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Influenza associated with circulatory collapse and atrioventricular block in an unvaccinated child with repaired CHD

Published online by Cambridge University Press:  20 April 2020

Jyothsna Akam-Venkata Open the ORCID record for Jyothsna Akam-Venkata [Opens in a new window] ,
Sanjeev Aggarwal  and
Peter P. Karpawich Open the ORCID record for Peter P. Karpawich [Opens in a new window]
Jyothsna Akam-Venkata*
Affiliation:
The Carman and Ann Adams Department of Pediatrics, Wayne State University School of Medicine, Children’s Hospital of Michigan, Detroit, MI, USA
Sanjeev Aggarwal
Affiliation:
The Carman and Ann Adams Department of Pediatrics, Wayne State University School of Medicine, Children’s Hospital of Michigan, Detroit, MI, USA
Peter P. Karpawich
Affiliation:
The Carman and Ann Adams Department of Pediatrics, Wayne State University School of Medicine, Children’s Hospital of Michigan, Detroit, MI, USA
*
Author for correspondence: J. Akam-Venkata, MBBS, The Carman and Ann Adams Department of Pediatrics, Wayne State University School of Medicine, Children’s Hospital of Michigan, 3901 Beaubien Boulevard, Detroit, MI48201, USA. Tel: +1 313 268 8942; Fax: +1 313 993 0894. E-mail: [email protected]
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Abstract

Symptomatic, circulatory collapse occurred in an unvaccinated child with repaired congenital heart and a backup pacemaker during an Influenza B viral infection with complete atrioventricular block and pacemaker non-capture. Ventricular arrhythmias occurred during her collapse. Atrioventricular conduction recovered within 24 hours. Influenza-associated cardiac inflammation can adversely affect patients with repaired CHD. Proactive immunisation is strongly recommended.

Keywords

Influenzacardiac complicationheart blockCHD
Type
Brief Report
Information
Cardiology in the Young , Volume 30 , Issue 5 , May 2020 , pp. 740 - 742
Copyright
© The Author(s) 2020. Published by Cambridge University Press

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References

Estimated Influenza Illnesses, Medical visits, Hospitalizations, and Deaths in the United States — 2017–2018 influenza season. Available at https://www.cdc.gov/flu/about/burden/2017-2018.htm. Accessed May 19, 2019.Google Scholar
Wang, J, Xu, H, Yang, X, et al.Cardiac complications associated with the influenza viruses A subtype H7N9 or pandemic H1N1 in critically ill patients under intensive care. Braz J Infect Dis 2017 Jan–Feb; 21: 12–18. doi: 10.1016/j.bjid.2016.10.005. Epub 2016 Nov 29.CrossRefGoogle ScholarPubMed
Rivera-Guzmán, N, Del Olmo-Arroyo, F, Robles-Arías, CM, Rodríguez-Cintrón, W. Transient AV block as a hemodynamic complication of the influenza A virus: a case report. P R Health Sci J 2016 Sep; 35: 173–175.Google ScholarPubMed
Beinart, R, Morganti, K, Ruskin, J, Mela, T. H1N1 influenza A virus induced atrioventricular block. J Cardiovasc Electrophysiol 2011 Jun; 22: 711–713. doi: 10.1111/j.1540-8167.2010.01931.x. Epub 2010 Oct 19.CrossRefGoogle ScholarPubMed
Kusaka, K, Yamakawa, J, Kawaura, K, et al.Brugada-like electrocardiographic changes during influenza infection. J Int Med Res 2003 May–Jun; 31: 244–246.CrossRefGoogle ScholarPubMed
Spoto, S, Valeriani, E, Locorriere, L, et al.Influenza B virus infection complicated by life-threatening pericarditis: a unique case-report and literature review. BMC Infect Dis 2019 Jan 10; 19: 40. doi: 10.1186/s12879-018-3606-7CrossRefGoogle ScholarPubMed
Udell, JA, Zawi, R, Bhatt, DL, et al.Association between influenza vaccination and cardiovascular outcomes in high-risk patients: a meta-analysis. JAMA 2013 Oct 23; 310: 1711–1720. doi: 10.1001/jama.2013.279206CrossRefGoogle ScholarPubMed