| Long-term prognosis of Kawasaki disease patients with coronary artery obstruction. | |
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MedLine Citation:
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PMID: 2584178 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The prognosis of coronary artery obstruction was studied in patients with Kawasaki disease. Between May 1973 and December 1987, coronary artery obstruction was diagnosed by coronary angiography in 30 patients (21 males, 9 females), of whom, only 8 (26.7%) had clinical symptoms. One patient died after 9 years of illness. Two complained of frequent chest pain, which disappeared after bypass surgery in one case and spontaneously in the other. Five had symptomatic myocardial infarction. Myocardial ischemia was diagnosed in 31.8% by treadmill stress testing, but was well demonstrated in 85.7% by thallium-201 myocardial tomography. Frequent ventricular premature beats, Wenckebach-type atrioventricular block, and ST-segment depression accompanied by chest pain were recognized by 24-h Holter monitoring. In the past, the methods used to determine the prognosis of Kawasaki disease patients with coronary artery obstruction were not adequate. However, the examinations used in this study revealed an improved ability to determine the prognosis in this disease. Myocardial tomography, in particular, provided a more accurate evaluation of myocardial damage. Ventricular arrhythmias seem to be a serious problem in these patients. Therefore, careful observation using these tests, especially myocardial tomography and Holter monitoring, should be done even if the patients are free of symptoms. |
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Authors:
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K Tatara; S Kusakawa; K Itoh; N Kazuma; K Lee; K Hashimoto; T Shinohara; C Kondoh; M Hiroe |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Heart and vessels Volume: 5 ISSN: 0910-8327 ISO Abbreviation: Heart Vessels Publication Date: 1989 |
Date Detail:
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Created Date: 1990-01-04 Completed Date: 1990-01-04 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8511258 Medline TA: Heart Vessels Country: JAPAN |
Other Details:
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Languages: eng Pagination: 47-51 Citation Subset: IM |
Affiliation:
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Department of Pediatrics, Tokyo Women's Medical College Daini Hospital, Japan. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Child Child, Preschool Coronary Aneurysm / surgery Coronary Artery Bypass* Coronary Disease / surgery* Electrocardiography, Ambulatory Female Follow-Up Studies Graft Occlusion, Vascular / mortality Humans Male Mucocutaneous Lymph Node Syndrome / surgery* Myocardial Infarction / surgery* Postoperative Complications / mortality* Saphenous Vein / transplantation |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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