2021, Number 1
<< Back Next >>
Rev Cubana Pediatr 2021; 93 (1)
Clinical, epidemiological and cardiovascular aspects in children convalescents of COVID-19 in in Villa Clara province, Cuba
Ley VL, Pérez MFE, López GLR, Noa MMD, Satorre YJA, Alfonso CY
Language: Spanish
References: 28
Page: 1-20
PDF size: 1317.45 Kb.
ABSTRACT
Introduction:
COVID-19 is caused by SARS-CoV-2 coronavirus and it has become a pandemic in 185 countries. Cuba has faced this pandemic without having any deaths in the pediatric ages.
Objective:
Examine clinical, epidemiological and cardiovascular aspects in patients under 18 years’ old who are convalescents of COVID-19.
Methods:
Descriptive cross-sectional study in 36 patients diagnosed with COVID-19 from March to May, 2020 in Villa Clara province, Cuba; whom were attended after the clinical and epidemiological discharge in the Cardiology consultation of “José Luis Miranda” University Hospital in July, 2020.The non-probabilistic sample was formed with the patients that went to the consultation. The variables studied were: age, sex, weight, size, personal and epidemiological pathologic background, period of hospitalization, physical exam, initial and during recovery’s complementary tests. The results were expressed in absolute and relative values.
Results:
There was a predominance of patients older than 10 years (60.0 %), female sex (55.5 %), optimal nutritional state and no chronic diseases. Santa Clara and Camajuaní presented events of local transmission and showed higher incidence rates. Most of the patients there were asymptomatic, and were detected mainly due to the epidemiological record of confirmed and suspicious cases (89.0 %). Complications in the initial phases of convalescents were myocarditis and pericarditis (13.8 %).
Conclusions:
There were detected cardiovascular complications as a consequence of the viral infection by SARS-CoV-2 coronavirus, with epidemiological, clinical, electrocardiographic, thorax radiology and echocardiographic criteria.
REFERENCES
Irabien-Ortiz A, Carreras-Mora J, SionisA,Pámies J, MontielaJ,Tauron M. Miocarditis fulminante por COVID-19. RevEspCardiol. 2020 [acceso_10_/08/2020];73(6):503-15. Disponible en: https://www.revespcardiol.org/es-miocarditis-fulminante-covid-19-avance-S0300893220302761
Ministerio de Salud Publica. Informe Nacional de Epidemiologia pacientes con COVID-19. La Habana, Cuba: Minsap; 2020.Disponible en: https://www.google.com/amp/www.cubadebate.cu/noticias/2020/09/15/cuba-reporta-77-nuevos-casos-de-covid-19-fallecidos-y-altas-medicas-video/amp/
ProhíasProhías Martínez JA. Consideraciones para los cardiólogos que están en primera línea en la atención al COVID-19.Rev Cubana CardiolCirCardiovasc. 2020 [acceso_12_/08/2020];26(2). Disponible en: http://revcardiologia.sld.cu/index.php/revcardiologia/article/view/996/pdf
Protocolo de actuación nacional para la Covid-19. Versión 1.5. La Habana: Ministerio de Salud Pública; 2020 [acceso_01_/09/2020]. Disponible en: https://files.sld.cu/editorhome/files/2020/08/VERSION-5-DEL-PROTOCOLO-PARA-PUBLICAR-13-DE-AGOSTO-2020.pdf
Long B, Brady W, Koyfman A, Gottlieb M. Cardiovascular complications in COVID-19. Am J EmergMed. 2020 [acceso_10_/08/2020];38(7):1504-7. Disponible en: https://doi.org/10.1016/j.ajem.2020.04.048Ç
Hermanni M, Sparano A, Borges F, Marcano E. COVID-19 en Cardiología pediátrica y cardiopatía congénita. Venezuela: Sociedad Venezolana de Cardiología; 2020. [acceso_21_/09/2020].Disponible en: https://svcardiologia.org/es/especiales/coronavirus/493-covid-19-cardiologia-pediatrica-congenita.html
Lazzerini PE, Boutjdir M, Capecchi PL. COVID-19, Arrhythmic Risk and Inflammation: Mind the Gap! Circulation 2020 [acceso_10_/08/2020]; 1(8). Disponible en:http://www.ncbi.nlm.nih.gov/pubmed/32286863
Clinica Mayo [Internet]. Estados Unidos: 2020. Coronavirus in babies and children. [acceso_30_/08/2020]. Disponible en: https://www.mayoclinic.org/es-es/diseases-conditions/coronavirus/in-depth/coronavirus-in-babies-and-children/art-20484405
Kamps BS, Hoffmann C. COVID Reference. 4th ed. Hamburgo: SteinhauserVerlag Press; 2020. Disponible en: https://www.COVIDReference.com
Manejo pediátrico en atención primaria del COVID-19.Versión 18.España: AEP;2020. Disponible en: https://www.mscbs.gob.es/profesionales/saludPublica/ccayes/alertasActual/nCov/documentos/Manejo_pediatria_ap.pdf
Merino-Navarro D, Díaz-Periánez C. Prevención y tratamiento de la COVID-19 enla población pediátrica desde una perspectiva familiar y comunitaria: artículo especial. EnfermClin. 2020; [acceso_30_/08/2020] 15(1). Disponible en: https://doi.org/10.1016/j.enfcli.2020.05.005
Coronavirus disease 2019 in children- United States.MMWR,2020;69:422-6. doi: http://dx.doi.org/10.15585/mmwr.mm6914e4externalicon
Albañil Ballesteros MR. Pediatría y Covid-19.Rev Asociacion Española Pediatr Aten Primaria 2020; 22:25-8.
