Hostname: page-component-586b7cd67f-r5fsc Total loading time: 0 Render date: 2024-11-24T13:08:03.629Z Has data issue: false hasContentIssue false

Potentially fatal arrhythmias in two cases of adult Kawasaki disease

Published online by Cambridge University Press:  01 October 2015

Hirofumi Watanabe*
Affiliation:
Department of Pediatrics and Child Health, Nihon University School of Medicine, Tokyo, Japan
Masataka Kato
Affiliation:
Department of Pediatrics and Child Health, Nihon University School of Medicine, Tokyo, Japan
Mamoru Ayusawa
Affiliation:
Department of Pediatrics and Child Health, Nihon University School of Medicine, Tokyo, Japan
*
Correspondence to: H. Watanabe, Department of Pediatrics and Child Health, Nihon University School of Medicine, 30-1 Ooyaguchikamichou, Itabashi-ku, Tokyo 173-8610, Japan. Tel: +8 133 972 8111 ext 8563; Fax: +8 133 957 6186; E-mail: [email protected]

Abstract

Fatal arrhythmias in asymptomatic Kawasaki disease patients with normal left ventricular function have rarely been reported. In this study, we report the cases of two adult patients with largely unpredictable sudden cardiac arrest, despite almost-normal left ventricular function even after the diagnosis of presumed Kawasaki disease, as well as consider the mechanisms involved with reference to the literature.

Type
Brief Reports
Copyright
© Cambridge University Press 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Kato, H, Sugimura, T, Akagi, T, et al. Long-term consequences of Kawasaki disease. A 10- to 21-year follow-up study of 594 patients. Circulation 1996; 94: 13791385.Google Scholar
2. Gordon, JB, Kahn, AM, Burns, JC. When children with Kawasaki disease grow up: myocardial and vascular complications in adulthood. J Am Coll Cardiol 2009; 54: 19111920.Google Scholar
3. Tsuda, E, Hirata, T, Matsuo, O, et al. The 30-year outcome for patients after myocardial infarction due to coronary artery lesions caused by Kawasaki disease. Pediatr Cardiol 2011; 32: 176182.CrossRefGoogle ScholarPubMed
4. Tsuda, E, Arakaki, Y, Shimizu, T, et al. Changes in causes of sudden deaths by decade in patients with coronary arterial lesions due to Kawasaki disease. Cardiol Young 2005; 15: 481488.Google Scholar
5. Yan, GX, Joshi, A, Guo, D, et al. Phase 2 reentry as a trigger to initiate ventricular fibrillation during early acute myocardial ischemia. Circulation 2004; 110: 10361041.Google Scholar
6. Sumitomo, N, Karasawa, K, Taniguchi, K, et al. Association of sinus node dysfunction, atrioventricular node conduction abnormality and ventricular arrhythmia in patients with Kawasaki disease and coronary involvement. Circ J 2008; 72: 274280.Google Scholar