A clinical observation of carditis secondary to Kawasaki disease
- VernacularTitle:川崎病致心脏炎的临床观察
- Author:
Xiaoyun WU
- Publication Type:Journal Article
- Keywords:
Mucocutaneous lymph node syndrome;
Carditis;
Prognosis
- From:
Journal of Chongqing Medical University
1986;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the incidence rate of carditis secondary to Kawasaki disease(KD)and its prognosis.Methods:Clinical data including serum myocardial enzymes such as CK-MB and cTnI,Holter and 12-lead and high frequency electrocardiograms and echocardiography test results,clinical manifestation,therapeutic methods and prognosis were analyzed retrospectively in 182 patients with KD.Results:About 35%patients had abnormal CK-MB,cTnI,ECG or UCG in acute phase,but they had no typical carditis clinical manifestation besides 2 cases with heart failure.90.66% cases were given intravenous immune globulin(IVIG)within ten days from the onset and within one to nine months of follow-up,CK-MB,cTnI,ECG or UCG had improved or returned to normal.Valvular inadequacy,hypokinetic left ventricle,ventricle amplification and pericardial effusion disappeared gradually in three to ten weeks,.Valvular lesion,heart amplification,constrictive pericarditis and serious arrhythmia were not found.Conclusion:This study showea about 35% patients with KD might develop low-grade transient myocarditis,pericarditis or endocarditis.An early diagnosis and therapy could lead for the patients to have good course and no sequelae.
