Yıl: 2022 Cilt: 54 Sayı: 3 Sayfa Aralığı: 239 - 241 Metin Dili: İngilizce DOI: 10.5152/eurasianjmed.2022.22102 İndeks Tarihi: 06-05-2023

Subclinical Arrhythmias and Conduction Disturbances in Children with Myopericarditis: A 24-hour Holter Monitorization Study

Öz:
Objective: Myopericarditis is reported as a benign clinical entity in children and adolescents. However, there is no study investigating specifically the arrhythmias in these children. In the present study, we aimed to investigate the frequency of arrhythmias and conduction disturbances from surface electrocardiography and 24-hour Holter monitor, in children with myopericarditis. Materials and Methods: The medical records of the children with the diagnosis of myopericarditis between 2016 and 2021 were retrospectively reviewed. Clinical features, surface electrocardiography, and 24-hour Holter recordings were evaluated in terms of rhythm and conduction abnormalities. Results: Mean troponin level was 7980.52 ± 14880.27 ng/L at admission. At discharge, the mean troponin level was 8.27 ± 10.73 ng/L and it was above the upper limit of normal in 19/27 (70.4%) patients. Surface electrocardiography was normal in terms of arrhythmias and conduction disturbances in all patients. Twenty- four-hour Holter monitarization was found to be normal in 23 patients. In 4 patients, there were clinically insignificant arrhythmias; nonsustained accelerated idioventricular rhythm = 1, ventricular couplet with low rate = 1, infrequent supraventricular premature contractions = 1, and infrequent ventricular premature con- tractions + Wenckebach type atrioventricular block = 1. Conclusion: Our findings support that myopericarditis is a benign clinical problem in children also in terms of arrhythmia.
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  • 1. Imazio M, Trinchero R. Myopericarditis: etiology, management, and prognosis. Int J Cardiol. 2008;127(1):17-26. [CrossRef]
  • 2. Imazio M, Cecchi E, Demichelis B, et al. Myoperi- carditis versus viral or idiopathic acute pericardi- tis. Heart. 2008;94(4):498-501. [CrossRef]
  • 3. Kobayashi D, Aggarwal S, Kheiwa A, Shah N. Myopericarditis in children: elevated troponin I level does not predict outcome. Pediatr Cardiol. 2012;33(7):1040-1045. [CrossRef]
  • 4. Yoldaş T, Örün UA. What is the significance of elevated troponin I in children and adolescents? A diagnostic approach. Pediatr Cardiol. 2019;40(8):1638-1644. [CrossRef]
  • 5. Başar EZ, Borakay D, Akalın F. Myopericarditis in children and adolescent: is the elevated troponin and chest pain as alarming as we thought? Cardiol Young. 2022 Mar32(3):420-424.
  • 6. Farzad A, Schussler JM. Acute myopericardial syndromes. Cardiol Clin. 2018;36(1):103-114. [CrossRef]
  • 7. Miyake CY, Teele SA, Chen L, et al. In-hospital arrhythmia development and outcomes in pedi- atric patients with acute myocarditis. Am J Cardiol. 2014;113(3):535-540. [CrossRef]
  • 8. Babbitt CJ, Babbitt MJ, Byrne F, Morphew T. Pedi- atric myopericarditis presenting to the emer- gency department as chest pain: a comparative study with myocarditis. Pediatr Emerg Care. 2022;38(2):e761-e765. [CrossRef]
  • 9. Law YM, Lal AK, Chen S, et al. Diagnosis and management of myocarditis in children: a scien- tific statement from the American Heart Asso- ciation. Circulation. 2021;144(6):e123-e135. [CrossRef]
APA Laloğlu F, Ceviz N (2022). Subclinical Arrhythmias and Conduction Disturbances in Children with Myopericarditis: A 24-hour Holter Monitorization Study. , 239 - 241. 10.5152/eurasianjmed.2022.22102
Chicago Laloğlu Fuat,Ceviz Naci Subclinical Arrhythmias and Conduction Disturbances in Children with Myopericarditis: A 24-hour Holter Monitorization Study. (2022): 239 - 241. 10.5152/eurasianjmed.2022.22102
MLA Laloğlu Fuat,Ceviz Naci Subclinical Arrhythmias and Conduction Disturbances in Children with Myopericarditis: A 24-hour Holter Monitorization Study. , 2022, ss.239 - 241. 10.5152/eurasianjmed.2022.22102
AMA Laloğlu F,Ceviz N Subclinical Arrhythmias and Conduction Disturbances in Children with Myopericarditis: A 24-hour Holter Monitorization Study. . 2022; 239 - 241. 10.5152/eurasianjmed.2022.22102
Vancouver Laloğlu F,Ceviz N Subclinical Arrhythmias and Conduction Disturbances in Children with Myopericarditis: A 24-hour Holter Monitorization Study. . 2022; 239 - 241. 10.5152/eurasianjmed.2022.22102
IEEE Laloğlu F,Ceviz N "Subclinical Arrhythmias and Conduction Disturbances in Children with Myopericarditis: A 24-hour Holter Monitorization Study." , ss.239 - 241, 2022. 10.5152/eurasianjmed.2022.22102
ISNAD Laloğlu, Fuat - Ceviz, Naci. "Subclinical Arrhythmias and Conduction Disturbances in Children with Myopericarditis: A 24-hour Holter Monitorization Study". (2022), 239-241. https://doi.org/10.5152/eurasianjmed.2022.22102
APA Laloğlu F, Ceviz N (2022). Subclinical Arrhythmias and Conduction Disturbances in Children with Myopericarditis: A 24-hour Holter Monitorization Study. Eurasian Journal of Medicine, 54(3), 239 - 241. 10.5152/eurasianjmed.2022.22102
Chicago Laloğlu Fuat,Ceviz Naci Subclinical Arrhythmias and Conduction Disturbances in Children with Myopericarditis: A 24-hour Holter Monitorization Study. Eurasian Journal of Medicine 54, no.3 (2022): 239 - 241. 10.5152/eurasianjmed.2022.22102
MLA Laloğlu Fuat,Ceviz Naci Subclinical Arrhythmias and Conduction Disturbances in Children with Myopericarditis: A 24-hour Holter Monitorization Study. Eurasian Journal of Medicine, vol.54, no.3, 2022, ss.239 - 241. 10.5152/eurasianjmed.2022.22102
AMA Laloğlu F,Ceviz N Subclinical Arrhythmias and Conduction Disturbances in Children with Myopericarditis: A 24-hour Holter Monitorization Study. Eurasian Journal of Medicine. 2022; 54(3): 239 - 241. 10.5152/eurasianjmed.2022.22102
Vancouver Laloğlu F,Ceviz N Subclinical Arrhythmias and Conduction Disturbances in Children with Myopericarditis: A 24-hour Holter Monitorization Study. Eurasian Journal of Medicine. 2022; 54(3): 239 - 241. 10.5152/eurasianjmed.2022.22102
IEEE Laloğlu F,Ceviz N "Subclinical Arrhythmias and Conduction Disturbances in Children with Myopericarditis: A 24-hour Holter Monitorization Study." Eurasian Journal of Medicine, 54, ss.239 - 241, 2022. 10.5152/eurasianjmed.2022.22102
ISNAD Laloğlu, Fuat - Ceviz, Naci. "Subclinical Arrhythmias and Conduction Disturbances in Children with Myopericarditis: A 24-hour Holter Monitorization Study". Eurasian Journal of Medicine 54/3 (2022), 239-241. https://doi.org/10.5152/eurasianjmed.2022.22102