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Acute nonspecific carditis in adolescents presenting with Stokes-Adams attacks
R Das Gupta1, M K Das, S Mitra
1Dept. of Cardiology, EKO Heart Foundation, Calcutta.
The Journal of the Association of Physicians of India
|February 28, 2001
Summary
Acute myocarditis in adolescents caused severe heart rhythm problems, including atrioventricular block and ventricular arrhythmias. All patients recovered fully after temporary pacing and supportive care.
Area of Science:
- Cardiology
- Pediatric Cardiology
- Electrophysiology
Background:
- Acute myocarditis can lead to serious cardiac complications in children and adolescents.
- Atrioventricular block, atrioventricular silence, and ventricular arrhythmias are critical manifestations.
- Stokes-Adams attacks represent a severe consequence of these arrhythmias.
Purpose of the Study:
- To report on three adolescent cases of Stokes-Adams attacks secondary to acute myocarditis.
- To highlight the management and outcomes of these complex cases.
Main Methods:
- Case series involving three adolescent patients (12-17 years old).
- Clinical presentation, diagnostic workup, and therapeutic interventions were reviewed.
- Focus on management of atrioventricular block, arrhythmias, and associated complications like anuria.
Main Results:
- All three patients presented with Stokes-Adams attacks due to atrioventricular block, atrioventricular silence, and ventricular arrhythmias.
- Temporary cardiac pacing was required for a few days in all patients.
- One patient needed hemodialysis for anuria, which resolved.
- Complete recovery was achieved in all cases.
Conclusions:
- Acute myocarditis can precipitate life-threatening arrhythmias and conduction abnormalities in adolescents.
- Prompt recognition and management, including temporary pacing, are crucial for favorable outcomes.
- Adolescents with severe myocarditis complications can achieve full recovery with appropriate supportive care.