Pediatric myocarditis: presenting clinical characteristics
| Autor: | Steven M. Selbst, Yamini Durani, Alan L. Nager, Jeanne M. Baffa, Matthew Egan |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Cardiomyopathy
Dilated Male medicine.medical_specialty Pediatrics Myocarditis Cardiomyopathy Tachypnea Diagnosis Differential Electrocardiography Risk Factors Intensive care medicine Humans Retrospective Studies Respiratory distress business.industry Respiratory infection Dilated cardiomyopathy General Medicine Hospitals Pediatric medicine.disease Surgery Cross-Sectional Studies Echocardiography Child Preschool Acute Disease Emergency Medicine Female Radiography Thoracic Diagnosis code medicine.symptom business |
| Zdroj: | The American Journal of Emergency Medicine. 27:942-947 |
| ISSN: | 0735-6757 |
| DOI: | 10.1016/j.ajem.2008.07.032 |
| Popis: | Objective The objective of the study was to characterize the clinical profiles of pediatric patients with acute myocarditis and dilated cardiomyopathy (DCM) before diagnosis. Methods A retrospective cross-sectional study was conducted to identify patients with myocarditis and DCM who presented over a 10-year span at 2 tertiary care pediatric hospitals. Patients were identified based on the International Classification of Diseases, Ninth Revision , diagnostic codes. Results A total of 693 charts were reviewed. Sixty-two patients were enrolled in the study. Twenty-four (39%) patients had a final diagnosis of myocarditis, and 38 (61%) had DCM. Of the 62 patients initially evaluated, 10 were diagnosed with myocarditis or DCM immediately, leaving 52 patients who required subsequent evaluation before a diagnosis was determined. Study patients had a mean age of 3.5 years, 47% were male, and 53% were female. Common primary complaints were shortness of breath, vomiting, poor feeding, upper respiratory infection (URI), and fever. Common examination findings were tachypnea, hepatomegaly, respiratory distress, fever, and abnormal lung examination result. Sixty-three percent had cardiomegaly on chest x-ray, and all had an abnormal electrocardiogram results. Conclusions These data suggest children with acute myocarditis and DCM most commonly present with difficulty breathing. Myocarditis and DCM may mimic other respiratory or viral illnesses, but hepatomegaly or the finding of cardiomegaly and an abnormal electrocardiogram result may help distinguish these diagnoses from other more common pediatric illnesses. |
| Databáze: | OpenAIRE |
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