Kawasaki disease electrocardiogram: Difference between revisions

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==Overview==
==Overview==
[[Electrocardiogram]] in Kawasaki disease may show evidence of [[ventricular]] dysfunction or, occasionally [[arrhythmia]] due to [[myocarditis]]. However in acute disease the electrocardiogram may show prolonged [[PR interval]], nonspecific [[ST changes]], [[T wave|T-wave]] changes and increased Q/R ratio which are consistent with myocarditis.
[[Electrocardiogram]] in Kawasaki disease may demonstrate evidence of [[ventricular]] dysfunction or, occasionally [[arrhythmia]] due to [[myocarditis]]. However, in acute disease the electrocardiogram may demonstrate prolonged [[PR interval]], non-specific [[ST changes]], [[T wave|T-wave]] changes and increased Q/R ratio, which are consistent with [[myocarditis]].


==Electrocardiogram==
==Electrocardiogram==
*[[Electrocardiogram]] in Kawasaki disease may show evidence of:<ref name="McCrindleRowley2017">{{cite journal|last1=McCrindle|first1=Brian W.|last2=Rowley|first2=Anne H.|last3=Newburger|first3=Jane W.|last4=Burns|first4=Jane C.|last5=Bolger|first5=Anne F.|last6=Gewitz|first6=Michael|last7=Baker|first7=Annette L.|last8=Jackson|first8=Mary Anne|last9=Takahashi|first9=Masato|last10=Shah|first10=Pinak B.|last11=Kobayashi|first11=Tohru|last12=Wu|first12=Mei-Hwan|last13=Saji|first13=Tsutomu T.|last14=Pahl|first14=Elfriede|title=Diagnosis, Treatment, and Long-Term Management of Kawasaki Disease: A Scientific Statement for Health Professionals From the American Heart Association|journal=Circulation|volume=135|issue=17|year=2017|pages=e927–e999|issn=0009-7322|doi=10.1161/CIR.0000000000000484}}</ref>
*[[Electrocardiogram]] in Kawasaki disease may demonstrate evidence of:<ref name="McCrindleRowley2017">{{cite journal|last1=McCrindle|first1=Brian W.|last2=Rowley|first2=Anne H.|last3=Newburger|first3=Jane W.|last4=Burns|first4=Jane C.|last5=Bolger|first5=Anne F.|last6=Gewitz|first6=Michael|last7=Baker|first7=Annette L.|last8=Jackson|first8=Mary Anne|last9=Takahashi|first9=Masato|last10=Shah|first10=Pinak B.|last11=Kobayashi|first11=Tohru|last12=Wu|first12=Mei-Hwan|last13=Saji|first13=Tsutomu T.|last14=Pahl|first14=Elfriede|title=Diagnosis, Treatment, and Long-Term Management of Kawasaki Disease: A Scientific Statement for Health Professionals From the American Heart Association|journal=Circulation|volume=135|issue=17|year=2017|pages=e927–e999|issn=0009-7322|doi=10.1161/CIR.0000000000000484}}</ref>
**[[Ventricular]] dysfunction  
**[[Ventricular]] dysfunction  
**Occasionally, [[arrhythmia]] due to [[myocarditis]]
**[[Cardiac arrhythmia|Arrhythmia]] due to [[myocarditis]]
*In acute phase, the [[electrocardiogram]] may show the following abnormalities which are consistent with [[myocarditis]]:<ref name="NewburgerBurns2016">{{cite journal|last1=Newburger|first1=Jane W|last2=Burns|first2=Jane C|title=Kawasaki disease|journal=Vascular Medicine|volume=4|issue=3|year=2016|pages=187–202|issn=1358-863X|doi=10.1177/1358836X9900400310}}</ref><ref name="pmid1631584">{{cite journal |vauthors=Hiew TM, Cheng HK |title=ECG abnormalities in Kawasaki disease and their value in predicting coronary artery aneurysms |journal=Singapore Med J |volume=33 |issue=3 |pages=262–7 |date=June 1992 |pmid=1631584 |doi= |url=}}</ref>
*In the acute phase, the [[electrocardiogram]] may demonstrate the following abnormalities consistent with [[myocarditis]]:<ref name="NewburgerBurns2016">{{cite journal|last1=Newburger|first1=Jane W|last2=Burns|first2=Jane C|title=Kawasaki disease|journal=Vascular Medicine|volume=4|issue=3|year=2016|pages=187–202|issn=1358-863X|doi=10.1177/1358836X9900400310}}</ref><ref name="pmid1631584">{{cite journal |vauthors=Hiew TM, Cheng HK |title=ECG abnormalities in Kawasaki disease and their value in predicting coronary artery aneurysms |journal=Singapore Med J |volume=33 |issue=3 |pages=262–7 |date=June 1992 |pmid=1631584 |doi= |url=}}</ref>
**Prolonged [[PR interval]]
**Prolonged [[PR interval]]
**Nonspecific [[ST changes]]
**Nonspecific [[ST changes]]
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{{WH}}
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{{WS}}
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[[Category:Pediatrics]]
[[Category:Cardiovascular diseases]]
[[Category:Angiology]]
[[Category:Cardiology]]
[[Category:Rheumatology]]
[[Category:Dermatology]]
[[Category:Emergency medicine]]
[[Category:Up-To-Date]]
[[Category:Radiology]]

Latest revision as of 21:20, 16 April 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Dildar Hussain, MBBS [2]

Overview

Electrocardiogram in Kawasaki disease may demonstrate evidence of ventricular dysfunction or, occasionally arrhythmia due to myocarditis. However, in acute disease the electrocardiogram may demonstrate prolonged PR interval, non-specific ST changes, T-wave changes and increased Q/R ratio, which are consistent with myocarditis.

Electrocardiogram

References

  1. McCrindle, Brian W.; Rowley, Anne H.; Newburger, Jane W.; Burns, Jane C.; Bolger, Anne F.; Gewitz, Michael; Baker, Annette L.; Jackson, Mary Anne; Takahashi, Masato; Shah, Pinak B.; Kobayashi, Tohru; Wu, Mei-Hwan; Saji, Tsutomu T.; Pahl, Elfriede (2017). "Diagnosis, Treatment, and Long-Term Management of Kawasaki Disease: A Scientific Statement for Health Professionals From the American Heart Association". Circulation. 135 (17): e927–e999. doi:10.1161/CIR.0000000000000484. ISSN 0009-7322.
  2. Newburger, Jane W; Burns, Jane C (2016). "Kawasaki disease". Vascular Medicine. 4 (3): 187–202. doi:10.1177/1358836X9900400310. ISSN 1358-863X.
  3. Hiew TM, Cheng HK (June 1992). "ECG abnormalities in Kawasaki disease and their value in predicting coronary artery aneurysms". Singapore Med J. 33 (3): 262–7. PMID 1631584.

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