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Acute Myocardial Infarction during the Subacute Phase of Refractory and Incomplete Kawasaki Disease in a Five-year-old Boy

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Author(s)
Chul JinYeo Hyang KimHyung Seop Kim
Keimyung Author(s)
Kim, Yeo HyangKim, Hyung Seop
Department
Dept. of Pediatrics (소아청소년학)
Dept. of Internal Medicine (내과학)
Journal Title
Korean Journal of Critical Care Medicine
Issued Date
2014
Volume
29
Issue
1
Keyword
ElectrocardiogramImmunoglobulinKawasaki diseaseMyocardial infarction
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.
Keimyung Author(s)(Kor)
김여향
김형섭
Publisher
School of Medicine
Citation
Chul Jin et al. (2014). Acute Myocardial Infarction during the Subacute Phase of Refractory and Incomplete
Kawasaki Disease in a Five-year-old Boy. Korean Journal of Critical Care Medicine, 29(1), 23–26. doi: 10.4266/kjccm.2014.29.1.23
Type
Article
ISSN
2383-4870
DOI
10.4266/kjccm.2014.29.1.23
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/39624
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
1. School of Medicine (의과대학) > Dept. of Pediatrics (소아청소년학)
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