Evidence map›Paper›PMID 33864498›Full record

ReviewRheumatology international2021

The importance of heart and brain imaging in children and adolescents with Multisystem Inflammatory Syndrome in Children (MIS-C).

Sophie I Mavrogeni, Genovefa Kolovou, Vasileios Tsirimpis, Dimitrios Kafetzis, Georgios Tsolas, Lampros Fotis

Open access · bronzeAbstract readReview
In one paragraph

Review in Rheumatology international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
4.6field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 24 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Sophie I MavrogeniOnassis Cardiac Surgery Center, Athens, Greece.ORCID http://orcid.org/0000-0003-1089-7766
Genovefa KolovouMetropolitan Hospital, Cardiometabolic Center, Piraeus, Greece.ORCID http://orcid.org/0000-0001-8788-4555
Vasileios TsirimpisMetropolitan Hospital, Cardiometabolic Center, Piraeus, Greece.ORCID http://orcid.org/0000-0002-1779-9686
Dimitrios KafetzisDepartment of Pediatrics, Metropolitan Hospital, Piraeus, Greece.ORCID http://orcid.org/0000-0002-4209-8582
Georgios TsolasDepartment of Pediatrics, Metropolitan Hospital, Piraeus, Greece.ORCID http://orcid.org/0000-0001-5398-1429
Lampros FotisDepartment of Pediatrics, Metropolitan Hospital, Piraeus, Greece. lafotis@med.uoa.gr.ORCID http://orcid.org/0000-0001-7171-6119
Metropolitan Hospital · GRNational and Kapodistrian University of Athens · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Multisystem Inflammatory Syndrome in Children (MIS-C) recently reported in a minority of children affected by SARS-CoV-2, mimics Kawasaki disease (KD), a medium vessel vasculitis of unknown cause. In contrast to acute COVID-19 infection, which is usually mild in children, 68% of patients with MIS-C will need intensive care unit. Myocarditis and coronary artery ectasia/aneurysm are included between the main cardiovascular complications in MIS-C. Therefore, close clinical assessment is need it both at diagnosis and during follow-up. Echocardiography is the cornerstone modality for myocardial function and coronary artery evaluation in the acute phase. Cardiovascular magnetic resonance (CMR) detects diffuse myocardial inflammation including oedema/fibrosis, myocardial perfusion and coronary arteries anatomy during the convalescence and in adolescents, where echocardiography may provide inadequate images. Brain involvement in MIS-C is less frequent compared to cardiovascular disease. However, it is not unusual and should be monitored by clinical evaluation and brain magnetic resonance (MRI), as we still do not know its effect in brain development. Brain MRI in MIS-C shows T2-hyperintense lesions associated with restricted diffusion and bilateral thalamic lesions. To conclude, MIS-C is a multisystem disease affecting many vital organs, such as heart and brain. Clinical awareness, application of innovative, high technology imaging modalities and advanced treatment protocols including supportive and anti-inflammatory medication will help physicians to prevent the dreadful complications of MIS-C.

Indexed as

AdolescentBrainChildChild, PreschoolCoronary AngiographyCOVID-19EchocardiographyElectrocardiographyHeartHumansInfantInfant, NewbornMagnetic Resonance ImagingNeuroimagingSystemic Inflammatory Response SyndromeBrain magnetic resonanceCardiovascular magnetic resonanceEchocardiographyMIS-C, multisystem inflammatory syndrome in children

Identifiers

PMID33864498
PMCPMC8052538
OpenAlexW3155997688

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.