Document Detail

Tomographic myocardial perfusion scintigraphy in children with Kawasaki disease.
MedLine Citation:
PMID:  3500285     Owner:  NLM     Status:  MEDLINE    
Myocardial infarction and stenotic coronary lesions are serious late complications in children with Kawasaki disease. For the noninvasive assessment of myocardial perfusion, dipyridamole-redistribution 201Tl emission computed tomography (ECT) was performed in seven children (age 2 8/12-8 7/12 yr) 3-20 mo after the acute stage of the disease. In all patients, coronary aneurysms had been demonstrated by cross-sectional echocardiography. The scintigrams of six children showed no significant regional reduction of myocardial thallium uptake. These children had remained asymptomatic since the acute stage of Kawasaki disease. Persistent and transient thallium defects were present in one child with documented myocardial infarction. For this patient, obstruction of corresponding coronary vessels was confirmed by contrast angiography. It is suggested, that 201Tl ECT after dipyridamole-induced vasodilation may be used as a safe alternative to invasive coronary angiography for follow-up investigations in patients with Kawasaki disease.
R P Spielmann; C A Nienaber; G Hausdorf; R Montz
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of nuclear medicine : official publication, Society of Nuclear Medicine     Volume:  28     ISSN:  0161-5505     ISO Abbreviation:  J. Nucl. Med.     Publication Date:  1987 Dec 
Date Detail:
Created Date:  1988-01-19     Completed Date:  1988-01-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0217410     Medline TA:  J Nucl Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1839-43     Citation Subset:  IM    
Department of Nuclear Medicine, University Hospital, Hamburg, FRG.
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MeSH Terms
Child, Preschool
Coronary Disease / etiology,  radionuclide imaging*
Mucocutaneous Lymph Node Syndrome / complications*,  radionuclide imaging
Thallium Radioisotopes / diagnostic use
Tomography, Emission-Computed*
Reg. No./Substance:
0/Thallium Radioisotopes

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