-C 的连续儿童。
在 111 名平均年龄（标准差）为 3.5（3.6）岁的儿童中，95.4%存在心脏受累。检测到的异常包括冠状动脉血管病变、心包积液、瓣膜反流、心室功能障碍、主动脉舒张期血流反转、肺动脉高压、心动过缓和心内血栓。治疗后的生存率为 99%。分别有 95%和 70%的患者可获得早期和短期随访数据。大多数患者的心脏参数得到改善。
COVID-19 后心脏受累通常是一种隐匿性实体，除非专门评估，否则可能会被遗漏。早期超声心动图有助于快速诊断、分诊和治疗，并有助于获得良好的结果。
