# Electrocardiographic abnormalities in children with febrile illnesses: Early indicators of myocarditis in emergency care

## 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.

## Key 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.