Cardiac Function in Kawasaki Disease Patients with Respiratory Symptoms
Identifieur interne : 000972 ( Main/Exploration ); précédent : 000971; suivant : 000973Cardiac Function in Kawasaki Disease Patients with Respiratory Symptoms
Auteurs : Seul Bee Lee [Corée du Sud] ; Han Seul Choi [Corée du Sud] ; Sejung Son [Corée du Sud] ; Young Mi Hong [Corée du Sud]Source :
- Korean Circulation Journal [ 1738-5520 ] ; 2015.
Abstract
Respiratory symptoms are often observed in children with Kawasaki disease (KD) during the acute phase. The association of respiratory viruses in children with KD was investigated using multiplex reverse transcriptase-polymerase chain reaction (RT-PCR) and tissue Doppler echocardiography.
138 KD patients were included from January 2010 to June 2013. We compared 3 groups (group 1: n=94, KD without respiratory symptoms; group 2: n=44, KD with respiratory symptoms; and group 3: n=50, febrile patients with respiratory symptoms). Laboratory data were obtained from each patient including N-terminal pro-brain natriuretic peptide (NT-proBNP). Echocardiographic measurements were compared between group 1 and group 2. RT-PCR was performed using nasopharyngeal secretion to screen for the presence of 14 viruses in groups 2 and 3.
The incidence of KD with respiratory symptoms was 31.8%. The duration of fever was significantly longer, and coronary artery diameter was larger in group 2 than in group 1. Tei index was significantly higher and coronary artery diameter larger in group 2 than group 1. Coronary artery diameter, C-reactive protein levels, platelet count, alanine aminotransferase levels, and NT-pro BNP levels were significantly higher and albumin levels lower in group 2 compared with group 3.
NT-pro BNP was a valuable diagnostic tool in differentiating KD from other febrile viral respiratory infections. Some viruses were more frequently observed in KD patients than in febrile controls. Tei index using tissue Doppler imaging was increased in KD patients with respiratory symptoms.
Url:
DOI: 10.4070/kcj.2015.45.4.317
PubMed: 26240586
PubMed Central: 4521110
Affiliations:
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Hong</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Pediatrics, Ewha Womans University School of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Pediatrics, Ewha Womans University School of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26240586</idno><idno type="pmc">4521110</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4521110</idno><idno type="RBID">PMC:4521110</idno><idno type="doi">10.4070/kcj.2015.45.4.317</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000024</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000024</idno><idno type="wicri:Area/Pmc/Curation">000024</idno><idno 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Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Pediatrics, Ewha Womans University School of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Choi, Han Seul" sort="Choi, Han Seul" uniqKey="Choi H" first="Han Seul" last="Choi">Han Seul Choi</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Pediatrics, Ewha Womans University School of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Pediatrics, Ewha Womans University School of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Son, Sejung" sort="Son, Sejung" uniqKey="Son S" first="Sejung" last="Son">Sejung Son</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Pediatrics, Ewha Womans University School of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Pediatrics, Ewha Womans University School of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Hong, Young Mi" sort="Hong, Young Mi" uniqKey="Hong Y" first="Young Mi" last="Hong">Young Mi Hong</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Pediatrics, Ewha Womans University School of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Pediatrics, Ewha Womans University School of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author></analytic><series><title level="j">Korean Circulation Journal</title><idno type="ISSN">1738-5520</idno><idno type="eISSN">1738-5555</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background and Objectives</title><p>Respiratory symptoms are often observed in children with Kawasaki disease (KD) during the acute phase. The association of respiratory viruses in children with KD was investigated using multiplex reverse transcriptase-polymerase chain reaction (RT-PCR) and tissue Doppler echocardiography.</p></sec><sec><title>Subjects and Methods</title><p>138 KD patients were included from January 2010 to June 2013. We compared 3 groups (group 1: n=94, KD without respiratory symptoms; group 2: n=44, KD with respiratory symptoms; and group 3: n=50, febrile patients with respiratory symptoms). Laboratory data were obtained from each patient including N-terminal pro-brain natriuretic peptide (NT-proBNP). Echocardiographic measurements were compared between group 1 and group 2. RT-PCR was performed using nasopharyngeal secretion to screen for the presence of 14 viruses in groups 2 and 3.</p></sec><sec><title>Results</title><p>The incidence of KD with respiratory symptoms was 31.8%. The duration of fever was significantly longer, and coronary artery diameter was larger in group 2 than in group 1. Tei index was significantly higher and coronary artery diameter larger in group 2 than group 1. Coronary artery diameter, C-reactive protein levels, platelet count, alanine aminotransferase levels, and NT-pro BNP levels were significantly higher and albumin levels lower in group 2 compared with group 3.</p></sec><sec><title>Conclusion</title><p>NT-pro BNP was a valuable diagnostic tool in differentiating KD from other febrile viral respiratory infections. Some viruses were more frequently observed in KD patients than in febrile controls. Tei index using tissue Doppler imaging was increased in KD patients with respiratory symptoms.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Kawasaki, T" uniqKey="Kawasaki T">T Kawasaki</name></author><author><name sortKey="Kosaki, F" uniqKey="Kosaki F">F Kosaki</name></author><author><name sortKey="Okawa, S" uniqKey="Okawa S">S Okawa</name></author><author><name sortKey="Shigematsu, I" uniqKey="Shigematsu I">I Shigematsu</name></author><author><name sortKey="Yanagawa, H" uniqKey="Yanagawa H">H Yanagawa</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Burns, Jc" uniqKey="Burns J">JC Burns</name></author><author><name sortKey="Glode, Mp" uniqKey="Glode M">MP Glodé</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wood, Le" uniqKey="Wood L">LE Wood</name></author><author><name sortKey="Tulloh, Rm" uniqKey="Tulloh R">RM 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Vijayan</name></author><author><name sortKey="Dinesh, Kb" uniqKey="Dinesh K">KB Dinesh</name></author><author><name sortKey="Nath, Kr" uniqKey="Nath K">KR Nath</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bruch, C" uniqKey="Bruch C">C Bruch</name></author><author><name sortKey="Schmermund, A" uniqKey="Schmermund A">A Schmermund</name></author><author><name sortKey="Marin, D" uniqKey="Marin D">D Marin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tei, C" uniqKey="Tei C">C Tei</name></author><author><name sortKey="Dujardin, Ks" uniqKey="Dujardin K">KS Dujardin</name></author><author><name sortKey="Hodge, Do" uniqKey="Hodge D">DO Hodge</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ajami, G" uniqKey="Ajami G">G Ajami</name></author><author><name sortKey="Borzouee, M" uniqKey="Borzouee M">M Borzouee</name></author><author><name sortKey="Amoozgar, H" uniqKey="Amoozgar H">H Amoozgar</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Corée du Sud</li></country><region><li>Région capitale de Séoul</li></region><settlement><li>Séoul</li></settlement></list><tree><country name="Corée du Sud"><region name="Région capitale de Séoul"><name sortKey="Lee, Seul Bee" sort="Lee, Seul Bee" uniqKey="Lee S" first="Seul Bee" last="Lee">Seul Bee Lee</name></region><name sortKey="Choi, Han Seul" sort="Choi, Han Seul" uniqKey="Choi H" first="Han Seul" last="Choi">Han Seul Choi</name><name sortKey="Hong, Young Mi" sort="Hong, Young Mi" uniqKey="Hong Y" first="Young Mi" last="Hong">Young Mi Hong</name><name sortKey="Son, Sejung" sort="Son, Sejung" uniqKey="Son S" first="Sejung" last="Son">Sejung Son</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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