Acosta Torres J, Pérez Cutiño M, Rodríguez Prieto M, Morales González A. COVID-19 en pediatría: aspectos clínicos, epidemiológicos, inmunopatogenia, diágnóstico y tratamiento. RevCubanaPediatr. 2020 [acceso_30_/08/2020];92(Supl. especial):e1152. Disponible en: http://www.revpediatria.sld.cu/index.php/ped/article/view/1152
Paz Álvarez LA, Peralta Campos Y, Cabrera Hernández M, Figueroa Pérez E, Reyes Rivadulla CM. Enfermedad por coronavirus 2019 en pacientes pediátricos de Pinar del Río. Rev Ciencias Médicas. 2020 [acceso_10_/09/2020];24(3):e4509. Disponible en: http://revcmpinar.sld.cu/index.php/publicaciones/article/view/4509
Eastin C, Eastin T. Epidemiological characteristics of 2143 pediatric patients with 2019 coronavirus disease in China. J EmergMed. 2020 [acceso_10_/09/2020];58(4): 712-3. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7266747/
Guías NIH ( National Institutes of Health) (USA) : tratamiento de COVID-19. Actuación en niños. https://covid19treatmentguidelines.nih.gov
Driggin E, Madhavan M, Bikdeli B. Consideraciones cardiovasculares durante la pandemia COVID-19. El impacto CV de COVID-19, sus posibles consecuencias en pacientes con ECV establecida.J Am CollCardiol. 2020 [acceso_30_/08/2020];75(18): 2352-71.Disponible en: https://www.intramed.net/contenidover.asp?contenidoid=96391
Most ZM, Hendren N, Drazner MH, Perl TM. The striking similarities of multisystem inflammatory syndrome in children and a myocarditis-like syndrome in adults: overlapping manifestations of COVID-19.Circulation.2020[acceso_20_/09/2020];120. Disponible en: https://www.ahajournals.org/doi/pdf/10.1161/CIRCULATIONAHA.120.050166
Noda Albelo AL, Castro Pacheco BL, López González LR, Robaina Castellanos GR. Síndrome inflamatorio multisistémico en niños asociado a COVID-19. Rev Cubana Pediatr. 2020 [acceso_20_/08/2020];92(Supl. especial):e1202. Disponible en:http://revpediatria.sld.cu/index.php/ped/article/view/1202
Mesa González M, Correa Padilla JM, Abreu Cruz AA. Complicaciones cardiovasculares en COVID-19. Bol Científ Cimeq. 2020 [acceso _20_/08/2020];1(16): 5-6. Disponible en: https://instituciones.sld.cu/bolcimeq/2020/07/06/429/
Corbella J, Macpherson A. Los médicos alertan de los daños de la Covid en el corazón. Barcelona: La Vanguardia (periódico); 2020 [acceso 12/04/2020];21:33. Disponible en: https://www.lavanguardia.com/vida/20200412/48435005925/medicos-danos-covid-19-corazon-coronavirus.html
Gran F. Diagnóstico y tratamiento de la miocarditis aguda en Pediatría [tesis] España: Universidad autónoma de Barcelona; 2019 [acceso_20_/09/2020]. Disponible en: http://hdl.handle.net/10803/667914
Lacobazzi D, Baquedano M, Madeddu P, Caputo M. COVID-19, state of the adult and pediatric heart: From myocardial injury to cardiac effect of potential therapeutic intervention. Front Cardiovasc Med. 2020 [acceso 20/08/2020];7(140). Disponible en: https://doi.org/10.3389/fcvm.2020.00140
Greenhalgh T, Knight M, Court CA, Buxton M, Husain L. Management of post-acute covid-19 in primary care. BMJ. 2020 [acceso 18/08/2020];370 Disponible en : https://www.bjm.com/content/370/bmj.m3026
Sociedad Argentina de Cardiologia. Buenos Aires: Folgarait A; 2020. ¿Existe el síndrome post COVID-19? [acceso 20/08/2020] Disponible en :https://www.sac.org.ar/actualidad/existe-el-sindrome-post-covid-19/
Rodríguez-Portilla RE, Munaico-Abanto ME, Paredes-Zevallos RP, Quispe-Flores AG. Taponamiento cardíaco y hemorragia Intracerebral en un niño con la covid-19. Rev Fac Med Hum. 2020;20(4):743-7.
Müller J, Brudy L, Meyer M, Ewert P, Oberhoffer R. The cardiovascular burden of coronavirus disease 2019 (COVID-19) with a focus on congenital heart disease. Int J Cardiol. 2020 [acceso 20/08/2020];309(15):70-7. Disponible en: https://www.sciencedirect.com/science/article/pii/S016752732031593X?via%3Dihub