Retrospective evaluation of myopericarditis/perimyocarditis patients: Retrospective research; [Miyoperikardit/perimiyokardit hastaların retrospektif değerlendirilmesi: Retrospektif araştırma]
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Date
2021
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Abstract
Objective: Myocardium is predominantly affected in perimyocarditis and pericardium in myopericarditis; yet, both are inflammatory syndromes characterized by partial involvement of both myocardium and pericardium. This study aimed to evaluate the clinical presentation at the time of referral, laboratory differential diagnoses, imaging techniques, and our clinical experience in patients diagnosed with acute perimyocarditis/myopericarditis in our clinic, along with the effect of our treatment management on mortality. Material and Methods: The files of the patients diagnosed with perimyocarditis/myopericarditis referred to the pediatric cardiology unit between 01.01.2015-01.08.2017 were retrospectively analyzed. The patients’ demographic characteristics, physical examination findings and advanced imaging examination results were recorded. Results: The age range of the patients was 1-17 years (13±5.47). The referral complaints were chest pain in 16 (88.9%) patients, fever in one patient, and enteritis in one patient. Cardiac enzyme levels were high in all patients. The ejection fraction (EF) of five patients (27.7%) was below 55%. Mortality was observed in only one patient. There was no difference between patients who received intravenous immunoglobulin (IVIG) and those who did not, in terms of left ventricular diastolic and systolic diameters, EF, fractional shortening, and chest pain (p=0.566, 1.000, 0.095, 0.208, respectively). Conclusion: Perimyocarditis/myopericarditis should be considered in patients who present with complaints such as chest pain and palpitations and who have a history of upper respiratory tract infection. Although perimyocarditis/myopericarditis is often a self-limiting disease even without treatment, close follow-up of these patients with hospitalization should be taken into consideration, and IVIG administration together with non-steroidal anti-inflammatory drugs should be considered in selected patients. © 2021 by Türkiye Klinikleri.
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heart enzyme , immunoglobulin , adolescent , Article , cardiac patient , cardiovascular mortality , child , childhood mortality , clinical article , controlled study , enteritis , enzyme blood level , evaluation study , fever , follow up , heart ejection fraction , heart left ventricle contraction , heart left ventricle ejection fraction , heart palpitation , human , left ventricular fractional shortening , myopericarditis , patient referral , pediatric patient , physical examination , preschool child , retrospective study , thorax pain , upper respiratory tract infection