Children (Jun 2022)

Advanced Echocardiographic Analysis in Medium-Term Follow-Up of Children with Previous Multisystem Inflammatory Syndrome

  • Massimo Garbin,
  • Irene Raso,
  • Alessandra Piersanti,
  • Laura Gianolio,
  • Annalisa De Silvestri,
  • Valeria Calcaterra,
  • Carla G. Corti,
  • Luisa F. Nespoli,
  • Sara Santacesaria,
  • Giulia Fini,
  • Dario Dilillo,
  • Gianvincenzo Zuccotti,
  • Savina Mannarino

DOI
https://doi.org/10.3390/children9060917
Journal volume & issue
Vol. 9, no. 6
p. 917

Abstract

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Multisystem inflammatory syndrome in children (MIS-C) is a severe hyperinflammatory disease related to SARS-CoV2 infection, with frequent cardiovascular involvement in the acute setting. The aim of the study was to evaluate the cardiac function at 6 months. Thirty-two patients diagnosed with MIS-C were enrolled and underwent advanced echocardiogram at discharge and at 6 months. According to the left ventricular ejection fraction (LVEF) at admission, the patients were divided into group A (LVEF p-value 0.02), but the difference was no longer significant at the follow-up. Patients with MIS-C can present with depressed cardiac function, but if treated, the cardiac function recovered without late onset of cardiac disease. This favorable result was independent of the severity of acute LV dysfunction.

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