We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Acute Myocardial Infarction during the Subacute Phase of Refractory and Incomplete Kawasaki Disease in a Five-year-old Boy.
- Authors
Chul Jin; Yeo Hyang Kim; Hyung Seop Kim
- Abstract
Kawasaki disease (KD) is an acute, systemic vasculitis of childhood. The early mortality of KD results from coronary complications, mainly aneurysmal thrombosis with myocardial infarction, and the subacute phase of KD has the highest risk of mortality. Although there have been reports of ischemic heart disease as late cardiologic sequelae of KD in young adults, acute myocardial infarction caused by coronary complications in the subacute phase of KD is rare. We experienced one pediatric patient who developed coronary artery aneurysm and acute myocardiac infarction (AMI) during the subacute phase of incomplete and intravenous immunoglobulin (IVIG)-nonresponsive KD. The patient was given a good prognosis due to close monitoring and early recognition of AMI. Physicians should carefully monitor KD patients who do not respond to initial IVIG therapy and who show progressive coronary artery dilatation. If such a patient complaints of chest pain and the ECG shows hyperacute T waves, the physician should suspect development of AMI.
- Subjects
MYOCARDIAL infarction; MUCOCUTANEOUS lymph node syndrome; VASCULITIS; THROMBOSIS; IMMUNOGLOBULINS; ELECTROCARDIOGRAPHY
- Publication
Korean Journal of Critical Care Medicine, 2014, Vol 29, Issue 1, p23
- ISSN
1229-4802
- Publication type
Article
- DOI
10.4266/kjccm.2014.29.1.23