Compromiso cardiovascular en pacientes con Síndrome Inflamatorio Pediátrico Multisistémico, asociado a infección por SARS-CoV- 2

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dc.contributor.authorÁlvarez, Patricia
dc.contributor.authorAcevedo, Valeria
dc.contributor.authorValenzuela, María Lidia
dc.contributor.authorMontesae, Vicente
dc.contributor.authorCampos, Carolina
dc.contributor.authorKoch, Katherine
dc.contributor.authorGonzález, Soledad.
dc.contributor.authorPoli, Cecilia
dc.contributor.authorVerdugo, Patricia
dc.contributor.authorCofré, Fernanda
dc.contributor.authorMackenney, Jorge
dc.contributor.authorTapia, Lorena
dc.date.accessioned2022-04-07T20:57:57Z
dc.date.available2022-04-07T20:57:57Z
dc.date.issued2020
dc.description.abstractIntroduction: Pediatric Multisystemic Inflammatory Syndrome (PIMS) has emerged as a new disease in children, secondary to SARSCoV-2 infection. It is characterized by multi-organ involvement with elevated inflammatory parameters and severe clinical manifestations, the heart being the organ most severely involved. Objective: to describe the clinical and laboratory characteristics of 23 patients diagnosed with PIMS with cardiovascular involvement hospitalized in a single center. Method: We conducted a retrospective study in which we analyzed the clinical and laboratory findings along with the cardiovascular manifestations presented by these patients. Results: 23/29 patients with PIMS and cardiovascular involvement were selected, 78% had digestive and mucocutaneous manifestations. Cardiovascular manifestations consisted of KawasakiKawasaki like syndrome without coronary involvement in 15/23 (65%) and coronary involvement in 3 (13%). Nine patients developed shock (39%), 8 (35%) myocardial injury in and 13 (56%) pericardial effusion.. Heart rhythm disorders were observed in 6 patients (26%). The main therapy was immunoglobulin and corticosteroids. 18 /23 required management in intermediate and/or intensive care unit. 70% of patients recovered from cardiovascular involvement before discharge. Conclusion: Cardiovascular involvement in PIMS is the most frequent complication of this disease, but it is associated with severe immunological and hematological manifestations, which makes necessary a multidisciplinary treatment for a better managementes
dc.description.versionVersión Publicadaes
dc.identifier.citationÁlvarez Patricia, Acevedo Valeria, Valenzuela María Lidia, Montes Vicente, Aroca Patricia, García Carla et al . Compromiso cardiovascular en pacientes con Síndrome Inflamatorio Pediátrico Multisistémico, asociado a infección por SARS-CoV-2. Rev Chil Cardiol [Internet]. 2020 Dic [citado 2022 Abr 07] ; 39( 3 ): 208-215. Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-85602020000300208&lng=es. http://dx.doi.org/10.4067/S0718-85602020000300208.es
dc.identifier.urihttp://dx.doi.org/10.4067/S0718-85602020000300208es
dc.identifier.urihttp://hdl.handle.net/11447/5957
dc.language.isoenes
dc.subjectCovid-19es
dc.subjectAneurisma de arteria coronariaes
dc.subjectKawasakies
dc.subjectInjuria miocárdicaes
dc.titleCompromiso cardiovascular en pacientes con Síndrome Inflamatorio Pediátrico Multisistémico, asociado a infección por SARS-CoV- 2es
dc.title.alternativeCardiovascular involvement in pediatric patients with SARS-CoV-2 associated to multisystemic inflammatory syndromees
dc.typeArticlees
dcterms.sourceRevista chilena de cardiologíaes

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