Complex atrial tachycardias and respiratory syncytial virus infections in infants

Donnerstein, Richard L.; Berg, Robert A.; Shehab, Ziad M.; Ovadia, Marc

doi:10.1016/s0022-3476(94)70116-4

Cited by 41 publications

(22 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Other early reports include also the development of a second-degree heart block during the disease. Subsequently a report of an RSV-associated multifocal atrial tachycardia appeared, a phenomenon that was again reported in a later series of patients with RSV-associated atrial tachycardias [7,8]. Other forms of supraventricular tachycardias have also been reported during RSV infection; they seemed to occur in patients with structurally normal hearts and were not associated with hypoxia or beta-agonist therapy [8,9].…”

Section: Resultsmentioning

confidence: 99%

Untitled

Eisenhut

2006

Crit Care

169

View full text Add to dashboard Cite

IntroductionRespiratory syncytial virus (RSV) bronchiolitis is the most important cause for admission to the paediatric intensive care unit in infants with lower respiratory tract infection. In recent years the importance of extrapulmonary manifestations of RSV infection has become evident. This systematic review aimed at summarizing the available evidence on manifestations of RSV infection outside the respiratory tract, their causes and the changes in clinical management required.MethodsDatabases searched were Medline (1950 to present), EMBASE (1974 to present), PubMed and reference lists of relevant articles. Summarized were the findings of articles reporting on manifestations of RSV infection outside the respiratory tract in patients of all age groups.ResultsExtrapulmonary manifestations reported in previous observational studies included cardiovascular failure with hypotension and inotrope requirements associated with myocardial damage as evident from elevated cardiac troponin levels (35–54% of ventilated infants), cardiac arrhythmias like supraventricular tachycardias and ventricular tachycardias, central apnoeas (16–21% of admissions), focal and generalized seizures, focal neurological abnormalities, hyponatraemia (33%) associated with increased antidiuretic hormone secretion, and hepatitis (46–49% of ventilated infants). RSV or its genetic material have been isolated from cerebrospinal fluid, myocardium, liver and peripheral blood.ConclusionThe data summarized indicate a systemic dissemination of RSV during severe disease. Cerebral and myocardial involvement may explain the association of RSV with some cases of sudden infant death. In infants with severe RSV infection cardiac rhythm, blood pressure and serum sodium need to be monitored and supportive treatment including fluid management adjusted accordingly.

show abstract

Section: Resultsmentioning

confidence: 99%

Untitled

Eisenhut

2006

Crit Care

169

View full text Add to dashboard Cite

show abstract

“…28 Respiratory syncytial virus has been reported in association with supraventricular tachycardia, and, in those cases with structurally normal hearts, the tachycardias were self-limited. 29 We doubt the supraventricular tachycardia and CMV infection are related in our patient.…”

Section: Discussionmentioning

confidence: 61%

Perineal ulcers in an infant: An unusual presentation of postnatal cytomegalovirus infection

Hancox¹,

Shetty

Sangüeza³

et al. 2006

Journal of the American Academy of Dermatology

View full text Add to dashboard Cite

“…To our knowledge, there are no instances of histologically proven cases of RSV myocarditis. Nevertheless, RSV has been clearly demonstrated by culture of respiratory specimen [1,2,4,9,10], rising serum neutralizing antibody [2, 6, 10], or, as in our case, with rapid antigenic test [1,4,7,9,10,12] in patients with clinical findings suggestive of myocarditis. The possibility of a second simultaneous infection with a well-established cardiotropic virus was made less likely in our case by a negative viral panel.…”

Section: Commentmentioning

confidence: 67%

“…Complications have included cardiac tamponade [7,12], arrhythmias, CHF [6], and death [11]. Reported arrhythmias include supraventricular tachycardia [1,4,9,12], heart block [2,6,10,11], atrial flutter [4,12], and chaotic atrial tachycardia [4,9]. To our knowledge, there have been only two reported cases of persistent VT associated with RSV-acquired heart disease [12] and one case of VT associated with torsades de pointes [12].…”

Section: Commentmentioning

confidence: 99%

Ventricular Arrhythmia Associated with Respiratory Syncytial Viral Infection

1998

View full text Add to dashboard Cite

Respiratory syncytial virus (RSV) is a common cause of lower respiratory infections in infants. Cardiac arrhythmias are an uncommon complication in infants with RSV bronchiolitis. Presumably, the arrhythmias may be secondary to RSV pericarditis, myocarditis, or some other infection of the heart. We report on a patient with RSV bronchiolitis who had clinical myocarditis complicated by ventricular tachycardia.

show abstract

Complex atrial tachycardias and respiratory syncytial virus infections in infants

Cited by 41 publications

References 15 publications

Untitled

Untitled

Perineal ulcers in an infant: An unusual presentation of postnatal cytomegalovirus infection

Ventricular Arrhythmia Associated with Respiratory Syncytial Viral Infection

Contact Info

Product

Resources

About