Implementation of a practice plan for the outpatient cardiac evaluation of children after acute SARS-CoV-2 infection and a report of outcomes

Am Heart J. 2021 Nov:241:83-86. doi: 10.1016/j.ahj.2021.06.014. Epub 2021 Jul 22.

Abstract

SARS-CoV-2 infection has been associated with cardiovascular disease in children, but which children need cardiac evaluation is unclear. We describe our experience evaluating 206 children for cardiac disease following SARS-CoV-2 infection (one of whom had ventricular ectopy) and propose a new guideline for management of these children. Routine cardiac screening after SARS-CoV-2 infection in children without any cardiac signs or symptoms does not appear to be high yield.

Publication types

  • Letter

MeSH terms

  • Adolescent
  • Aftercare*
  • Ambulatory Care
  • Atrioventricular Block / diagnosis
  • Atrioventricular Block / etiology
  • Atrioventricular Block / physiopathology
  • Bradycardia / diagnosis
  • Bradycardia / etiology
  • Bradycardia / physiopathology
  • COVID-19 / complications
  • COVID-19 / physiopathology*
  • Cardiology
  • Chest Pain / physiopathology
  • Child
  • Child, Preschool
  • Dyspnea / physiopathology
  • Echocardiography
  • Electrocardiography
  • Fatigue / physiopathology
  • Female
  • Heart Diseases / diagnosis*
  • Heart Diseases / etiology
  • Heart Diseases / physiopathology
  • Humans
  • Hypertrophy, Left Ventricular / diagnosis
  • Hypertrophy, Left Ventricular / etiology
  • Hypertrophy, Left Ventricular / physiopathology
  • Hypertrophy, Right Ventricular / diagnosis
  • Hypertrophy, Right Ventricular / etiology
  • Hypertrophy, Right Ventricular / physiopathology
  • Implementation Science
  • Male
  • Pediatrics
  • Practice Guidelines as Topic
  • Referral and Consultation*
  • SARS-CoV-2
  • Severity of Illness Index
  • Syncope / physiopathology
  • Ventricular Premature Complexes / diagnosis
  • Ventricular Premature Complexes / etiology
  • Ventricular Premature Complexes / physiopathology
  • Young Adult