Abstract

CASTRO, María Esther Barrera; MONTESINOS, Carlos Enrique Flores  and  CASTRO, Alberto Rogelio Barrera. Cardiac involvement due to SARS-CoV-2 Associated Multisystem Inflammatory Syndrome in pediatric patients. Vive Rev. Salud [online]. 2023, vol.6, n.16, pp.162-171.  Epub Feb 14, 2023. ISSN 2664-3243.  https://doi.org/10.33996/revistavive.v6i16.215.

Recent studies have suggested that the clinical course may be critical in children due to the multifaceted nature of the disease. The Multisystem Inflammatory Syndrome associated with SARS-CoV-2 (MIS-C) presents with multisystem damage, with a predominance of cardiac involvement that compromises the life of the pediatric patient. Objetive. To identify the main cardiac alterations due to Multisystem Inflammatory Syndrome associated with SARS-CoV-2 in pediatric patients. Methodology. A systematic review was carried out through an informative search in databases. Recent studies published from 2019 to 2022 that reported on manifestations due to cardiac involvement, treatment in patients with cardiac impairment due to MIS-C, and risk factors associated with severe MIS-C were included. Conclusions. The main cardiac alterations due to multisystem inflammatory syndrome associated with SARS-CoV-2 in pediatric patients showed that the most common pathologies were shock, cardiac arrhythmias, pericardial effusion, dilation of the coronary arteries and acute myocarditis, therefore, cardiac comorbidities are very high. Frequent in children with MIS-C, where cardiac and systemic involvement play a very important role in the development of ventricular dysfunction, myocarditis, coronary artery anomalies, arrhythmias, and rhythm disturbances considered among the most common.

Keywords : Heart; child; Systemic Inflammatory Response Syndrome.

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