Arrhythmia and COVID-19 in children

Mi Kyoung Song1, Bryan Kwon2

  • 1Department of Pediatrics, Seoul National University Children's Hospital, Seoul National University College of Medicine, Seoul, Korea.

Insights

Arrhythmia in children with COVID-19 is rare but can occur. This review examines the epidemiology, symptoms, and outcomes of pediatric arrhythmia linked to SARS-CoV-2 infection.

Area of Science:

  • Pediatric Cardiology
  • Infectious Diseases
  • Cardiac Electrophysiology

Background:

  • Coronavirus disease 2019 (COVID-19), caused by SARS-CoV-2, has led to a global pandemic.
  • Cardiovascular complications, including arrhythmia, are recognized in adult COVID-19 patients.
  • Limited data exist on arrhythmia in pediatric SARS-CoV-2 infections, despite potential cardiovascular involvement in related conditions like MIS-C.

Purpose of the Study:

  • To review the current literature on pediatric arrhythmia associated with COVID-19.
  • To understand the epidemiology, clinical manifestations, and outcomes of these arrhythmic events.
  • To highlight the need for further research in this understudied area.

Main Methods:

  • Systematic review of existing studies on pediatric COVID-19 and arrhythmia.
  • Analysis of reported cases focusing on epidemiological data.
  • Examination of clinical presentations, diagnostic findings, and patient outcomes.

Main Results:

  • Pediatric arrhythmia in the context of COVID-19 appears to be infrequent.
  • Reported cases show varied arrhythmic patterns and clinical significance.
  • Outcomes data are limited but suggest a need for vigilance.

Conclusions:

  • While uncommon, pediatric arrhythmia is a potential complication of SARS-CoV-2 infection.
  • Further research is crucial to fully characterize the risks and management of pediatric COVID-19-associated arrhythmias.
  • Increased cardiovascular surveillance may be warranted in pediatric COVID-19 cases.

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