Clinical Features of Acute and Fulminant Myocarditis in Children – 2nd Nationwide Survey by Japanese Society of Pediatric Cardiology and Cardiac Surgery
Background:The 1st nationwide survey by the Japanese Society of Pediatric Cardiology and Cardiac Surgery of acute or fulminant myocarditis (AMC/FMC) in children revealed that the survival rate of FMC was only 51.6%. The 2nd nationwide survey was performed to evaluate the recent outcomes of pediatric...
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| Veröffentlicht in: | Circulation Journal 2016/10/25, Vol.80(11), pp.2362-2368 |
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| container_title | Circulation Journal |
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| creator | Matsuura, Hiroyuki Ichida, Fukiko Saji, Tsutomu Ogawa, Shunichi Waki, Kenji Kaneko, Masahide Tahara, Masahiro Soga, Takashi Ono, Yasuo Yasukochi, Satoshi |
| description | Background:The 1st nationwide survey by the Japanese Society of Pediatric Cardiology and Cardiac Surgery of acute or fulminant myocarditis (AMC/FMC) in children revealed that the survival rate of FMC was only 51.6%. The 2nd nationwide survey was performed to evaluate the recent outcomes of pediatric myocarditis.Methods and Results:Questionnaires regarding patients aged ≤18 years with AMC/FMC during the period from January 2006 to December 2011 were mailed. A total of 221 cases (age 6.5±5.3 years, 116 boys and 105 girls) were reported. There were 145 (65.6%) and 74 cases (33.5%) of AMC/FMC, respectively; the type of myocarditis was not reported in the remaining 2 cases (0.9%). Viruses were identified in 56 cases (25.3%), including coxsackie B in 9 and influenza A in 8. Histopathology by either endomyocardial biopsy or autopsy was obtained in 38 cases (19.2%). Intravenous immunoglobulin was effective in 49 (34.3%) of 143 cases. Steroid therapy was effective in 20 (32.8%) of 61 cases. Mechanical circulatory support was given in 54 cases (24.4%) and 94.2% of them were patients with FMC. The survival rates for the whole study population, acute myocarditis, and FMC were 75.6%, 91.0%, and 48.6%, respectively.Conclusions:The survival rate of children with myocarditis was almost identical to that of 10 years ago. (Circ J 2016; 80: 2362–2368) |
| doi_str_mv | 10.1253/circj.CJ-16-0234 |
| format | Article |
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The 2nd nationwide survey was performed to evaluate the recent outcomes of pediatric myocarditis.Methods and Results:Questionnaires regarding patients aged ≤18 years with AMC/FMC during the period from January 2006 to December 2011 were mailed. A total of 221 cases (age 6.5±5.3 years, 116 boys and 105 girls) were reported. There were 145 (65.6%) and 74 cases (33.5%) of AMC/FMC, respectively; the type of myocarditis was not reported in the remaining 2 cases (0.9%). Viruses were identified in 56 cases (25.3%), including coxsackie B in 9 and influenza A in 8. Histopathology by either endomyocardial biopsy or autopsy was obtained in 38 cases (19.2%). Intravenous immunoglobulin was effective in 49 (34.3%) of 143 cases. Steroid therapy was effective in 20 (32.8%) of 61 cases. Mechanical circulatory support was given in 54 cases (24.4%) and 94.2% of them were patients with FMC. The survival rates for the whole study population, acute myocarditis, and FMC were 75.6%, 91.0%, and 48.6%, respectively.Conclusions:The survival rate of children with myocarditis was almost identical to that of 10 years ago. (Circ J 2016; 80: 2362–2368)</description><identifier>ISSN: 1346-9843</identifier><identifier>ISSN: 1347-4820</identifier><identifier>EISSN: 1347-4820</identifier><identifier>DOI: 10.1253/circj.CJ-16-0234</identifier><identifier>PMID: 27725476</identifier><language>eng</language><publisher>Japan: The Japanese Circulation Society</publisher><subject>Acute Disease ; Acute myocarditis ; Cardiology ; Child ; Child, Preschool ; Children ; Coxsackievirus Infections - mortality ; Coxsackievirus Infections - surgery ; Disease-Free Survival ; Enterovirus B, Human ; Female ; Fulminant myocarditis ; Humans ; Infant ; Influenza A virus ; Influenza, Human - mortality ; Influenza, Human - surgery ; Japan - epidemiology ; Male ; Myocarditis - mortality ; Myocarditis - surgery ; National survey ; Societies, Medical ; Survival Rate</subject><ispartof>Circulation Journal, 2016/10/25, Vol.80(11), pp.2362-2368</ispartof><rights>2016 THE JAPANESE CIRCULATION