المظاهر السريرية و النتائج قصيرة الأمد لتدبير التهاب العضلة القلبية الحاد عند الأطفال
Other Title(s)
Clinical features and short-term outcomes of managing acute myocarditis in children
Author
Source
Issue
Vol. 33, Issue 1 (30 Jun. 2017), pp.53-68, 16 p.
Publisher
Publication Date
2017-06-30
Country of Publication
Syria
No. of Pages
16
Main Subjects
Abstract EN
Title: Clinical Features and Short-Term Outcomes of Managing Acute Myocarditis in Children.
Background & Objective: conducts the diagnosis of acute myocarditis can be challenging due to its subtle clinical signs and symptoms as it involves a wide spectrum of clinical features.
Acute Myocarditis is considered to be a significant cause of morbidity and mortality among infants and children.
This study aimed at highlighting clinical features and echocardiographic findings and their relations to prognosis and knowing the short-term outcomes of managing this dangerous disease, especially the fulminant type (AFM).
Materials and Methods: A descriptive prospective study has been conducded involving 23 cases with Acute Myocarditis fulfilling the inclusive diagnostic criteria admitted to pediatric intensive care unit over a period of two from 1/1/2012/ to 31/12/2013.
Comparison between survivors and non survivors was utilized regarding prognosis predictors.
Results:23 cases were included in this study, of whom 11 patients (47.8%) were fulminant type (AFM).
Median age was 2.7 years.
Infants percentage was 65.2%.
12 cases (52%) required mechanical ventilation.
The most important clinical features at admission were dyspnea (91.3%) , agitation and fever (82.6 %) ، and tachycardia (87%) .
Median duration of symptoms before admission was longer in non-survivors (6 days) than survivors (2.5 days) .
Sinus tachycardia with generalized low QRS voltage were noted in 87% on ECG.
Measured cardiac enzymes increased in 87% - 100% of cases.
Mean Left Ventricular Ejection Fraction (LVEF) value was 23%, and the mean Left Ventricular Fractional Shortening (LVFS) was 13% with a statistically significant difference between the survivors and non-survivors (P=0.04) .
Mortality rate was (39.1%).
Conclusion: Mortality rate in Acute Myocarditis is still high in our center due to the high percentage of fulminant type.
Evaluation of myocardial function with echocardiography renders significant prognostic indicators
American Psychological Association (APA)
البلخي، أيمن. 2017. المظاهر السريرية و النتائج قصيرة الأمد لتدبير التهاب العضلة القلبية الحاد عند الأطفال. مجلة جامعة دمشق للعلوم الطبية،مج. 33، ع. 1، ص ص. 53-68.
https://search.emarefa.net/detail/BIM-873889
Modern Language Association (MLA)
البلخي، أيمن. المظاهر السريرية و النتائج قصيرة الأمد لتدبير التهاب العضلة القلبية الحاد عند الأطفال. مجلة جامعة دمشق للعلوم الطبية مج. 33، ع. 1 (2017)، ص ص. 53-68.
https://search.emarefa.net/detail/BIM-873889
American Medical Association (AMA)
البلخي، أيمن. المظاهر السريرية و النتائج قصيرة الأمد لتدبير التهاب العضلة القلبية الحاد عند الأطفال. مجلة جامعة دمشق للعلوم الطبية. 2017. مج. 33، ع. 1، ص ص. 53-68.
https://search.emarefa.net/detail/BIM-873889
Data Type
Journal Articles
Language
Arabic
Notes
يتضمن مراجع ببليوجرافية : ص. 67-69
Record ID
BIM-873889