TY - JOUR
T1 - Left ventricular wall motion abnormalities in Kawasaki's disease
AU - Grenadier, Ehud
AU - Allen, Hugh D.
AU - Goldberg, Stanley J.
AU - Valdes-Cruz, Lilliam M.
AU - Sahn, David J.
AU - Fulginiti, Vincent A.
AU - Barron, Tesus Vargas
AU - Lima, Carlos Oliveira
N1 - Funding Information:
tions. Tokyo, 1976, Japan Medical Research Foundation,
PY - 1984/5
Y1 - 1984/5
N2 - Two-dimensional (2DE) and M-mode echocardiographic examinations were reviewed for 21 patients with Kawasaki's disease. Cardiac catheterization including coronary angiography was performed in 14 patients. 2DE detected regional myocardial contraction deficits in four patients later proven to have coronary disease. Coronary aneurysms were detected by echocardiography in two of four patients with proven coronary lesions. Although a minor pericardial effusion was detected in two patients and an increased left ventricular (LV) cavity dimension was found in one patient, M-mode function studies were not helpful for detection of cardiac involvement. ECG and chest x-ray examination were also noncontributory. We conclude that 2DE detection of LV wall contraction abnormalities may be a sensitive method for detecting cardiac involvement in Kawasaki's disease. 2DE may be better for assessing LV contraction than for imaging aneurysms in Kawasaki patients.
AB - Two-dimensional (2DE) and M-mode echocardiographic examinations were reviewed for 21 patients with Kawasaki's disease. Cardiac catheterization including coronary angiography was performed in 14 patients. 2DE detected regional myocardial contraction deficits in four patients later proven to have coronary disease. Coronary aneurysms were detected by echocardiography in two of four patients with proven coronary lesions. Although a minor pericardial effusion was detected in two patients and an increased left ventricular (LV) cavity dimension was found in one patient, M-mode function studies were not helpful for detection of cardiac involvement. ECG and chest x-ray examination were also noncontributory. We conclude that 2DE detection of LV wall contraction abnormalities may be a sensitive method for detecting cardiac involvement in Kawasaki's disease. 2DE may be better for assessing LV contraction than for imaging aneurysms in Kawasaki patients.
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U2 - 10.1016/0002-8703(84)90836-6
DO - 10.1016/0002-8703(84)90836-6
M3 - Article
C2 - 6720528
AN - SCOPUS:0021242493
SN - 0002-8703
VL - 107
SP - 966
EP - 973
JO - American heart journal
JF - American heart journal
IS - 5 PART 1
ER -