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Significant exercise limitations after recovery from MIS-C related myocarditis

World Journal of Pediatrics 2023年第12期19卷 1149-1154页

作者： gur mainzer Merav Zucker-Toledano Moneera Hanna Ronen Bar-Yoseph Einat Kodesh Pediatric Heart Institute Edmond and Lily Safra Children’s HospitalSheba Medical Center52621 Tel HashomerIsrael Pediatric Cardiology Department Hadassah Medical CenterJerusalemIsrael Pediatric Cardiology Unit Padeh Medical CenterPoriyaIsrael Pediatric Cardiology Institute Ruth Children’s HospitalRambam Health Care CampusHaifaIsrael Pediatric Pulmonary Institute Ruth Children’s HospitalRambam Health Care CampusHaifaIsrael The Technion Faculty of Medicine HaifaIsrael Department of Physical Therapy Faculty of Social Welfare and Health ScienceUniversity of HaifaHaifaIsrael

Background Myocarditis is one of the presentations of multisystemic infammatory syndrome in children(MIS-C)following coronavirus disease 2019(COVID-19).Although the reported short-term prognosis is good,data regarding medium-term functional capacity and limitations are *** study aimed to evaluate exercise capacity as well as possible cardiac and respiratory limitations in children recovered from MIS-C related *** Fourteen patients who recovered from MIS-C related myocarditis underwent spirometry and cardiopulmonary exercise testing(CPET),and their results were compared with an age-,sex-,weight-and activity level-matched healthy control group(n=14).Results All participants completed the CPET with peak oxygen uptake(peak.V O2),and the results were within the normal range(MIS-C 89.3%±8.9%and Control 87.9%±13.7%predicted.V O2).Five post-MIS-C patients(35%)had exerciserelated cardio-respiratory abnormalities,including oxygen desaturation and oxygen-pulse fattening,compared to none in the control *** MIS-C group also had lower peak exercise saturation(95.6±3.5 vs.97.6±1.1)and lower breathing reserve(17.4%±7.5%vs.27.4%±14.0%of MVV).Conclusions Patients who recovered from MIS-C related myocarditis may present exercise *** assessment(e.g.,CPET)should be included in routine examinations before allowing a return to physical activity in post-MIS-C ***,longer term studies assessing functional capacity and focusing on physiological mechanisms are needed.

关键词： Cardiopulmonary exercise testing COVID 19 Hypoxemia Myocarditis

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