| Abstract [eng] |
Title: Coronary Syndrome in Patients with Inflammatory Heart Diseases Introduction: Inflammatory heart disease in children often remains a clinical challenge sometimes associated with sudden cardiac death. The most common ethiology od myocarditis in children is viral infection caused by adenoviruses, enteroviruses, parvovirus B19 or human herpes virus. Severe acute respiratory syndome cononavirus - 2 can cause multisystem inflammatory syndrome and also affect the heart. Aim: To evaluate the relationship between clinical symptoms in children with inflammatory myocardial disease and the intensity of myocardial damage by assessing the level of troponin I in the blood. Methods: MEDLINE (PubMed) database was used for systematic literature review information search. The keywords "(((((myocarditis) OR (perimyocarditis)) OR (chest pain)) OR (elevated troponin)) OR (coronary syndrome)) AND (children)" were used. Additional filters were applied: language, age, type, publication year. Publications from 2017-04-01 to 2022-04-01 were used. 12 scientific publications meeting the inclusion criteria were included. Statistical analysis was performed using IBM SPSS 26.0 and MS Excel programs. Results and conclusions: A statistically significant correlation between coronary syndrome and T wave inversion was observed. Chest pain, fever and gastrointestinal symptoms were more common than dyspnoea or syncope at higher troponin I value patients group. Patients with lower troponin I values had symptoms of heart failure. The higher troponin group was associated with sinus tachycardia, more frequent dyskinesia, and valvular lesions. In the group with lower troponin I value, the changes in the ECG were more expressed. Changes in the ST segment, inversion of the T wave. Same group was associated with left ventricular dysfunction, edema, pericardial effusion, late gadolinium accumulation, myocardial wall changes. Chest pain, heart failure, dyspnea, fatigue, and syncope are more common in patients of another etiology group. |
