Document Detail

Ventricular arrhythmia and possible myocardial ischemia in late stage Kawasaki disease: patient with a normal coronary arteriogram.
MedLine Citation:
PMID:  8840547     Owner:  NLM     Status:  MEDLINE    
Recent research reveals that some patients with a normal coronary arteriogram present with myocardial ischemia in the late stages of Kawasaki disease (KD). The present paper reports a patient who developed ventricular arrhythmia and possible myocardial ischemia in the late stages of KD but whose coronary arteriogram was normal. The onset of KD was at 2 years of age but cardiac involvement including coronary arterial lesion was not detected during the acute stage. At 11 years of age, the Holter electrocardiogram showed both frequent ventricular premature contractions and ventricular tachycardia. The single photon emission computed tomogram demonstrated possible myocardial ischemia. Possible myocardial ischemia was considered to be one of the causes of the ventricular arrhythmia. Although the prognosis for the majority of patients without apparent coronary arterial lesion is excellent, regular follow up must be performed on patients with a history of KD.
T Nakada
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta paediatrica Japonica; Overseas edition     Volume:  38     ISSN:  0374-5600     ISO Abbreviation:  Acta Paediatr Jpn     Publication Date:  1996 Aug 
Date Detail:
Created Date:  1996-11-07     Completed Date:  1996-11-07     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0370357     Medline TA:  Acta Paediatr Jpn     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  365-9     Citation Subset:  IM    
Department of Pediatrics, Aomori Prefectural Central Hospital, Japan.
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MeSH Terms
Arrhythmias, Cardiac / etiology*
Child, Preschool
Coronary Angiography*
Mucocutaneous Lymph Node Syndrome / complications*
Myocardial Ischemia / diagnosis,  etiology*
Tomography, Emission-Computed, Single-Photon

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