Page 74 - Proceeding of Plenary Abstract of Parallel Symposim

KARDIOLOGI

Myocarditis Following Covid-19 Vaccination

Monika Hasna Ramadhan, Rahmat Budi Kuswiyanto
Department of Child Health, Faculty of Medicine Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital, Bandung, West Java, Indonesia
Abstract
Background Increased cases of myocarditis have been reported after Covid-19 vaccination, particularly
affected adolescents and young adults. However the report in younger children are very limited.
Objectives & Methods This narrative review aims to summarize and discuss the available literature
on myocarditis following Covid-19 vaccination. A PubMed and Scopus search for studies in English on
myocarditis following Covid-19 vaccination was performed. Results A total of 11 publications consist of
2 retrospective reviews based on vaccine adverse event reporting system and 9 case reports comprising 116
patients with myocarditis following Covid-19 vaccination. Myocarditis was one of significant adverse event
following Covid-19 immunization, accounted less than 5% from all adverse event cases, particularly mRNA
vaccines with higher incidence in young adults and adolescents. Myocarditis should be considered in patients
who develop acute chest pain, shortness of breath or palpitations within a week after vaccination. The clinical
presentations of most reported cases were mild and have responded to medications and improved well.
Further follow-up are required to assess the long-term impact. Conclusion The risk of myocarditis following
Covid-19 vaccination should be disseminated to providers and informed to vaccine recipients, although the
risk of cardiac complications due to Covid-19 far exceeds the minimal and rare risks of vaccination-related
myocardial inflammation.
Keywords: Covid-19 vaccination, myocarditis

Cardiovascular involvement in Covid-19: The role of Pediatrician

Noormanto
Department of Child Health, Faculty of Medicine Universitas Gadjah Mada, Sardjito General Hospital, Yogyakarta, Indonesia
Abstract
Background Coronavirus disease 2019 (Covid-19) is a disease that mostly attacks the respiratory tract.
Covid-19 has spread rapidly throughout the world since it was first identified in China at the end of 2019. This
disease affects people of all ages, including children with a wide range of illness severity from asymptomatic
carriers to severe multi-organ dysfunction and death. However, the incidence in children is relatively low
and the symptoms are milder. Children infected with COVID-19 with or without symptoms have a very
severe impact due to an inflammatory reaction known as multisystem inflammatory syndrome in children
(MIS-C). Objective To study from various sources of cardiac involvement in children due to MIS-C after
Covid-19. Conclusion The role of pediatricians in finding and referring cases or pediatric cardiologists in
further management of the cardiovascular system requires an understanding of good cardiovascular disorders
as a result of MIS-C after Covid-19.
Keywords: Covid-19; Cardiovascular; MIS-C

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