학술논문

The electrophysiological index can effectively predict subsequent coronary artery aneurysm in children with Kawasaki disease
Document Type
article
Source
Fujita Medical Journal, Vol 9, Iss 4, Pp 275-281 (2023)
Subject
kawasaki disease
coronary artery aneurysm
t-peak to t-end interval
qt interval
Medicine (General)
R5-920
Language
English
ISSN
2189-7247
2189-7255
Abstract
Objectives: The Gunma score is used to predict the severity of Kawasaki disease (KD), including coronary artery aneurysm (CAA) as a cardiac complication, in Japan. Additionally, the characteristic ratio of ventricular repolarization (T-peak to T-end interval to QT interval [Tp-e/QT]) on a surface electrocardiogram reflects myocardial inflammation. This study aimed to determine whether the Tp-e/QT can be used to predict CAA in children with KD. Methods: We analyzed chest surface electrocardiograms of 112 children with KD before receiving intravenous immunoglobulin therapy using available software (QTD; Fukuda Denshi, Tokyo, Japan). Results: The Tp-e/QT (lead V5) was positively correlated with the Gunma score (r=0.352, p