Impaired Treg Response and Subclinical Cardiac Dysfunction in Children Following SARS-CoV-2 Infection

Pediatr Infect Dis J. 2026 Feb 26. doi: 10.1097/INF.0000000000005192. Online ahead of print.

Abstract

In a preliminary cohort of children recovering from asymptomatic or mild coronavirus disease 2019, subclinical cardiac contractility alterations were associated with reduced regulatory T cells, shorter telomeres and elevated inflammatory markers 3 months post-infection. These findings suggest that immune dysregulation may contribute to silent post-coronavirus disease 2019 cardiac dysfunction and warrant confirmation in larger cohorts with long-term follow-up.

Keywords: cardiac contractility alterations; children; immune profile; post-COVID; speckle-tracking echocardiography.

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