Title

Electrocardiographic abnormalities in children with febrile illnesses: Early indicators of myocarditis in emergency care

Authors

Akhila Pakalapati¹, Sorabh Sharma², Haroon Aslam³, Shanmukha Koppolu⁴, Siddharth Durairajan⁵ & Asma Aara Mohammed Younus^6,*

Affiliation

¹Department of Internal Medicine, King's College London, Minnesota, USA; ²Department of Medicine, University of Arizona, Arizona, USA; ³General Practitioner, Grace Palliative Clinic, Calicut, Kerala India; ⁴Department of Trauma and Orthopaedics, Barts NHS Trust, London, England, United Kingdom; ⁵Department of Child Health, Madras Medical College, Tamil Nadu, India; ⁶Department of Infectious Disease, Al Hada Armed Forces Hospital, Taif, Kingdom of Saudi Arabia; *Corresponding author

Email

Sorabh Sharma - E-mail: Sorabh.gmch@gmail.com; Phone: +91 9084050291
Akhila Pakalapati - E-mail: akhila.pakalapati95@outlook.com; Phone: +1612 369-9666
Haroon Aslam - E-mail: haroonaslam15@gmail.com; Phone: +91 8105103185
Shanmukha Koppolu - E-mail: kshanmukha3@gmail.com; Phone: +447448304208
Siddharth Durairajan - E-mail: sidnit8800@gmail.com; Phone: +91 9629564028
Asma Aara Mohammed Younus - E-mail: asma.airmy11@gmail.com; Phone: +96 6509650703

Article Type

Research Article

Date

Received November 15, 2025; Revised December 15, 2025; Accepted December 15, 2025, Published December 15, 2025

Abstract

The effect of electrocardiographic (ECG) alterations in detecting early myocarditis in children who exhibit feverish symptoms was evaluated. Hence, a total of 142 children between the ages of 1 and 15 were assessed in a tertiary emergency room. The most frequent anomalies found were low voltage complexes, sinus tachycardia and ST-T alterations. Of the 142 children, 83.3% exhibited initial ECG abnormalities and 18 (12.7%) were eventually diagnosed with myocarditis. Thus, early detection of ECG changes in children with fever may speed up cardiac examination and enhance results.

Keywords

Early diagnosis, sinus tachycardia, febrile illness, myocarditis, electrocardiogram and ST-T changes ECG abnormalities, cardiac screening and paediatric cardiology

Citation

Pakalapati et al. Bioinformation 21(12): 4716-4719 (2025)

Edited by

A Prashanth

ISSN

0973-2063

Publisher

Biomedical Informatics

License

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.