Valvular regurgitation in patients with Kawasaki disease and in healthy children: A pulsed Doppler echocardiographic study

Teiji Akagi, O. Inoue, N. Ohara, O. Toyoda, N. Rikitake, T. Mikajima, K. Suzuki, H. Kato

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Valvular lesions in the acute stage of Kawasaki disease were observed using pulsed Doppler echocardiography. The subjects consisted of 65 patients with Kawasaki disease (2 months~62/12 years) who had been followed from the acute stage. The age-matched 113 controls were selected from 661 healthy children (2 months~14 years of age). In the acute stage of Kawasaki disease, tricuspid regurgitation (TR) was detected in 31 (48%), pulmonary regurgitation (PR) in 22 (34%) and mitral regurgitation (MR) in 17 (26%). There was no aortic regurgitation (AR). In the convalescent stage, TR was found in 26 (40%), PR in 20 (31%), and MR in 11 (17%), but no AR was detected. The incidence of each valvular regurgitation between the acute and convalescent stages in patients with Kawasaki disease did not differ significantly. Furthermore, there was no significant difference in the incidence of valvular regurgitation between patients with Kawasaki disease and the normal controls. In nine patients, however, valvular regurgitation in the acute stage had disappeared by the convalescent stage, and two patients had developed a new pansystolic murmur in the acute stage. We estimated the incidence of pathologic valvular involvement in Kawasaki disease to be 11/65 (17%). The incidence of valvular involvement in patients with coronary artery aneurysms was significantly higher than that of patients without coronary artery aneurysms (p

Original languageEnglish
Pages (from-to)787-796
Number of pages10
JournalJournal of Cardiology
Volume19
Issue number3
Publication statusPublished - 1989
Externally publishedYes

Fingerprint

Mucocutaneous Lymph Node Syndrome
Pulmonary Valve Insufficiency
Coronary Aneurysm
Tricuspid Valve Insufficiency
Aortic Valve Insufficiency
Incidence
Mitral Valve Insufficiency
Coronary Vessels
Doppler Pulsed Echocardiography

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Akagi, T., Inoue, O., Ohara, N., Toyoda, O., Rikitake, N., Mikajima, T., ... Kato, H. (1989). Valvular regurgitation in patients with Kawasaki disease and in healthy children: A pulsed Doppler echocardiographic study. Journal of Cardiology, 19(3), 787-796.

Valvular regurgitation in patients with Kawasaki disease and in healthy children : A pulsed Doppler echocardiographic study. / Akagi, Teiji; Inoue, O.; Ohara, N.; Toyoda, O.; Rikitake, N.; Mikajima, T.; Suzuki, K.; Kato, H.

In: Journal of Cardiology, Vol. 19, No. 3, 1989, p. 787-796.

Research output: Contribution to journalArticle

Akagi, T, Inoue, O, Ohara, N, Toyoda, O, Rikitake, N, Mikajima, T, Suzuki, K & Kato, H 1989, 'Valvular regurgitation in patients with Kawasaki disease and in healthy children: A pulsed Doppler echocardiographic study', Journal of Cardiology, vol. 19, no. 3, pp. 787-796.
Akagi, Teiji ; Inoue, O. ; Ohara, N. ; Toyoda, O. ; Rikitake, N. ; Mikajima, T. ; Suzuki, K. ; Kato, H. / Valvular regurgitation in patients with Kawasaki disease and in healthy children : A pulsed Doppler echocardiographic study. In: Journal of Cardiology. 1989 ; Vol. 19, No. 3. pp. 787-796.
@article{ca9309281b33463cab7a0cce6a43b517,
title = "Valvular regurgitation in patients with Kawasaki disease and in healthy children: A pulsed Doppler echocardiographic study",
abstract = "Valvular lesions in the acute stage of Kawasaki disease were observed using pulsed Doppler echocardiography. The subjects consisted of 65 patients with Kawasaki disease (2 months~62/12 years) who had been followed from the acute stage. The age-matched 113 controls were selected from 661 healthy children (2 months~14 years of age). In the acute stage of Kawasaki disease, tricuspid regurgitation (TR) was detected in 31 (48{\%}), pulmonary regurgitation (PR) in 22 (34{\%}) and mitral regurgitation (MR) in 17 (26{\%}). There was no aortic regurgitation (AR). In the convalescent stage, TR was found in 26 (40{\%}), PR in 20 (31{\%}), and MR in 11 (17{\%}), but no AR was detected. The incidence of each valvular regurgitation between the acute and convalescent stages in patients with Kawasaki disease did not differ significantly. Furthermore, there was no significant difference in the incidence of valvular regurgitation between patients with Kawasaki disease and the normal controls. In nine patients, however, valvular regurgitation in the acute stage had disappeared by the convalescent stage, and two patients had developed a new pansystolic murmur in the acute stage. We estimated the incidence of pathologic valvular involvement in Kawasaki disease to be 11/65 (17{\%}). The incidence of valvular involvement in patients with coronary artery aneurysms was significantly higher than that of patients without coronary artery aneurysms (p",
author = "Teiji Akagi and O. Inoue and N. Ohara and O. Toyoda and N. Rikitake and T. Mikajima and K. Suzuki and H. Kato",
year = "1989",
language = "English",
volume = "19",
pages = "787--796",
journal = "Journal of cardiography. Supplement",
issn = "0914-5087",
publisher = "Japanese College of Cardiology (Nippon-Sinzobyo-Gakkai)",
number = "3",