SOCIETY</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c495t-971a516b67c85046104c12a101f3770c5c58aea67934141211322b90bcc8a08a3</citedby><cites>FETCH-LOGICAL-c495t-971a516b67c85046104c12a101f3770c5c58aea67934141211322b90bcc8a08a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1877,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27725476$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Matsuura, Hiroyuki</creatorcontrib><creatorcontrib>Ichida, Fukiko</creatorcontrib><creatorcontrib>Saji, Tsutomu</creatorcontrib><creatorcontrib>Ogawa, Shunichi</creatorcontrib><creatorcontrib>Waki, Kenji</creatorcontrib><creatorcontrib>Kaneko, Masahide</creatorcontrib><creatorcontrib>Tahara, Masahiro</creatorcontrib><creatorcontrib>Soga, Takashi</creatorcontrib><creatorcontrib>Ono, Yasuo</creatorcontrib><creatorcontrib>Yasukochi, Satoshi</creatorcontrib><title>Clinical Features of Acute and Fulminant Myocarditis in Children – 2nd Nationwide Survey by Japanese Society of Pediatric Cardiology and Cardiac Surgery</title><title>Circulation Journal</title><addtitle>Circ J</addtitle><description>Background:The 1st nationwide survey by the Japanese Society of Pediatric Cardiology and Cardiac Surgery of acute or fulminant myocarditis (AMC/FMC) in children revealed that the survival rate of FMC was only 51.6%. The 2nd nationwide survey was performed to evaluate the recent outcomes of pediatric myocarditis.Methods and Results:Questionnaires regarding patients aged ≤18 years with AMC/FMC during the period from January 2006 to December 2011 were mailed. A total of 221 cases (age 6.5±5.3 years, 116 boys and 105 girls) were reported. There were 145 (65.6%) and 74 cases (33.5%) of AMC/FMC, respectively; the type of myocarditis was not reported in the remaining 2 cases (0.9%). Viruses were identified in 56 cases (25.3%), including coxsackie B in 9 and influenza A in 8. Histopathology by either endomyocardial biopsy or autopsy was obtained in 38 cases (19.2%). Intravenous immunoglobulin was effective in 49 (34.3%) of 143 cases. Steroid therapy was effective in 20 (32.8%) of 61 cases. Mechanical circulatory support was given in 54 cases (24.4%) and 94.2% of them were patients with FMC. The survival rates for the whole study population, acute myocarditis, and FMC were 75.6%, 91.0%, and 48.6%, respectively.Conclusions:The survival rate of children with myocarditis was almost identical to that of 10 years ago. (Circ J 2016; 80: 2362–2368)</description><subject>Acute Disease</subject><subject>Acute myocarditis</subject><subject>Cardiology</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Coxsackievirus Infections - mortality</subject><subject>Coxsackievirus Infections - surgery</subject><subject>Disease-Free Survival</subject><subject>Enterovirus B, Human</subject><subject>Female</subject><subject>Fulminant myocarditis</subject><subject>Humans</subject><subject>Infant</subject><subject>Influenza A virus</subject><subject>Influenza, Human - mortality</subject><subject>Influenza, Human - surgery</subject><subject>Japan - epidemiology</subject><subject>Male</subject><subject>Myocarditis - mortality</subject><subject>Myocarditis - surgery</subject><subject>National survey</subject><subject>Societies, Medical</subject><subject>Survival Rate</subject><issn>1346-9843</issn><issn>1347-4820</issn><issn>1347-4820</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkctu00AUhi0EoqWwZ4VmycZlzlx8WVYWKY3KRQLWo-PxSTqRY4eZMci7vAPbPh28CHYS2s3c9P3fGelPktfAL0Fo-c46bzeX1TKFLOVCqifJOUiVp6oQ_OnhnKVloeRZ8iKEDeei5Lp8npyJPBda5dl5cl-1rnMWW7YgjIOnwPoVu7JDJIZdwxZDu3UddpF9HHuLvnHRBeY6Vt25tvHU_d3v_-x_MzGxnzC6vvvlGmJfB_-TRlaPbIk77ChMT711FMdZ_4Uah9E7y6rZ2Lf9ejxMO1zRzvE1-fFl8myFbaBXp_0i-b54_636kN5-vr6prm5Tq0od0zIH1JDVWW4LzVUGXFkQCBxWMs-51VYXSJjlpVSgQABIIeqS19YWyAuUF8nbo3fn-x8DhWi2Llhq2-nn_RAMFFLLQmsQE8qPqPV9CJ5WZufdFv1ogJu5E3PoxFRLA5mZO5kib072od5S8xD4X8IEXB-BTYi4pgcAfXS2pZOxmPwwr4_qR-IOvaFO_gMB46SS</recordid><startdate>20161025</startdate><enddate>20161025</enddate><creator>Matsuura, Hiroyuki</creator><creator>Ichida, Fukiko</creator><creator>Saji, Tsutomu</creator><creator>Ogawa, Shunichi</creator><creator>Waki, Kenji</creator><creator>Kaneko, Masahide</creator><creator>Tahara, Masahiro</creator><creator>Soga, Takashi</creator><creator>Ono, Yasuo</creator><creator>Yasukochi, Satoshi</creator><general>The Japanese Circulation Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20161025</creationdate><title>Clinical Features of Acute and Fulminant Myocarditis in Children – 2nd Nationwide Survey by Japanese Society of Pediatric Cardiology and Cardiac Surgery</title><author>Matsuura, Hiroyuki ; Ichida, Fukiko ; Saji, Tsutomu ; Ogawa, Shunichi ; Waki, Kenji ; Kaneko, Masahide ; Tahara, Masahiro ; Soga, Takashi ; Ono, Yasuo ; Yasukochi, Satoshi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c495t-971a516b67c85046104c12a101f3770c5c58aea67934141211322b90bcc8a08a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Acute Disease</topic><topic>Acute myocarditis</topic><topic>Cardiology</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Coxsackievirus Infections - mortality</topic><topic>Coxsackievirus Infections - surgery</topic><topic>Disease-Free Survival</topic><topic>Enterovirus B, Human</topic><topic>Female</topic><topic>Fulminant myocarditis</topic><topic>Humans</topic><topic>Infant</topic><topic>Influenza A virus</topic><topic>Influenza, Human - mortality</topic><topic>Influenza, Human - surgery</topic><topic>Japan - epidemiology</topic><topic>Male</topic><topic>Myocarditis - mortality</topic><topic>Myocarditis - surgery</topic><topic>National survey</topic><topic>Societies, Medical</topic><topic>Survival Rate</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Matsuura, Hiroyuki</creatorcontrib><creatorcontrib>Ichida, Fukiko</creatorcontrib><creatorcontrib>Saji, Tsutomu</creatorcontrib><creatorcontrib>Ogawa, Shunichi</creatorcontrib><creatorcontrib>Waki, Kenji</creatorcontrib><creatorcontrib>Kaneko, Masahide</creatorcontrib><creatorcontrib>Tahara, Masahiro</creatorcontrib><creatorcontrib>Soga, Takashi</creatorcontrib><creatorcontrib>Ono, Yasuo</creatorcontrib><creatorcontrib>Yasukochi, Satoshi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Circulation Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Matsuura, Hiroyuki</au><au>Ichida, Fukiko</au><au>Saji, Tsutomu</au><au>Ogawa, Shunichi</au><au>Waki, Kenji</au><au>Kaneko, Masahide</au><au>Tahara, Masahiro</au><au>Soga, Takashi</au><au>Ono, Yasuo</au><au>Yasukochi, Satoshi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical Features of Acute and Fulminant Myocarditis in Children – 2nd Nationwide Survey by Japanese Society of Pediatric Cardiology and Cardiac Surgery</atitle><jtitle>Circulation Journal</jtitle><addtitle>Circ J</addtitle><date>2016-10-25</date><risdate>2016</risdate><volume>80</volume><issue>11</issue><spage>2362</spage><epage>2368</epage><pages>2362-2368</pages><issn>1346-9843</issn><issn>1347-4820</issn><eissn>1347-4820</eissn><abstract>Background:The 1st nationwide survey by the Japanese Society of Pediatric Cardiology and Cardiac Surgery of acute or fulminant myocarditis (AMC/FMC) in children revealed that the survival rate of FMC was only 51.6%. The 2nd nationwide survey was performed to evaluate the recent outcomes of pediatric myocarditis.Methods and Results:Questionnaires regarding patients aged ≤18 years with AMC/FMC during the period from January 2006 to December 2011 were mailed. A total of 221 cases (age 6.5±5.3 years, 116 boys and 105 girls) were reported. There were 145 (65.6%) and 74 cases (33.5%) of AMC/FMC, respectively; the type of myocarditis was not reported in the remaining 2 cases (0.9%). Viruses were identified in 56 cases (25.3%), including coxsackie B in 9 and influenza A in 8. Histopathology by either endomyocardial biopsy or autopsy was obtained in 38 cases (19.2%). Intravenous immunoglobulin was effective in 49 (34.3%) of 143 cases. Steroid therapy was effective in 20 (32.8%) of 61 cases. Mechanical circulatory support was given in 54 cases (24.4%) and 94.2% of them were patients with FMC. The survival rates for the whole study population, acute myocarditis, and FMC were 75.6%, 91.0%, and 48.6%, respectively.Conclusions:The survival rate of children with myocarditis was almost identical to that of 10 years ago. (Circ J 2016; 80: 2362–2368)</abstract><cop>Japan</cop><pub>The Japanese Circulation Society</pub><pmid>27725476</pmid><doi>10.1253/circj.CJ-16-0234</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Acute Disease Acute myocarditis Cardiology Child Child, Preschool Children Coxsackievirus Infections - mortality Coxsackievirus Infections - surgery Disease-Free Survival Enterovirus B, Human Female Fulminant myocarditis Humans Infant Influenza A virus Influenza, Human - mortality Influenza, Human - surgery Japan - epidemiology Male Myocarditis - mortality Myocarditis - surgery National survey Societies, Medical Survival Rate |
| title | Clinical Features of Acute and Fulminant Myocarditis in Children – 2nd Nationwide Survey by Japanese Society of Pediatric Cardiology and Cardiac Surgery |
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