Cardiac Dysfunction and Shock in Pediatric Patients With COVID-19

Krittika Joshi; Daniel Kaplan; Adnan Bakar; John F Jennings; Denise A Hayes; Siddharth Mahajan; Nilanjana Misra; Elizabeth Mitchell; Todd M Sweberg; Matthew D Taylor; Christine A Capone

doi:10.1016/j.jaccas.2020.05.082

Cardiac Dysfunction and Shock in Pediatric Patients With COVID-19

JACC Case Rep. 2020 Jul 15;2(9):1267-1270. doi: 10.1016/j.jaccas.2020.05.082. Epub 2020 Jun 18.

Authors

Affiliations

¹ Department of Pediatric Cardiology, Cohen Children's Medical Center, Zucker School of Medicine, Hofstra University, New Hyde Park, New York.
² Department of Pediatric Critical Care Medicine, Cohen Children's Medical Center, Zucker School of Medicine, Hofstra University, New Hyde Park, New York.
³ Feinstein Institute for Medical Research, Northwell Health, Manhasset, New York.

Abstract

Coronavirus disease-2019 (COVID-19) has been reported to cause significant morbidity in adults, with reportedly a lesser impact on children. Cardiac dysfunction has only been described in adults thus far. We describe 3 cases of previously healthy children presenting with shock and COVID-19-related cardiac inflammation. (Level of Difficulty: Intermediate.).

Keywords: AKI, acute kidney injury; COVID-19; COVID-19, coronavirus disease-2019; ED, emergency department; FS, fractional shortening; IVIG, intravenous immunoglobulin; LVEF, left ventricular ejection fraction; PCR, polymerase chain reaction; PICU, pediatric intensive care unit; TTE, transthoracic echocardiogram; VIS, vasoactive ionotropic score; cardiac injury; hsTnT, high-sensitivity troponin T; myocarditis; pediatric; shock.

Publication types

Case Reports