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논문 기본 정보

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학술저널
저자정보
Park Hwanhee (Department of Pediatrics Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Ko) Yun Ki Wook (Department of Pediatrics Seoul National University Children's Hospital Seoul National University Co) Kim Kyung-Ran (Department of Pediatrics Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Ko) Song Seung Ha (Department of Pediatrics Seoul National University Children's Hospital Seoul National University Co) Ahn Bin (Department of Pediatrics Seoul National University Children's Hospital Seoul National University Co) Kim Doo Ri (Department of Pediatrics Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Ko) Kim Gi Beom (Department of Pediatrics Seoul National University Children's Hospital Seoul National University Co) Huh June (Department of Pediatrics Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Ko) Choi Eun Hwa (Department of Pediatrics Seoul National University Children's Hospital Seoul National University Co) Kim Yae-Jean (Department of Pediatrics Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Ko)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.36 No.32
발행연도
2021.1
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1 - 11 (11page)

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Background: Korean health authority plans to vaccinate adolescents against coronavirus disease 2019 (COVID-19) starting high school seniors during the summer vacation of 2021. However, the myocarditis/pericarditis following COVID-19 vaccine has been reported recently in adolescents and young adults. This study was performed to answer the urgent questions about the basic epidemiology and clinical course of myocarditis/pericarditis in hospitalized patients prior to the introduction of COVID-19 vaccines in pediatric population. Methods: A retrospective medical record analysis including frequency, clinical characteristics, etiology and outcome of myocarditis/pericarditis was conducted in 17 years and younger patients who were hospitalized in two referral hospitals in Korea between 2010 and 2019. Results: Total 142 patients with myocarditis (n = 119) and/or pericarditis (n = 23) were identified. Median age was 5.4 years (interquartile range, 0.6–12.9 years; range, 11 days–17.8 years), and male was 61%. In adolescents aged 12–17 years, the male to female ratio was 3.2. Myocarditis/pericarditis occurred 0.70 per 1,000 in-patients during the study period: 0.96 (< 1 year), 0.50 (1–5 years), 0.67 (6–11 years) and 1.22 (12–17 years) per 1,000 in-patients, respectively. There was an increasing tendency for the annual frequency from 0.34 in 2010 to 1.25 per 1,000 in-patients in 2019 (P = 0.021). Among the 56 (40%) proven pathogens at admission, Mycoplasma pneumoniae (n = 11, 8%) and enterovirus (n = 10, 7%) were most common. Of the 142 patients, 99 (70%) required pediatric intensive care unit care and 10 (7%) received heart transplantation. In addition, 61 patients (61/131, 47%) without heart medication at admission needed heart medication when they were discharged. Eleven (7.7%) patients died, of which five patients were previously healthy. The median age of deceased patients was lower than the survival group (0.8 vs. 6.3 years, P = 0.014). Conclusion: The frequency of myocarditis/pericarditis was highest among male adolescent in-patients; however, the outcome was favorable in this group without any mortality.
#Myocarditis #Pericarditis #Epidemiology #COVID-19 Vaccines

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참고문헌 (14)

참고문헌 신청
Pollack A / 2015 / Viral myocarditis--diagnosis, treatment options, and current controversies / Nat Rev Cardiol 12(11):670~680 google schola Fung G / 2016 / Myocarditis / Circ Res 118(3):496~514 google schola Basso C / 2020 / Pathological features of COVID-19-associated myocardial injury : a multicentre cardiovascular pathology study / Eur Heart J 41(39):3827~3835 google schola Kang Hyun Mi / 2021 / Updates on the coronavirus disease 2019 vaccine and consideration in children / Clinical and Experimental Pediatrics 64(7):328~338 dbpia Caforio AL / 2013 / Current state of knowledge on aetiology, diagnosis, management, and therapy of myocarditis : a position statement of the European Society of Cardiology Working Group on Myocardial and Pericardial Diseases / Eur Heart J 34(33):2636~2648 google schola

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