Cardiac Sequelae of COVID-19 in Children and Young Adults

Pediatr Ann. 2021 Mar;50(3):e128-e135. doi: 10.3928/19382359-20210224-01. Epub 2021 Mar 1.ABSTRACTCoronavirus disease 2019 (COVID-19) has a predilection to cardiac involvement. The early clinical phase, during viremia, may manifest as pericarditis, acute myocarditis, and sepsis-related cardiomyopathy. Delayed presentations, such as multisystem inflammatory syndrome in children, coronary artery dilation/aneurysms, and late myocarditis, may occur in the weeks after the acute infection. These delayed presentations commonly test negative for severe acute respiratory syndrome coronavirus 2 via polymerase chain reaction testing and are thought to be primarily postviral hyperinflammatory sequelae. The long-term consequences of cardiac involvement in COVID-19 are unknown. Most recommendations for cardiac management are based on known conditions that are similar. For example, coronary aneurysms can be managed under Kawasaki disease guidelines. Similarly, for patients with COVID-19 myocarditis, they can be cleared for sports under protocols for other types of myocarditis. There is concern for cardiac involvement as a subclinical entity even in more minor presentations. Several expert algorithms have been developed for clearing competition athletes to return to exercise. Sports clearance should be individualized considering the severity of disease, age of patient, and performance level of the sport. [Pediatr Ann. 2021;50(3):e128-e135.].PMID:34038652 | DOI:10.3928/19382359-20210224-01
Source: Pediatric Annals - Category: Pediatrics Authors: Source Type: research

Related Links:

Dysfunctional breathing, hypocapnia, and myalgic encephalomyelitis/chronic fatigue syndrome were seen in symptomatic patients post-acute COVID-19 despite normal chest imaging and pulmonary function.Medscape Medical News
Source: Medscape Cardiology Headlines - Category: Cardiology Tags: Cardiology News Source Type: news
Two days after the first case of the new Omicron Covid-19 variant was officially confirmed in Massachusetts, the head of the state's largest hospital system stressed the importance of vaccines and masks.
Source: Health Care:Physician Practices headlines - Category: American Health Authors: Source Type: news
Prioritizing workforce well-being is a key driver of business success. The COVID-19 pandemic changed the world more than any event in recent history, significantly impacting the health and well-being of our workforce and economy. The inextricable link between individual health and productivity, business performance and economic prosperity is clear, and now is the time for employers to actively engage and support the mental and physical health of employees. In a recent survey by The Economist Intelligence…
Source: Health Care News Headlines - Category: Health Management Authors: Source Type: news
Dr F Perry Wilson reviews new data about post-mRNA vaccine myocarditis: who is affected, severity, treatment, and outcomes.Medscape
Source: Medscape Internal Medicine Headlines - Category: Internal Medicine Tags: Internal Medicine Commentary Source Type: news
Chris EdwardsThe main weapons against COVID-19 are the vaccines developed by Moderna and BioNTech after a decade of their research into mRNA technologies. That research was supported by more than $3 billion of private angel investment and venture capital.Democrats and Republicans both support medical research funding, and Republicans tout the Trump administration ’s Operation Warp Speed. But governments were not the key to mRNA development. Instead, we can thank the leaders and scientists at Moderna and BioNTech and the suppliers of private capital to them, as I discusshere andhere.TheWall Street Journal &r...
Source: Cato-at-liberty - Category: American Health Authors: Source Type: blogs
Fueled by new evidence that wildfire smoke can carry living microbes and is associated with a local increase in COVID-19 cases, scientists wonder if smoke might spread infectious diseases and worsen their effects
Source: Chemical and Engineering News - Category: Chemistry Authors: Source Type: research
Jeffrey A. SingerPolitical polarization hinders progress against the COVID-19 pandemic.Political polarization may explain why, after former President Trump called the off ‐​label use of the anti‐​malarial drug hydroxychloroquine a “game‐​changer” in the battle against COVID-19 (randomized controlled trials found that isnot the case), public health officials and the mainstream press appear uninterested in the off ‐​label use of any other drugs as therapeutics against a COVID infection.For example, impressive data from randomized controlled trials show the off ‐​label use of the off‐​...
Source: Cato-at-liberty - Category: American Health Authors: Source Type: blogs
As scientists hunt for alternatives for people who can't access vaccines for COVID-19, they are searching underwater in unexpected places to study the therapeutic potential of edible marine algae.WebMD Health News
Source: Medscape Pediatrics Headlines - Category: Pediatrics Tags: Infectious Diseases News Source Type: news
In updated guidance, IDSA suggests that healthcare personnel caring for patients with suspected or known COVID-19 use eye protection as part of appropriate personal protective equipment.Reuters Health Information
Source: Medscape Critical Care Headlines - Category: Intensive Care Tags: Infectious Diseases News Source Type: news
The Omicron variant, spreading now in southern Africa and detected in over 30 other countries, has prompted fears it could significantly undermine the effectiveness of vaccines against COVID-19.Reuters Health Information
Source: Medscape Critical Care Headlines - Category: Intensive Care Tags: Infectious Diseases News Source Type: news
More News: Cardiology | Cardiomyopathy | Children | Coronavirus | COVID-19 | Heart | Kawasaki Disease | Myocarditis | Pediatrics | Pericarditis | Respiratory Medicine | SARS | Sports Medicine