Electrocardiographic abnormalities in children with febrile illnesses: Early indicators of myocarditis in emergency care
Akhila Pakalapati, Sorabh Sharma, Haroon Aslam, Shanmukha Koppolu, Siddharth Durairajan, Asma Aara Mohammed Younus

TL;DR
This study shows that ECG changes in febrile children can help detect early signs of myocarditis, improving emergency care outcomes.
Contribution
The study identifies specific ECG patterns as early indicators of myocarditis in febrile children.
Findings
83.3% of febrile children showed initial ECG abnormalities.
12.7% of children were diagnosed with myocarditis.
ECG changes like low voltage complexes and ST-T alterations were most common.
Abstract
The effect of electrocardiographic (ECG) alterations in detecting early myocarditis in children who exhibit feverish symptoms was evaluated. Hence, a total of 142 children between the ages of 1 and 15 were assessed in a tertiary emergency room. The most frequent anomalies found were low voltage complexes, sinus tachycardia and ST-T alterations. Of the 142 children, 83.3% exhibited initial ECG abnormalities and 18 (12.7%) were eventually diagnosed with myocarditis. Thus, early detection of ECG changes in children with fever may speed up cardiac examination and enhance results.
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Taxonomy
TopicsViral Infections and Immunology Research · Pericarditis and Cardiac Tamponade · Cardiovascular Effects of Exercise
