| Tomographic myocardial perfusion scintigraphy in children with Kawasaki disease. | |
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MedLine Citation:
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PMID: 3500285 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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R P Spielmann; C A Nienaber; G Hausdorf; R Montz |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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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:
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Created Date: 1988-01-19 Completed Date: 1988-01-19 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0217410 Medline TA: J Nucl Med Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 1839-43 Citation Subset: IM |
Affiliation:
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Department of Nuclear Medicine, University Hospital, Hamburg, FRG. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Child Child, Preschool Coronary Disease / etiology, radionuclide imaging* Female Humans Male Mucocutaneous Lymph Node Syndrome / complications*, radionuclide imaging Thallium Radioisotopes / diagnostic use Tomography, Emission-Computed* |
| Chemical | |
Reg. No./Substance:
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0/Thallium Radioisotopes |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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