Document Detail

Mass survey for coronary lesions in school children with history of Kawasaki disease in Shimane Prefecture.
MedLine Citation:
PMID:  3831396     Owner:  NLM     Status:  MEDLINE    
In 1981, a mass survey for Kawasaki disease was performed in Shimane Prefecture. The incidence of the disease was 0.3% in elementary and 0.1% in junior high schools, respectively. The number of children with a past history of Kawasaki disease was 40. Selective coronary arteriography (S-CAG) was performed on 37 children by December 1983 and 3 cases having coronary lesions were detected. In all these 3 children, more than 8 years had elapsed since the onset of the disease and in one of them there were severe stenotic changes in the coronary artery, with coexisting mitral incompetence. Two-dimensional echocardiography (2D echo) was able to detect dilatatory coronary lesions, but it failed to delineate stenotic changes adequately in these 3 cases. The present data indicate that 2D echo cannot demonstrate the stenotic segments of the coronary artery and therefore S-CAG is necessary for that purpose. We suggest coronary arteriography (CAG) for school children with a past history of Kawasaki disease.
N Haneda; Y Kajino; M Saito; K Watanabe; T Nishio; C Mori; Y Kijima; S Nagaoka
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Japanese circulation journal     Volume:  49     ISSN:  0047-1828     ISO Abbreviation:  Jpn. Circ. J.     Publication Date:  1985 Dec 
Date Detail:
Created Date:  1986-05-13     Completed Date:  1986-05-13     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7806868     Medline TA:  Jpn Circ J     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  1280-4     Citation Subset:  IM    
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MeSH Terms
Coronary Angiography
Coronary Disease / diagnosis,  epidemiology*
Mass Screening
Mitral Valve Insufficiency / diagnosis,  epidemiology
Mucocutaneous Lymph Node Syndrome / complications*

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