Skip to main content
. 2020 Oct 4;42(1):19–35. doi: 10.1007/s00246-020-02476-y

Table 3.

Potential electrocardiographic and echocardiographic findings in MIS-C

Electrocardiographic abnormalities and arrhythmias
Abnormalities related to myocardial dysfunction or myocarditis

Diffuse ST segment elevation or depression

T wave abnormality (inversion in lateral leads)

Low QRS voltages

Premature ventricular contractions

Ventricular tachycardia

Abnormalities similar to Kawasaki disease

Non-specific ST and T wave changes

Myocardial ischemia

PR prolongation

Ventricular arrhythmia

Sinus node dysfunction and heart block

Sinus node dysfunction (bradycardia)

PR prolongation

Atrioventricular block

Inherited arrhythmias and sudden death

Prolonged QT

Unmasking of Brugada pattern in patients with underlying Brugada syndrome in setting of fever

Sudden cardiac death due to fatal arrhythmias

Echocardiographic abnormalities
Ventricles Depressed function of either or both ventricles, may be severe and may exhibit global or regional dysfunction
Abnormal myocardial strain
Apical thrombus in setting of severely depressed function
Coronary arteries Abnormal enhancement of coronary arterial walls
Coronary arterial ectasia or dilation
Aneurysm formation
Thrombus formation in setting of severe coronary dilation
Valves Valvulitis with valvar insufficiency, particularly the mitral valve
Pericardium Pericardial effusion
Aortic root Aortic root dilation