Brugada Pattern in a Child with Severe SARS-CoV-2 Related Multisystem Inflammatory Syndrome

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Angelica De Nigris1, Angela Pepe2, Giangiacomo Di Nardo3

  • 1Department of Woman, Child and General and Specialist Surgery, University of Campania "Luigi Vanvitelli", 80138 Naples, Italy.

Pediatric Reports
|September 26, 2021
PubMed

Insights

This case report details a child with Multisystem Inflammatory Syndrome in Children (MIS-C) who developed a Brugada pattern and supraventricular arrhythmias. It highlights the complex cardiac management required in such pediatric cases.

Area of Science:

  • Pediatric Cardiology
  • Infectious Diseases
  • Electrophysiology

Background:

  • Multisystem Inflammatory Syndrome in Children (MIS-C) is a serious condition following SARS-CoV-2 infection.
  • Brugada pattern is an inherited cardiac condition that can increase the risk of sudden cardiac death.
  • Supraventricular arrhythmias are abnormal heart rhythms originating above the ventricles.

Observation:

  • A 7-year-old boy presented with symptoms consistent with MIS-C.
  • Electrocardiogram (ECG) revealed a type 1 Brugada pattern upon admission.
  • The child subsequently experienced supraventricular arrhythmias during hospitalization.

Findings:

  • This is the first reported case of Brugada pattern complicated by supraventricular arrhythmia in a child with MIS-C.
  • The co-occurrence presents unique diagnostic and management challenges.
  • ECG findings indicated significant cardiac electrical abnormalities.

Implications:

  • This case underscores the importance of cardiac monitoring in children with MIS-C.
  • It highlights the complexity of managing supraventricular arrhythmias in patients with Brugada pattern and systemic inflammation.
  • Careful consideration of all therapeutic options is crucial for optimal patient outcomes.

Keywords:
Brugada syndromeSARS-CoV-2childrenmultisystem inflammatory syndrome

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