Hostname: page-component-8448b6f56d-dnltx Total loading time: 0 Render date: 2024-04-19T21:41:40.589Z Has data issue: false hasContentIssue false
  • English
  • Français

“Triangular QRS-ST-T waveform ECG pattern” during SARS-CoV-2 infection in a paediatric case with multiple comorbidities

Published online by Cambridge University Press:  20 June 2022

Muhammet Bulut Open the ORCID record for Muhammet Bulut [Opens in a new window] ,
Filiz Ekici  and
Nazan Ülgen Tekerek
Muhammet Bulut
Affiliation:
Department of Pediatric Cardiology, Akdeniz University, Faculty of Medicine, Antalya, Turkey
Filiz Ekici*
Affiliation:
Department of Pediatric Cardiology, Akdeniz University, Faculty of Medicine, Antalya, Turkey
Nazan Ülgen Tekerek
Affiliation:
Department of Pediatric Intensive Care Unit, Akdeniz University, Faculty of Medicine, Antalya, Turkey
*
Author for correspondence: Dr F. Ekici, MD, Department of Pediatric Cardiology, Akdeniz University, Faculty of Medicine, Pınarbaşı Mahallesi Dumlupınar Bulvarı, Kampüs, Konyaaltı, Antalya, 07070, Turkey. Tel: +90 242 2496543; Fax: +90 242 347 23 30. E-mail: ekicifiliz@gmail.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Triangular QRS-ST-T waveform electrocardiography pattern, so-called “shark fin sign,” is a rare and highly mortal electrocardiography finding, which usually occurs in adult patients with coronary occlusion. Here, we reported the first paediatric case occurring in a striking “triangular waveform electrocardiography pattern” due to myocarditis during COVID-19 infection.

Keywords

COVID-19childrentriangular QRS-ST-T electrocardiographic patternmyocarditis
Type
Brief Report
Information
Cardiology in the Young , Volume 33 , Issue 2 , February 2023 , pp. 328 - 330
Check for updates
Copyright
© The Author(s), 2022. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Regan, W, O’Byrne, L, Stewart, K, et al. Electrocardiographic changes in children with multisystem inflammation associated with COVID-19: associated with coronavirus disease 2019. J Pediatr 2021; 232: 27–31.Google Scholar
Ramcharan, T, Nolan, O, Lai, CY, et al. Pediatric inflammatory multisystem syndrome: temporally associated with SARS-CoV-2 (PIMS-TS): cardiac features, management and short-term outcomes at a UK tertiary paediatric hospital. Pediatr Cardiol 2020; 41: 1391–1401.CrossRefGoogle Scholar
Cipriani, A, D’Amico, G, Brunello, G, et al. The electrocardiographic “triangular QRS-ST-T waveform” pattern in patients with ST-segment elevation myocardial infarction: incidence, pathophysiology and clinical implications. J Electrocardiol 2018; 51: 8–14.CrossRefGoogle ScholarPubMed
Feldstein, LR, Rose, EB, Horwitz, SM, et al. Multisystem inflammatory syndrome in U.S. children and adolescents. N Engl J Med 2020; 383: 334–346.CrossRefGoogle ScholarPubMed
Kristoffersen, AW, Knudsen, PK, Møller, T. SARS-CoV-2 infection in an infant with severe dilated cardiomyopathy. Cardiol Young 2020; 29: 1–3.Google Scholar
Guo, T, Fan, Y, Chen, M, et al. Cardiovascular implications of fatal outcomes of patients with coronavirus disease 2019 (COVID-19). JAMA 2020; 5: 811–818.Google ScholarPubMed
Hoang, A, Chorath, K, Moreira, A, et al. COVID-19 in 7780 pediatric patients: a systematic review. EclinicalMedicine 2020; 24: 100433.CrossRefGoogle ScholarPubMed
Götzinger, F, Santiago-García, B, Noguera-Julián, A, et al. COVID-19 study group. COVID-19 in children and adolescents in Europe: a multinational, multicentre cohort study. Lancet Child Adolesc Health 2020; 4: 653–661.CrossRefGoogle Scholar
Hasibuan, FS, Intan, RE, Wilujeng, HRT, et al. Triangular QRS-ST-T waveform electrocardiographic pattern in acute myopericarditis: a case report from a limited-resources hospital. Am J Case Rep 2020; 21: e926360.CrossRefGoogle ScholarPubMed
Ludwikowska, KM, Tracewski, P, Kusa, J. Takotsubo syndrome as a cardiac manifestation of multisystem inflammatory syndrome in children. Cardiol Young 2021; 1–3. doi: 10.1017/S1047951121004881.Google ScholarPubMed