Could the unfortunate outcome of pediatric acute myocarditis be predicted? Factors contributing to a poor outcome in myocarditis
Myocarditis has spontaneous resolution in 50% of patients. Our study aimed to define risk factors for developing dilated cardiomyopathy (DCM) and death in pediatric patients with acute myocarditis (AM). The retrospective cohort study included all patients with treated AM. The Mother and Child Health...
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Veröffentlicht in: | Revista portuguesa de cardiologia (English ed.) 2021-09, Vol.40 (9), p.631-638 |
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Zusammenfassung: | Myocarditis has spontaneous resolution in 50% of patients. Our study aimed to define risk factors for developing dilated cardiomyopathy (DCM) and death in pediatric patients with acute myocarditis (AM).
The retrospective cohort study included all patients with treated AM. The Mother and Child Health Institute from January 2011 to March 2019.
In the study, 62 patients were included, 40 boys and 22 girls (11.15±5.86 years) with AM. Twelve out of sixty-two children had acute fulminant myocarditis. Four patients died in the acute phase of AM, and 11 developed DCM. Follow up was 27.14±36.52 months. Patients with poor outcome (DCM development) were under the age of seven (odds ratio [OR] 10.1; p=0.003), more likely to be girls (OR 4.6; p=0.03), and had fulminant myocarditis (OR 27.0; |
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ISSN: | 2174-2049 2174-2049 |
DOI: | 10.1016/j.repce.2020.10.020 |