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. 2021 Apr 15;35:169–178. doi: 10.1016/j.carrev.2021.04.007

Table 3.

Types of cardiac abnormalities in 35 children/adolescents with COVID-19 who developed cardiac injury in the included case reports/series and the cohort study without control.

Condition Specific/additional complications N = 35 Age Comorbidity Identification method Treatment Outcome Study
Myocarditis
N = 29
1 M 38 days None Elevated Troponin and CMR NR Recovered Del Barba et al. [23]
1 F 2 months None Elevated Troponin T and TTE Antibiotics, IVg Recovered Giacomet et al. [23]
1 M 16 years None Elevated Troponin I and ECG Antiviral, aspirin, HCQ, NSAID Recovered Genecchi et al. [25]
20 (10 M, 10F) 2.9–15 years None Elevated Troponin, ECG and TTE Dobutamine, epinephrine, HFOT, IL-1 receptor antagonist, IMV, inotropes, intubation, IVIg, milrinone, NIV, norepinephrine, steroids, tocilizumab Recovered Grimaud et al. [27]
1 M 8 years None Elevated Troponin T, TTE and CMR Antibiotics, anticoagulant, dobutamine, IVIg, milrinone, oxygen support, tocilizumab Recovered Oberweis et al. [32]
Kawasaki disease like symptoms 4 6–12 years None Elevated Troponin I and/or CMR/TTE Aspirin, HFOT, IMV, IVIg, steroids, vasoactive agents, volume expanders Recovered Blondiaux et al. [20]
1 M 5 years None TTE Antibiotics, ACEi, diuretics, inotropic support, IVIg, HFOT, steroids Recovered Rauf et al. [34]
Kawasaki disease like symptoms only
N = 1
1 F 11 years None Elevated Troponin and TTE Antivirals, convalescent plasma, enoxaparin, IVIg, milrinone, norepinephrine, vitamin K, steroids, tocilizumab, vitamin K Recovered Greene et al. [26]
Other types of cardiac Injury
N = 5
1 M 2 months None Elevated Troponin IFN inhalation Recovered Cai et al. [21]
1 M 16 years Non-CVDa Elevated Troponin T and TTE Epinephrine, hydrocortisone, HCQ, milrinone, IV fluids Recovered Latimer et al. [30]
MODS 2 (F,M) 10, 14 months Non-CVDa Not specified Ribavirin, blood purification IFN inhalation, IMV, IV, IVIg, Methylprednisone, O2 support 1 Died
1 Recovered
Cai et al. [21]
RV Failure and cardiogenic shock 1 6 months Non-CVDa Elevated Troponin I, ECG and TTE Antibiotics, anticoagulants, HCQ, IMV, milirinone, norepinephrine, tocilizumab Recovered Rodriguez-Gonzalez et al. [33]

ACEi: angiotensin converting enzyme inhibitors; CVD: Cardiovascular diseases; ECMO: Extra Corporeal Membrane Oxygenation; HCQ: Hydroxychloroquine, HFOT: High Flow Oxygen Therapy; N: Number of patients; NR: Not reported; CMR: Cardiovascular Magnetic Resonance Imaging; Therapy; CT: Computed Tomography; ECG: Electrocardiography; ECHO: echocardiogram; IVIg: Intravenous Immunoglobulin; MODS: Multisystem Organ Dysfunction Syndrome; NIV: Non-Invasive Ventilation; NSAID: Non-Steroidal Anti Inflammatory Drugs; N: Number of patients; NR: Not reported; RV: Right Ventricle; TTE: Transthoracic Echocardiography.

a

All comorbidities are listed in Supplementary Table 3.