Tachyarrhythmias During Hospitalization for COVID‐19 or Multisystem Inflammatory Syndrome in Children and Adolescents Article Swipe

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Audrey Dionne , Kevin G. Friedman , Cameron C. Young , Margaret M. Newhams , Suden Kücükak , A. Jackson , Julie C. Fitzgerald , Laura Smallcomb , Sabrina M. Heidemann , Gwenn E. McLaughlin , Katherine Irby , Tamara T. Bradford , Steven M. Horwitz , Laura L. Loftis , Vijaya L Soma , Courtney M. Rowan , Michele Kong , Natasha Halasa , Keiko M. Tarquinio , Adam J. Schwarz , Janet R. Hume , Shira J. Gertz , Katharine N. Clouser , Christopher L. Carroll , Kari Wellnitz , Melissa L. Cullimore , Sule Doymaz , Emily R. Levy , Katri Typpo , Amanda Lansell , Andrew Butler , Joseph D. Kuebler , Laura D. Zambrano , Angela P. Campbell , Manish M. Patel , Adrienne G. Randolph , Jane W. Newburger ·

YOU? · · 2022 · Open Access · · DOI: https://doi.org/10.1161/jaha.122.025915

Background Cardiac complications related to COVID‐19 in children and adolescents include ventricular dysfunction, myocarditis, coronary artery aneurysm, and bradyarrhythmias, but tachyarrhythmias are less understood. The goal of this study was to evaluate the frequency, characteristics, and outcomes of children and adolescents experiencing tachyarrhythmias while hospitalized for acute severe COVID‐19 or multisystem inflammatory syndrome in children. Methods and Results This study involved a case series of 63 patients with tachyarrhythmias reported in a public health surveillance registry of patients aged 1 type was reported in 12 (19%). Registry patients with versus without tachyarrhythmia were older (median age, 15.4 [range, 10.4–17.4] versus 10.0 [range, 5.4–14.8] years) and had higher illness severity on hospital admission. Intervention for treatment of tachyarrhythmia was required in 37 (59%) patients and included antiarrhythmic medication (n=31, 49%), electrical cardioversion (n=11, 17%), cardiopulmonary resuscitation (n=8, 13%), and extracorporeal membrane oxygenation (n=9, 14%). Patients with tachyarrhythmias had longer hospital length of stay than those who did not, and 9 (14%) versus 77 (2%) died. Conclusions Tachyarrhythmias were a rare complication of acute severe COVID‐19 and multisystem inflammatory syndrome in children and adolescents and were associated with worse clinical outcomes, highlighting the importance of close monitoring, aggressive treatment, and postdischarge care.

Related Topics

Medicine

Myocarditis

Internal Medicine

Ventricular Tachycardia

Extracorporeal Membrane Oxygenation

Pediatrics

Atrial Fibrillation

Concepts

Medicine Cardioversion Myocarditis Internal medicine Ventricular tachycardia Extracorporeal membrane oxygenation Cardiology Tachycardia Pediatrics Atrial fibrillation

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Type: article
Language: en
Landing Page: https://doi.org/10.1161/jaha.122.025915
PDF: https://www.ahajournals.org/doi/pdf/10.1161/JAHA.122.025915
OA Status: gold
Cited By: 10
References: 20
Related Works: 10
OpenAlex ID: https://openalex.org/W4306406686

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OpenAlex ID: https://openalex.org/W4306406686

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DOI: https://doi.org/10.1161/jaha.122.025915

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Title: Tachyarrhythmias During Hospitalization for COVID‐19 or Multisystem Inflammatory Syndrome in Children and Adolescents

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Type: article

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Language: en

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Publication year: 2022

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Publication date: 2022-10-17

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Authors: Audrey Dionne, Kevin G. Friedman, Cameron C. Young, Margaret M. Newhams, Suden Kücükak, A. Jackson, Julie C. Fitzgerald, Laura Smallcomb, Sabrina M. Heidemann, Gwenn E. McLaughlin, Katherine Irby, Tamara T. Bradford, Steven M. Horwitz, Laura L. Loftis, Vijaya L Soma, Courtney M. Rowan, Michele Kong, Natasha Halasa, Keiko M. Tarquinio, Adam J. Schwarz, Janet R. Hume, Shira J. Gertz, Katharine N. Clouser, Christopher L. Carroll, Kari Wellnitz, Melissa L. Cullimore, Sule Doymaz, Emily R. Levy, Katri Typpo, Amanda Lansell, Andrew Butler, Joseph D. Kuebler, Laura D. Zambrano, Angela P. Campbell, Manish M. Patel, Adrienne G. Randolph, Jane W. Newburger

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Landing page: https://doi.org/10.1161/jaha.122.025915

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PDF URL: https://www.ahajournals.org/doi/pdf/10.1161/JAHA.122.025915

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OA URL: https://www.ahajournals.org/doi/pdf/10.1161/JAHA.122.025915

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Concepts: Medicine, Cardioversion, Myocarditis, Internal medicine, Ventricular tachycardia, Extracorporeal membrane oxygenation, Cardiology, Tachycardia, Pediatrics, Atrial fibrillation

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Cited by: 10

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Citations by year (recent): 2025: 1, 2024: 3, 2023: 6

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