Document Detail

An autopsied case of an elementary school boy with sudden death four years after Kawasaki disease: on the problem of present method of cardiac mass screening of school children.
MedLine Citation:
PMID:  7321156     Owner:  NLM     Status:  MEDLINE    
An 8 year-old boy died suddenly 4 years after the onset of Kawasaki disease. He was examined by a cardiac mass screening for school children one and a half year before the death, and was evaluated as having no sequela of Kawasaki disease. The autopsy showed coronary arterial aneurysms and obstruction with fresh and old myocardial infarction. One of the problems of the present method for cardiac mass screening for school children is that it is performed only with history taking, physical findings and electrocardiograms. This method is completely insufficient to find out coronary involvement as a sequela of Kawasaki disease. All the children with history of Kawasaki disease should be examined by two dimensional echocardiography, which is the most sensitive and specific noninvasive method to detect the coronary involvement in our experience.
T Tanimoto; T Kamiya; H Misawa; H Manabe; S Go; C Yutani
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Japanese circulation journal     Volume:  45     ISSN:  0047-1828     ISO Abbreviation:  Jpn. Circ. J.     Publication Date:  1981 Dec 
Date Detail:
Created Date:  1982-03-26     Completed Date:  1982-03-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7806868     Medline TA:  Jpn Circ J     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  1438-42     Citation Subset:  IM    
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MeSH Terms
Death, Sudden / etiology*
Heart Aneurysm / diagnosis
Heart Diseases / diagnosis*
Lymphatic Diseases / complications*
Mass Screening / methods*
Mucocutaneous Lymph Node Syndrome / complications*,  pathology
Myocardium / pathology
School Health Services

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