THE DETECTION OF VENTRICULAR DYSFUNCTION AND CARDITIS IN CHILDREN WITH KAWASAKI-DISEASE USING EQUILIBRIUM MULTIGATED BLOOD POOLING VENTRICULOGRAPHY AND TC-99(M)-HMPAO-LABELED WBC HEART SCANS

被引：20

作者：

KAO, CH

HSIEH, KS

WANG, YL

WANG, SJ

YEH, SH

机构：

[1] Department of Nuclear Medicine, Taichung Veterans General Hospital, Taichung, 40705, 160, Taichung Harbor Road

[2] Department of Pediatrics, Taichung Veterans General Hospital, Taichung, 40705, 160, Taichung Harbor Road

来源：

NUCLEAR MEDICINE COMMUNICATIONS | 1993年 / 14卷 / 07期

关键词：

D O I：

10.1097/00006231-199307000-00004

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 [临床医学]; 100207 [影像医学与核医学]; 1009 [特种医学];

摘要：

Thirty-seven children (11 girls, 26 boys; aged 2.8 +/- 2.2 years) with Kawasaki disease (KD) were included in the study. The biventricular functions were evaluated by equilibrium multigated blood pooling ventriculography (EMBPV) and the severity of carditis was decided by Tc-hexamethylpropyleneamine oxime (HMPAO) labelled white blood cell (WBC) heart scans (Tc-WBC). The results showed that 43% (16/37) of the KD cases with the severe carditis by Tc-WBC had the worst left ventricular ejection fraction (LVEF) (55.4 +/- 15.6%) and right ventricular ejection fraction (RVEF) (43.7% +/- 12.2%) by EMBPV; 24% (9/37) of the cases with the mild carditis had the best LVEF (63.5% +/- 8.2%) and RVEF (53.7% +/- 11.2%); the remaining 32% (12/37) had moderately severe carditis and biventricular function (LVEF: 58.2 +/- 17.2% and RVEF: 46.9 +/- 19.5%). Because Tc-WBC cannot only detect the severity of carditis but also predict impairment of ventricular function accurately, the choice of Tc-WBC should be preferable for KD - a common inflammatory cardiovascular disease in children.

引用

页码：539 / 543

页数：5

共 21 条

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