Document Detail

Coronary arterial involvement and QT dispersion in Kawasaki disease.
MedLine Citation:
PMID:  10468089     Owner:  NLM     Status:  MEDLINE    
For the early detection of myocardial ischemia in patients with severe involvement of the coronary arteries after Kawasaki disease, a method with high sensitivity and low cost is desirable because these patients require frequent follow-up and diagnostic tests. For this purpose, electrocardiographic, echocardiographic, Holter, and stress testing or angiography are repeated. However, these tests have some limitations due to cost, convenience, or sensitivity. It is uncertain that increased QT dispersion would exactly indicate progression of myocardial ischemia after Kawasaki disease, but this is the first study to present that QT dispersion of > or = 60 ms had higher sensitivity for detection of severe involvement of coronary artery after Kawasaki disease. This study is limited due to the small number of patients; larger prospective studies are required to clarify the usefulness of QT dispersion analysis in detecting the progression of myocardial ischemia after Kawasaki disease.
M Osada; Y Tanaka; T Komai; Y Maeda; M Kitano; S Komori; K Tamura; H Sugiyama; J Yanai; S Nakazawa
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The American journal of cardiology     Volume:  84     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  1999 Aug 
Date Detail:
Created Date:  1999-09-15     Completed Date:  1999-09-15     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  466-8     Citation Subset:  AIM; IM    
Second Department of Internal Medicine, Yamanashi Medical University, Japan.
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MeSH Terms
Child, Preschool
Coronary Disease / etiology*,  physiopathology
Exercise Test
Mucocutaneous Lymph Node Syndrome / complications*,  physiopathology
Reproducibility of Results
Retrospective Studies

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