The clinical value of dynamic electrocardiogram in the diagnosis of coronary artery damage in children with Kawasaki disease
10.3760/cma.j.issn.1008-1372.2014.07.014
- VernacularTitle:动态心电图在川崎病患儿并发冠脉损伤诊断的临床价值
- Author:
Lingling LIU
;
Jin HE
;
Caiqiong LIU
- Publication Type:Journal Article
- Keywords:
Child;
Mucocutaneous lymph node syndrome/complications;
Mucocutaneous lymph node syndrome/diagnosis;
Coronary artery disease/diagnosis;
Coronary artery disease/etiology;
Electrocardiography,ambulatory
- From:
Journal of Chinese Physician
2014;(7):907-908,912
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical value of dynamic electrocardiogram ( DCG) in the diagnosis of coronary artery damage (CAD) in children with Kawasaki disease (KD).Methods A total of 125 cases of children with KD admitted to hospital in recent years was analyzed , without CAD as the control group (83cases), and others as the experimental group (42cases).All cases were undertaken DCG and electrocardiogram (ECG).The results of heart rate, heart Rhythm, and voltage changes were compared be-tween two groups .Results The abnormal rate of total ECG and DCG in the control group was significantly lower than the experimental group ( P <0.01 ) , The total ECG and DCG abnormal rate was no difference in control group ( P >0.05 ) , but DCG abnormal rate of experimental group was significantly lower than ECG (χ2 =15.30, P <0.01).The sensitivity, specificity, Youden index, and diag-nostic accuracy of normal ECG , DCG and Joint were 59.5%, 86.7%, 0.463 , and 77.6%;95.2%, 94.0%, 0.892 , and 94.4 %;95.2%, 84.3%, 0.796 , and 88.0%.Common ECG results were lower than DCG and joint ( P <0.05 ) , But DCG results were sim-ilar with the joint ( P >0.05 ) .Conclusions DCG test provides scientific parameter in the diagnosis of CAD in children with KD , and is superior to normal ECG , but the value of Joint is the same .
