Key result
ECG and echo lack specific markers for diagnosing COVID-19 cardiac pathology in children.
Why the study?
Heart lesions frequently occur in COVID-19, but effective methods for diagnosing cardiac involvement in children remain undefined, prompting a review of ECG changes and electrophysiological patterns in this population.
ECG and echocardiography lack specific markers for diagnosing cardiac pathology in children with COVID-19, highlighting the need for optimized rehabilitation algorithms.
Answers are grounded in this paper and cite their sources.
May warrant cautious ECG/echo interpretation for cardiac lesions in pediatric COVID-19; leaves open optimized diagnostic and rehabilitation algorithms.
There are described various variants of the clinical manifestations of coronavirus infection, reflecting the severity of the course of the disease from mild forms to severe acute respiratory syndrome, the development of a multisystem hyperinflammatory syndrome with a high probability of death. There is an understanding that, along with a viral infection, COVID-19 is a cardiorespiratory disease. With the defeat of the respiratory system, violations of the functioning of the cardiovascular system are often recorded. Heart lesions detected in 17–75% of cases are associated with myocardial damage by the SARS-CoV-2 virus. An informative and accessible method of examination for COVID-19 in children is electrocardiography (ECG), used in combination with telemedicine technologies. Long-lasting changes in the structure and function of the heart during convalescence require an individual approach to rehabilitation. The review presents the analysis and interpretation of data on ECG changes in COVID-19 children, discusses the patterns of electrophysiological disorders in COVID-19 children and adults. Conclusion. Effective methods for diagnosing heart lesions in children have not been defined, and the ECG and echocardiography used do not have specific markers for diagnosing cardiac pathology in COVID-19. Therefore, it is necessary to use the available knowledge to optimize the algorithms for the rehabilitation of children in the period of convalescence.
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Kozhevnikova et al. (2023) conducted a review in COVID-19. Electrocardiography (ECG) was evaluated. Heart lesions are detected in 17-75% of COVID-19 cases, yet electrocardiography and echocardiography lack specific markers for diagnosing cardiac pathology in children.
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