Premium
COVID ‐19 review shows that benefits of vaccinating children and adolescents appear to outweigh risks of post‐vaccination myopericarditis
Author(s) -
Morello Rosa,
Pepe Mara,
Martino Laura,
Lazzareschi Ilaria,
Chiaretti Antonio,
Gatto Antonio,
Curatola Antonietta
Publication year - 2022
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.16462
Subject(s) - myopericarditis , medicine , vaccination , pediatrics , myocarditis , incidence (geometry) , covid-19 , intensive care medicine , immunology , disease , physics , infectious disease (medical specialty) , optics
Aim Myopericarditis after COVID‐19 vaccination were the most serious adverse events reported in children over 5 years of age. We want to summarise these cases, describing their incidence, clinical features, diagnostic pathways, therapeutic strategies and outcome. Methods A systematic review of the literature was conducted until 20 March 2022 by bibliographic electronic databases. We included all reports of post‐vaccination myopericarditis in children aged between 5 and 18 years. Results All reported cases had elevated serum Troponin levels, associated with electrocardiogram changes, but often with normal echocardiogram. Cardiac magnetic resonance images always showed typical alterations. The pathogenetic mechanism is still unknown. Myocarditis following post‐COVID vaccination is more frequent in boys with an average age of about 15 years. Treatment involves the usage of non‐steroidal anti‐inflammatory drugs, and the average hospitalisation is about 3 days. The long‐term consequences are not yet known, so these patients should be studied in a cardiological follow‐up and abstention from physical activity should be recommended. Conclusion The benefits of COVID‐19 vaccination in children and adolescents appear to outweigh the risk of developing post‐vaccination myopericarditis. We can also speculate a possible approval of vaccination in children under 5 years for the coming winter.