Diagnostic Difficulties in a Case of Fetal Ventricular Tachycardia Associated with Neonatal COVID Infection: Case Report

Liliana Gozar, Carmen Corina Șuteu, Dorottya Gabor-Miklosi, Andreea Cerghit-Paler and Amalia Făgărășan
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Liliana Gozar: Pediatric Cardiology Department, Emergency Institute for Cardiovascular Diseases and Transplantation, 540136 Târgu-Mureș, Romania
Carmen Corina Șuteu: Pediatric Cardiology Department, Emergency Institute for Cardiovascular Diseases and Transplantation, 540136 Târgu-Mureș, Romania
Dorottya Gabor-Miklosi: Pediatric Cardiology Department, Emergency Institute for Cardiovascular Diseases and Transplantation, 540136 Târgu-Mureș, Romania
Andreea Cerghit-Paler: Pediatric Cardiology Department, Emergency Institute for Cardiovascular Diseases and Transplantation, 540136 Târgu-Mureș, Romania
Amalia Făgărășan: Pediatric Cardiology Department, Emergency Institute for Cardiovascular Diseases and Transplantation, 540136 Târgu-Mureș, Romania

IJERPH, 2021, vol. 18, issue 23, 1-8

Abstract: The clinical course of COVID in the pediatric population is considered to be much milder when compared to adults; however, the occurrence of severe and fatal forms of the disease in children is non-negligible, especially in patients with comorbidities such as prematurity or cardiac disease. We report a case of a newborn with sotalol-controlled fetal ventricular tachycardia, who was postnatally diagnosed with COVID infection. The myocardial injury was sustained on the basis of pericardial effusion, left ventricular dysfunction, rapid progression to coronary artery dilation, and an arrhythmic storm. We believe that, in our case, there is a significant overlap between fetal ventricular tachycardia, associated with impaired left ventricular function, and COVID infection, diagnosed after birth; both factors contribute to the myocardial dysfunction with a fulminant clinical evolution. To our knowledge, this is the first case describing neonatal myocardial dysfunction associated with SARS-CoV infection complicating the clinical course of rare fetal tachyarrhythmia.

Keywords: COVID; coronavirus; newborn; myocarditis; fetal tachycardia; arrhythmic storm; case report; pediatrics (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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