Tachyarrhythmias During Hospitalization for COVID‐19 or Multisystem Inflammatory Syndrome in Children and Adolescents
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Le résumé fourni par la source
Background Cardiac complications related to COVID-19 in children and adolescents include ventricular dysfunction, myocarditis, coronary artery aneurysm, and bradyarrhythmias, but tachyarrhythmias are less understood. The goal of this study was to evaluate the frequency, characteristics, and outcomes of children and adolescents experiencing tachyarrhythmias while hospitalized for acute severe COVID-19 or multisystem inflammatory syndrome in children. Methods and Results This study involved a case series of 63 patients with tachyarrhythmias reported in a public health surveillance registry of patients aged <21 years hospitalized from March 15, 2020, to December 31, 2021, at 63 US hospitals. Patients with tachyarrhythmias were compared with patients with severe COVID-19-related complications without tachyarrhythmias. Tachyarrhythmias were reported in 22 of 1257 patients (1.8%) with acute COVID-19 and 41 of 2343 (1.7%) patients with multisystem inflammatory syndrome in children. They included supraventricular tachycardia in 28 (44%), accelerated junctional rhythm in 9 (14%), and ventricular tachycardia in 38 (60%); >1 type was reported in 12 (19%). Registry patients with versus without tachyarrhythmia were older (median age, 15.4 [range, 10.4-17.4] versus 10.0 [range, 5.4-14.8] years) and had higher illness severity on hospital admission. Intervention for treatment of tachyarrhythmia was required in 37 (59%) patients and included antiarrhythmic medication (n=31, 49%), electrical cardioversion (n=11, 17%), cardiopulmonary resuscitation (n=8, 13%), and extracorporeal membrane oxygenation (n=9, 14%). Patients with tachyarrhythmias had longer hospital length of stay than those who did not, and 9 (14%) versus 77 (2%) died. Conclusions Tachyarrhythmias were a rare complication of acute severe COVID-19 and multisystem inflammatory syndrome in children and adolescents and were associated with worse clinical outcomes, highlighting the importance of close monitoring, aggressive treatment, and postdischarge care.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Tachyarrhythmias During Hospitalization for COVID‐19 or Multisystem Inflammatory Syndrome in Children and Adolescents
- Date Crossref
- 18/10/2022
- Éditeur
- Ovid Technologies (Wolters Kluwer Health)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Boston Children's Hospital Department of Cardiology pays non établi dans la noticeÉtablissement de santé
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Harvard University pays non établi dans la noticeUniversité ou école supérieure
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Centers for Disease Control and Prevention pays non établi dans la noticeOrganisme public
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University of Pennsylvania Department of Anesthesiology and Critical Care pays non établi dans la noticeUniversité ou école supérieure
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Medical University of South Carolina Department of Pediatrics pays non établi dans la noticeUniversité ou école supérieure
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Central Michigan University Division of Pediatric Critical Care Medicine pays non établi dans la noticeUniversité ou école supérieure
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University of Miami Department of Pediatrics pays non établi dans la noticeUniversité ou école supérieure
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Arkansas Children's Hospital Department of Pediatrics pays non établi dans la noticeÉtablissement de santé
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Louisiana State University Division of Cardiology pays non établi dans la noticeUniversité ou école supérieure
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Children's Hospital of New Orleans pays non établi dans la noticeÉtablissement de santé
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Louisiana State University Health Sciences Center New Orleans pays non établi dans la noticeÉtablissement de santé
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The State University of New Jersey Rutgers pays non établi dans la noticeUniversité ou école supérieure
Department of Cardiology — Boston Children's Hospital, Harvard University et Centers for Disease Control and Prevention, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.