Clinicodemographic features and outcome of acute myocarditis in children admitted at tertiary care hospital

Haider, Nighat; Shaikh, Attiya; Wazir, Rehana; Atiq, Mehnaz

doi:10.1016/j.ijcard.2016.06.187

Cited by 4 publications

(3 citation statements)

References 20 publications

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“…In total, the summary covers 1,891 children diagnosed with myocarditis (Table 1) [6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22]. It is, therefore, a rare disease.…”

Section: Resultsmentioning

confidence: 99%

Zapalenie mięśnia sercowego u dzieci i młodzieży — przegląd piśmiennictwa

2020

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“…In total, the summary covers 1,891 children diagnosed with myocarditis (Table 1) [6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22]. It is, therefore, a rare disease.…”

Section: Resultsmentioning

confidence: 99%

Zapalenie mięśnia sercowego u dzieci i młodzieży — przegląd piśmiennictwa

2020

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“…Acute myocarditis was labeled as short history of illness in otherwise healthy child, echocardiography showing left ventricular dysfunctioning, cardiac biomarkers showing cardiac damage as well as electrocardiography showing acute myocarditis. 11 Children having congenital heart defects or those with family history of cardiomyopathy were excluded. Children having radiological evidence of lung disorders or those having malaria, typhoid fever, dengue fever or COVID-19 were also excluded.…”

Section: Methodsmentioning

confidence: 99%

Characteristics and clinical features of children presenting with acute myocarditis at a tertiary care hospital.

Zahoor

Madni

Imran

et al. 2021

TPMJ

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Objective: To find out characteristics and clinical features of children presenting with acute myocarditis at a tertiary care hospital. Study Design: Observational Study. Setting: Department of Pediatrics, Sughra Shafi Medical Complex, Sahara Medical College, Narowal, Pakistan. Period: February 2020 to February 2021. Material & Methods: A total of 71 children aged 1 month to 15 years admitted with acute myocarditis were enrolled. Acute myocarditis was labeled as short history of illness in otherwise healthy child, echocardiography evident of left ventricular dysfunctioning, cardiac biomarkers showing cardiac damage as well as electrocardiography showing acute myocarditis. Age was represented as mean and standard deviation whereas qualitative variables like gender, area of residence and clinical features were shown as frequency and percentages. Results: Out of a total of 71 children, there were 38 (53.5%) were male. Median age was recorded to be 16.6 months. Majority of the cases, 42 (59.2%) belonged to rural areas of residence. Tachycardia was the commonest clinical feature noted in 65 (91.5%) children, irritability was seen in 50 (70.4%), tachypnea in 48 (67.6%) while poor feeding was noted 44 (62.0%) children. Hepatomegaly was noted in 39 (54.9%) children. Hypotension was recorded in 35 (49.3%) children. Conclusion: Male predominance was seen among children presenting with acute myocarditis. Tachycardia, irritability, tachypnea and poor feeding were the commonest clinical features observed.

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“…A minimum required sample size of 151 patients was calculated using WHO sample size calculator version 2.0 by taking a 95% confidence level, 5% margin of error and taking the percentage of mortality rate among children presented with acute myocarditis at 11%, as reported in a study conducted by Haider et al 7 The diagnosis of acute myocarditis was suspected clinically by a history of short illness of Duration 1-21 days, fever, acute upper respiratory infection, respiratory distress, oedema, diarrhoea, sweating, cough, palpitation, fatigue, irritability, loss of appetite, vomiting and abdominal pain and confirmed on reduced LVEF in Echocardiography.…”

Section: Inclusionmentioning

confidence: 99%

Clinical Presentation, Complications and Early Predictors for Poor Outcomes in Pediatric Myocarditis in a Tertiary Care Hospital

Khalid

Kamraan

Rafiq

et al. 2022

PAFMJ

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Objective: To evaluate common clinical presentation, complications and poor prognostic outcomes in children with acute myocarditis. Study Design: Prospective longitudinal study. Place and Duration of Study: Pediatric Cardiology Department, National Institute of Cardiovascular Disease Karachi Pakistan, from Feb to Aug 2020. Methodology: The children aged one month to 16 years were included in the study. Clinical, demographic features, Electrocardiogram, Echocardiography, management, complications, and immediate outcomes were recorded. Results: The total number of patients enrolled was 161. The median age was 5.01 ± 3.38 years for 66.4% of males and 33.5% females, mean Duration of symptoms was 8.35 ± 3.49 days. Upper respiratory tract infection was present in 84 (52.2%) and diarrhea in 8 (5%) in the preceding illness. Symptoms and signs include loss of appetite in 153 (96.27%), irritability in 148 (91.9%), vomiting in 132 (82%) and abdominal pain in 112 (69.6%), tachycardia in 148 (91.9%) and pallor in 143 (88.8%). Low voltage ECG was present in 125 (77.6%), arrhythmias in 12 (7.45%) and heart block in 6 (3.7%). Left ventricle end-diastolic dimensions (LVIDD)>4SD were present in 30.2% and LV end-systolic dimensions (LVIDS)>4SD in 19.5%, Left ventricular ejection fraction (LVEF)mean was 21.13 ± 5.07 vs 23.45 ± 3.31 at discharge. 9.21% of patients expired, out of which 78.5% had Left bundle branch block (LBBB), mean LVEF was 16.24 ± 3.16, LVID d>4SD in 78%, and LVIDs>4SD in 30%. Conclusion: The most frequent presentations were loss of appetite, difficulty breathing, irritability and abdominal pain. Tachycardia and pallor were......

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Clinicodemographic features and outcome of acute myocarditis in children admitted at tertiary care hospital

Cited by 4 publications

References 20 publications

Zapalenie mięśnia sercowego u dzieci i młodzieży — przegląd piśmiennictwa

Zapalenie mięśnia sercowego u dzieci i młodzieży — przegląd piśmiennictwa

Characteristics and clinical features of children presenting with acute myocarditis at a tertiary care hospital.

Clinical Presentation, Complications and Early Predictors for Poor Outcomes in Pediatric Myocarditis in a Tertiary Care Hospital

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