}

TY - JOUR

T1 - Valvular regurgitation in patients with Kawasaki disease and in healthy children

T2 - A pulsed Doppler echocardiographic study

AU - Akagi, Teiji

AU - Inoue, O.

AU - Ohara, N.

AU - Toyoda, O.

AU - Rikitake, N.

AU - Mikajima, T.

AU - Suzuki, K.

AU - Kato, H.

PY - 1989

Y1 - 1989

N2 - Valvular lesions in the acute stage of Kawasaki disease were observed using pulsed Doppler echocardiography. The subjects consisted of 65 patients with Kawasaki disease (2 months~62/12 years) who had been followed from the acute stage. The age-matched 113 controls were selected from 661 healthy children (2 months~14 years of age). In the acute stage of Kawasaki disease, tricuspid regurgitation (TR) was detected in 31 (48%), pulmonary regurgitation (PR) in 22 (34%) and mitral regurgitation (MR) in 17 (26%). There was no aortic regurgitation (AR). In the convalescent stage, TR was found in 26 (40%), PR in 20 (31%), and MR in 11 (17%), but no AR was detected. The incidence of each valvular regurgitation between the acute and convalescent stages in patients with Kawasaki disease did not differ significantly. Furthermore, there was no significant difference in the incidence of valvular regurgitation between patients with Kawasaki disease and the normal controls. In nine patients, however, valvular regurgitation in the acute stage had disappeared by the convalescent stage, and two patients had developed a new pansystolic murmur in the acute stage. We estimated the incidence of pathologic valvular involvement in Kawasaki disease to be 11/65 (17%). The incidence of valvular involvement in patients with coronary artery aneurysms was significantly higher than that of patients without coronary artery aneurysms (p

AB - Valvular lesions in the acute stage of Kawasaki disease were observed using pulsed Doppler echocardiography. The subjects consisted of 65 patients with Kawasaki disease (2 months~62/12 years) who had been followed from the acute stage. The age-matched 113 controls were selected from 661 healthy children (2 months~14 years of age). In the acute stage of Kawasaki disease, tricuspid regurgitation (TR) was detected in 31 (48%), pulmonary regurgitation (PR) in 22 (34%) and mitral regurgitation (MR) in 17 (26%). There was no aortic regurgitation (AR). In the convalescent stage, TR was found in 26 (40%), PR in 20 (31%), and MR in 11 (17%), but no AR was detected. The incidence of each valvular regurgitation between the acute and convalescent stages in patients with Kawasaki disease did not differ significantly. Furthermore, there was no significant difference in the incidence of valvular regurgitation between patients with Kawasaki disease and the normal controls. In nine patients, however, valvular regurgitation in the acute stage had disappeared by the convalescent stage, and two patients had developed a new pansystolic murmur in the acute stage. We estimated the incidence of pathologic valvular involvement in Kawasaki disease to be 11/65 (17%). The incidence of valvular involvement in patients with coronary artery aneurysms was significantly higher than that of patients without coronary artery aneurysms (p

UR - http://www.scopus.com/inward/record.url?scp=0024800045&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0024800045&partnerID=8YFLogxK

M3 - Article

C2 - 2641773

AN - SCOPUS:0024800045

VL - 19

SP - 787

EP - 796

JO - Journal of cardiography. Supplement

JF - Journal of cardiography. Supplement

SN - 0914-5087

IS - 3

ER -