Prevalence of Cardiac Dysfunction in MIS-C in
Children (MIS-C) related to COVID-19
Amar Taksande
*
, Sachin Damke, Rewat Meshram, Sham Lohiya, Richa Chaudhary, Rupesh
Rao
Department of Paediatrics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Sawangi Meghe,
Wardha, Maharashtra, India
Corresponding author: Amar Taksande,
Department of Paediatrics, Jawaharlal Nehru
Medical College, Datta Meghe Institute of
Medical Sciences, Sawangi Meghe, Wardha,
Maharashtra State, India, Tel: 9822369233; E-
mail: amar.taksande@gmail.com
Abstract
Background: COVID-19 in children normally causes mild infectious illness,
but serious repercussions can occur in combination with both acute infection
and related phenomena in children, like the Multisystem Inflammatory
Syndrome (MIS-C). In rural hospitals, there is less information available on
Cardiac abnormality in MIS-C. Objectives: To know the prevalence of
cardiac dysfunction of MIS-C children having COVID-19. Methodology: The
MIS-C patients in this prospective research will be diagnosed using WHO
criteria. On admission, MIS-C patients with cardiac marker positive will
have an anomaly in one or more of the following: Electrocardiography, Brain
Natriuretic Peptide (BNP), serum troponin, and/or echocardiogram. Results:
We will determine the prevalence of cardiac dysfunction in MIS-C when the
study is completed. We will compare outcome factors such as hospital stay
days, ICU admission, and death based on the therapy received. We all also
study the correlation between the inflammatory marker and LV dysfunction.
Conclusion: The study will most likely provide information on the
prevalence of heart abnormality in MIS-C children. Also, the outcome of the
MIS-C with cardiac dysfunction will be revealed.
Keywords
Cardiac dysfunction; MIS-C; COVID-19; Children; Coronary dilatation
Introduction
In December 2019 in Wuhan, China a new strain of
coronavirus found which is known as novel coronavirus
which involves mainly respiratory tract system.
According to genome analysis, they found that it is beta
coronavirus and it is connected to SARS virus. While the
majority of COVID-19 patients have mild to moderate
sickness, nearly 14% have a severe condition that needs
inpatient treatment and oxygen assistance, and 5% require
admission to an intensive care unit.[1]
Because of infection and septic shock, MODS, ARDS and
cardiac damage COVID-19 may be exacerbated.
[2]
Children
with COVID-19 typically have mild symptoms than adults,
with cough and fever is most common, and co infection has
been discovered.
[3,4]
Only a few cases of newborns with COVID-19 have been
documented; those who did develop mild illnesses.
[5]
There
is no major difference in COVID-19 symptoms in non-
pregnant or pregnant and in adults. Droplet precautions help
to prevent the spread of respiratory infections caused by large
droplets. Wear a medical mask if you are operating within one
meter of the patient.
COVID-19 typically causes a milder pathogenic illness
course in children, but serious complications can occur in
interaction with both acute infection and related phenomena
such as MIS-C. Adults have been developing neurological
symptoms ranging from a simple headache to seizures,
peripheral neuropathy, stroke, demyelinating diseases, and
encephalopathy.
Neurological problems show widely depending on
age and underlying comorbidities, as do respiratory
and cardiac signs of COVID-19. Cardiovascular
abnormalities have been observed in people suffering
from this condition, in addition to pulmonary
complications and limitations associated with
infection.
Clinical outcomes have included myocardial infarction,
valvular abnormalities, myocarditis, increased coagulopathies
which cause peripheral vascular problems, and even left
ventricular dysfunction which leads to heart failure. Heart cell
damage caused by direct invasion by virus or by
Review Article
This is an open access article distributed under the terms of the Creative Commons
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How to cite this article: Taksande A*, Damke S, Meshram R, Lohiya S, Chaudhary
R, Rao R. Prevalence of Cardiac Dysfunction in MIS-C in Children (MIS-C) related to
COVID-19. Ann Med Health Sci Res. 2021;11:84-88
©2021Annals of Medical and Health Sciences Research
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