Introduction: Heart disease in children associated with COVID-19 is described during acute infection or in the context of the Multisystem inflammatory syndrome in children (MIS-C), and in patients with and without previous heart disease. It has different manifestations: asymptomatic, with alterations in complementary tests (elevated troponins, arrhythmias, imaging changes), up to severe forms: myocardial infarction, heart failure, cardiogenic shock, sudden death. We report a schoolgirl who had severe COVID-19, with cardiac, digestive, and respiratory manifestations. Clinical case: 10-year-old girl, carrier of disabling chronic disease. In the course of severe COVID-19, she added shock and respiratory failure, elevated inflammatory markers, increased troponins, and dilated cardiac cavities, with functional compromise of the left ventricle. She received non-invasive ventilatory assistance, antibiotics, and systemic corticosteroids. Cardiac manifestations reversed, with a decrease in inflammatory parameters. Discussion: The heart is frequently affected in COVID-19. Cardiac injury may be due to: viral replication, systemic inflammatory response, respiratory failure, or myocardial stress. The severity will depend on the extent of the damage and the inflammatory response. Cardiac involvement is more common in those who meet MIS-C criteria. Most recover cardiac function. The case report contributes to the knowledge of SARS-CoV-2 infection, and the severe forms of presentation with cardiac involvement in children highlight the need to advance in primary prevention by vaccines in the pediatric population.
| Published in | Central African Journal of Public Health (Volume 7, Issue 5) |
| DOI | 10.11648/j.cajph.20210705.12 |
| Page(s) | 245-249 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2021. Published by Science Publishing Group |
Cardiac Disease, Children, COVID-19, SARS-CoV-2
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APA Style
Emilia Alonso Zurmendi, Federica Badía De Ferrari, Maren Karina Machado Echeverría, Mariangel Ospitaleche, María Catalina Pirez García. (2021). Heart Disease Associated with COVID-19 in Children. Central African Journal of Public Health, 7(5), 245-249. https://doi.org/10.11648/j.cajph.20210705.12
ACS Style
Emilia Alonso Zurmendi; Federica Badía De Ferrari; Maren Karina Machado Echeverría; Mariangel Ospitaleche; María Catalina Pirez García. Heart Disease Associated with COVID-19 in Children. Cent. Afr. J. Public Health 2021, 7(5), 245-249. doi: 10.11648/j.cajph.20210705.12
AMA Style
Emilia Alonso Zurmendi, Federica Badía De Ferrari, Maren Karina Machado Echeverría, Mariangel Ospitaleche, María Catalina Pirez García. Heart Disease Associated with COVID-19 in Children. Cent Afr J Public Health. 2021;7(5):245-249. doi: 10.11648/j.cajph.20210705.12
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Download@article{10.11648/j.cajph.20210705.12,
author = {Emilia Alonso Zurmendi and Federica Badía De Ferrari and Maren Karina Machado Echeverría and Mariangel Ospitaleche and María Catalina Pirez García},
title = {Heart Disease Associated with COVID-19 in Children},
journal = {Central African Journal of Public Health},
volume = {7},
number = {5},
pages = {245-249},
doi = {10.11648/j.cajph.20210705.12},
url = {https://doi.org/10.11648/j.cajph.20210705.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20210705.12},
abstract = {Introduction: Heart disease in children associated with COVID-19 is described during acute infection or in the context of the Multisystem inflammatory syndrome in children (MIS-C), and in patients with and without previous heart disease. It has different manifestations: asymptomatic, with alterations in complementary tests (elevated troponins, arrhythmias, imaging changes), up to severe forms: myocardial infarction, heart failure, cardiogenic shock, sudden death. We report a schoolgirl who had severe COVID-19, with cardiac, digestive, and respiratory manifestations. Clinical case: 10-year-old girl, carrier of disabling chronic disease. In the course of severe COVID-19, she added shock and respiratory failure, elevated inflammatory markers, increased troponins, and dilated cardiac cavities, with functional compromise of the left ventricle. She received non-invasive ventilatory assistance, antibiotics, and systemic corticosteroids. Cardiac manifestations reversed, with a decrease in inflammatory parameters. Discussion: The heart is frequently affected in COVID-19. Cardiac injury may be due to: viral replication, systemic inflammatory response, respiratory failure, or myocardial stress. The severity will depend on the extent of the damage and the inflammatory response. Cardiac involvement is more common in those who meet MIS-C criteria. Most recover cardiac function. The case report contributes to the knowledge of SARS-CoV-2 infection, and the severe forms of presentation with cardiac involvement in children highlight the need to advance in primary prevention by vaccines in the pediatric population.},
year = {2021}
}
TY - JOUR T1 - Heart Disease Associated with COVID-19 in Children AU - Emilia Alonso Zurmendi AU - Federica Badía De Ferrari AU - Maren Karina Machado Echeverría AU - Mariangel Ospitaleche AU - María Catalina Pirez García Y1 - 2021/10/30 PY - 2021 N1 - https://doi.org/10.11648/j.cajph.20210705.12 DO - 10.11648/j.cajph.20210705.12 T2 - Central African Journal of Public Health JF - Central African Journal of Public Health JO - Central African Journal of Public Health SP - 245 EP - 249 PB - Science Publishing Group SN - 2575-5781 UR - https://doi.org/10.11648/j.cajph.20210705.12 AB - Introduction: Heart disease in children associated with COVID-19 is described during acute infection or in the context of the Multisystem inflammatory syndrome in children (MIS-C), and in patients with and without previous heart disease. It has different manifestations: asymptomatic, with alterations in complementary tests (elevated troponins, arrhythmias, imaging changes), up to severe forms: myocardial infarction, heart failure, cardiogenic shock, sudden death. We report a schoolgirl who had severe COVID-19, with cardiac, digestive, and respiratory manifestations. Clinical case: 10-year-old girl, carrier of disabling chronic disease. In the course of severe COVID-19, she added shock and respiratory failure, elevated inflammatory markers, increased troponins, and dilated cardiac cavities, with functional compromise of the left ventricle. She received non-invasive ventilatory assistance, antibiotics, and systemic corticosteroids. Cardiac manifestations reversed, with a decrease in inflammatory parameters. Discussion: The heart is frequently affected in COVID-19. Cardiac injury may be due to: viral replication, systemic inflammatory response, respiratory failure, or myocardial stress. The severity will depend on the extent of the damage and the inflammatory response. Cardiac involvement is more common in those who meet MIS-C criteria. Most recover cardiac function. The case report contributes to the knowledge of SARS-CoV-2 infection, and the severe forms of presentation with cardiac involvement in children highlight the need to advance in primary prevention by vaccines in the pediatric population. VL - 7 IS - 5 ER -
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