The Virgen del Rocío University Hospital in Seville, southern Spain, coordinated the largest European multicenter study on the cardiovascular effects of covid-19 infection in children and adolescents and described a new disease linked to covid-19, the “multisystem inflammatory syndrome”.
The second world journal with the greatest impact on cardiology, “Circulation”, endorses and recommends this article to all pediatricians, as the health center explains in a statement.
The authors studied the most common cardiovascular manifestations in multisystem inflammatory syndrome associated with covid-19 infection (MIS-C), in what is a new disease that was described after the onset of the pandemic in pediatric patients. .
The peak incidence of multisystem inflammatory syndrome in Europe was recorded just before summer, and researchers found that cardiovascular manifestations can occur frequently in a previously healthy population.
The study also concludes that children with pediatric multisystem inflammatory syndrome should benefit from specific monitoring to rule out cardiovascular manifestations such as shock, cardiac arrhythmias, pericardial effusion and dilation of the coronary arteries.
These are the four most common cardiovascular complications in this cohort.
The good news is that, compared to adults, mortality in children with the syndrome is rare despite a significant increase in biochemical markers of inflammation or involvement of multiple systems.
However, there is a statistically significant correlation between the degree of elevation of biochemical markers and the need for intensive care, the study concludes.
In total, 55 European centers and 286 minors participated in this research, the largest cohort of pediatric patients in the world to date, which presents the most complete cardiovascular clinical picture including data on its clinical presentation.
The article, first authored by Israel Valverde, head of pediatric cardiology at Seville Hospital and researcher in the IBiS Cardiovascular Physiopathology group, also includes laboratory markers, cardiac image abnormalities and the progression of these markers during hospitalization.
The pediatric intensive care unit of the Virgen del Rocío, represented by its manager, Elia Sánchez-Valderrábanos, also participated in this study, and in total, more than 100 researchers from 17 European countries and 48 cities collaborated.
In the opinion of the magazine’s editors, it is of interest to medical specialists around the world and especially pediatricians in countries now facing a second wave, according to the hospital, and their findings help understand the clinical cardiovascular manifestations. and optimize therapeutic management.