Role of a Pediatric Cardiologist in the COVID-19 Pandemic.

Published on Jan 1, 2021in Pediatric Cardiology1.564
· DOI :10.1007/S00246-020-02476-Y
Talha Niaz8
Estimated H-index: 8
(Mayo Clinic),
Kyle D. Hope3
Estimated H-index: 3
(BCM: Baylor College of Medicine)
+ 9 AuthorsDevyani Chowdhury12
Estimated H-index: 12
Coronavirus disease 2019 (COVID-19) has affected patients across all age groups, with a wide range of illness severity from asymptomatic carriers to severe multi-organ dysfunction and death. Although early reports have shown that younger age groups experience less severe disease than older adults, our understanding of this phenomenon is in continuous evolution. Recently, a severe multisystem inflammatory syndrome in children (MIS-C), with active or recent COVID-19 infection, has been increasingly reported. Children with MIS-C may demonstrate signs and symptoms of Kawasaki disease, but also have some distinct differences. These children have more frequent and severe gastrointestinal symptoms and are more likely to present with a shock-like presentation. Moreover, they often present with cardiovascular involvement including myocardial dysfunction, valvulitis, and coronary artery dilation or aneurysms. Here, we present a review of the literature and summary of our current understanding of cardiovascular involvement in children with COVID-19 or MIS-C and identifying the role of a pediatric cardiologist in caring for these patients.
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