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Is There an Increased Incidence of COVID-Related Myocarditis in Kids?

By Landon Jones, MD and Richard M. Cantor, MD, FAAP, FACEP | on February 19, 2021 | 0 Comment
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Chest X-ray of a 16-year-old boy with myocarditis.

Conclusion

We are unable to determine whether there is a higher incidence of COVID-19–associated myocarditis in children compared to other viral pathogens. However, the prevalence of myocarditis does appear to be higher, with the majority of cases appearing to be associated with MIS-C. 

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ACEP Now: Vol 40 – No 02 – February 2021

References

  1. Barach P, Lipshultz SE. Rethinking COVID-19 in children: lessons learned from pediatric viral and inflammatory cardiovascular diseases. Prog Pediatr Cardiol. 2020; 101233. 
  2. Kochi AN, Tagliari AP, Forleo GB, et al. Cardiac and arrhythmic complications in patients with COVID-19. J Cardiovasc Electrophysiol. 2020;31(5):1003-1008.
  3. Sellers SA, Hagan RS, Hayden FG, et al. The hidden burden of influenza: a review of the extra-pulmonary complications of influenza infection. Influenza Other Respir Viruses. 2017;11(5):372-393.
  4. Tokuhira N, Shime N, Inoue M, et al. Mechanically ventilated children with 2009 pandemic influenza A/H1N1: results from the National Pediatric Intensive Care Registry in Japan. Pediatr Crit Care Med. 2012;13(5):e294-298.
  5. Randolph AG, Vaughn F, Sullivan R, et al. Critically ill children during the 2009-2010 influenza pandemic in the United States. Pediatrics. 2011;128(6):e1450-1458.
  6. Wilson MG, Hull JH, Rogers J, et al. Cardiorespiratory considerations for return-to-play in elite athletes after COVID-19 infection: a practical guide for sport and exercise medicine physicians. Br J Sports Med. 2020;54(19):1157-1161.
  7. Rodriguez-Gonzalez M, Castellano-Martinez A, Cascales-Poyatos HM, et al. Cardiovascular impact of COVID-19 with a focus on children: a systematic review. World J Clin Cases. 2020;8(21):5250-5283.
  8. Clark DE, Parikh A, Dendy JM, et al. COVID-19 Myocardial Pathology Evaluated through screEning Cardiac Magnetic Resonance (COMPETE CMR) [preprint]. medRxiv. 2020;2020.08.31.20185140. 

Pages: 1 2 | Single Page

Topics: COVID-19myocarditisPediatrics

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About the Authors

Landon Jones, MD

Dr. Jones is associate professor and pediatric emergency medicine fellowship director at the University of Kentucky Department of Emergency Medicine & Pediatrics in Lexington, Kentucky.

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Richard M. Cantor, MD, FAAP, FACEP

Dr. Cantor is professor of emergency medicine and pediatrics, director of the pediatric emergency department, and medical director of the Central New York Regional Poison Control Center at Upstate Medical University in Syracuse, New York.

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