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. 2021 Jul 16;2021:5518979. doi: 10.1155/2021/5518979

Table 1.

Cardiac-related clinical descriptions of pediatric patients with COVID-19.

Reference Number of cases Country Age Sex Physical exam ECG Echo Elevated labs Imaging Treatment Outcome
[19] 1 China 55 d F Tachycardia, respiratory distress, pharyngeal hyperemia, cough NA NA Troponin, CK-MB, procalcitonin Ground-glass opacities, pneumonia IVIG, inhaled interferon alfa 1b, glutathione, Chinese lotus qingwen Survived
[20] 1 China 13 m M Cough, crackles NA Heart failure CRP, creatinine kinase, D-dimer, IL6, interferon-gamma, Multiple patch-like shadows, pneumonia Virazole, oseltamivir, interferon, IVIG, steroids, oxygen therapy, mechanical ventilation Survived
[21] 9 China 11 m-10 y 3M Productive cough NA NA CK-MB, Pro-BNP, D-dimer Pulmonary consolidation, ground-glass opacities Inhaled interferon, ribavirin, lopinaviritonavir NA
[17] 13/2135 China 0–18 y 12M NA NA Heart failure NA NA NA NA
[22] 3 USA 6–13 y 2M Tachycardia, tachypnea, hypotension, systolic murmur, dyspnea Sinus tachycardia Depressed function, MR, flow reversal in descending aorta, pericardial effusion Procalcitonin, D-dimer, fibrinogen, troponin, CRP, LDH NA IL6 inhibitor, IVIG, hydroxychloroquine Survived
[23] 21 France 3–17 y 9M Cough QT prolongation, ST-segment elevation, ventricular arrhythmia Coronary artery dilatation, myocarditis, pleural effusion, depressed ejection fraction CRP, procalcitonin, IL6, Pro-BNP, D-dimer Local patchy shadows, ground-glass opacities, interstitial abnormalities IVIG, aspirin, corticosteroids, inotropes, oxygen support, mechanical ventilation Survived
[24] 1 USA 6 y F Syncope, respiratory distress, hypotension Junctional rhythm Depressed ejection function, MR CRP, procalcitonin, Pro-BNP, D-dimer Diffuse patchy infiltrates Aspirin, IVIG, inotropic support, oxygen support, ECMO Survived
[25] 99 USA 0–20 y 53M Hypotension, cough, shortness of breath, wheezing NA Ventricular dysfunction, pericardial effusion, CAA Troponin, Pro-BNP, D-dimer, CRP, fibrinogen, ferritin, ESR Opacities, pleural effusion Corticosteroids, IVIG, oxygen support, inotropic support, ECMO 2/99 died
[26] 186 USA 0–20 y 115M NA NA Coronary artery dilatation, CAA, depressed EF, pericardial effusion Pro-BNP, troponin, D-dimer, fibrinogen, INR NA IL6 inhibitors, IL1Ra inhibitor, IVIG, corticosteroids mechanical ventilation, ECMO, vasopressor support, oxygen support 4/186 died
[27] 15 USA 3–20 y 11M Cough, dyspnea, chest pain, tachycardia, hypotension Ventricular tachycardia, and ectopy, diffuse ST elevation Depressed LV/biventricular function, coronary artery ectasia and dilatation, cardiogenic shock Troponin, Pro-BNP, fibrinogen, CRP, D-dimer, procalcitonin, IL6, IL8, TNF alfa Ground-glass opacities, pleural effusion IVIG, steroids, anakinra, remdesivir, inotropic support, anticoagulation, mechanical ventilation, ECMO, intraaortic balloon pump, tocilizumab, COVID-19 convalescent plasma, 1/15 died
[28] 5 France and Switzerland 2–16 y 18M Respiratory distress, chest pain Ventricular arrhythmia, nonspecific ST elevation Cardiogenic shock, LV dysfunction and hypokinesis, coronary artery dilatation, pericardial effusion Troponin, creatinine kinase, Pro-BNP, D-dimer, CRP, procalcitonin, IL6 NA Inotropic support, mechanical ventilation, ECMO, IVIG, steroids, anakinra Survival
[29] 4 USA 3–20 y 3M Tachycardia Low voltage nonspecific T-wave changes, right axis deviation, ST-segment elevation, QTc prolongation Myocarditis, MR, depressed LV and RV functions, pericardial effusion CRP, ferritin, troponin, pro-BPN, D-dimer, ferritin, fibrinogen NA IVIG, anticoagulation, tocilizumab, convalescent plasma, mechanical ventilation, ECMO 1/4 died
[30] 1 USA 6 m F Tachycardia, tachypnea NA Normal ESR, CRP Opacities Aspirin, IVIG Survived
[31] 156 France 5–11 y 77M NA NA Myocarditis NA NA Mechanical ventilation, inotropic support 1/156 died