Transthoracic Doppler assessment of coronary flow velocity reserve in children with Kawasaki disease

Hiraishi, Satoshi; Hirota, Hamao; Horiguchi, Y; Takeda, Nobuhiro; Fujino, Nobuyuki; Ogawa, N; Nakahata, Yayoi

doi:10.1016/s0735-1097(02)02479-8

Cited by 32 publications

(18 citation statements)

References 24 publications

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“…Transthoracic Doppler assessment of coronary flow velocity reserve in the posterior descending and left anterior descending artery predicted the presence of significant coronary stenosis of either right or left coronary artery. These data correlated with perfusion defects on Tl-201 SPECT [13]. An echocardiographic image of aneurysmatic left coronary artery is presented in Fig.…”

supporting

confidence: 64%

How to image Kawasaki disease: A validation of different imaging techniques

Mavrogeni

Papadopoulos

Karanasios

et al. 2008

International Journal of Cardiology

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supporting

confidence: 64%

How to image Kawasaki disease: A validation of different imaging techniques

Mavrogeni

Papadopoulos

Karanasios

et al. 2008

International Journal of Cardiology

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“…Normal values for Doppler flow velocities in the left coronary artery are reported in a number of children and are also studied in the branch arteries. Peak flow velocities during diastole range up to 60 cm/s in young children and decrease with age and increase with heart rate [124][125][126][127][128]. Coronary flow reserve (CFR) reflects the increase in coronary flow in response to hyperemia by adenosine triphosphate, dipyridamole, and exercise.…”

Section: Coronary Arterymentioning

confidence: 99%

“…CFR reflects the resistance of the coronary bed, its autoregulatory ability, and the ability to augment blood flow in response to stress. CFR is affected by stenosis of the proximal coronary arteries in Kawasaki disease [125] or by abnormalities in the coronary microcirculation in dilated cardiomyopathy [129].…”

Section: Coronary Arterymentioning

confidence: 99%

Assessment of Ventricular-Vascular Function by Echocardiography

Toyono

2014

Congenital Heart Disease

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Reliable assessment of ventricular function is an essential for management of patients with heart disease. Noninvasive echocardiographic evaluation is indispensable for repeated assessment of ventricular function in the clinical setting. Alterations of left and right ventricular geometry and loading conditions are the property of congenital heart disease; therefore, quantitative assessment of ventricular function is technically challenging. Systolic ventricular function is pump activity for the generation of an adequate cardiac output with filling pressure as low as possible. A wide variety of different echocardiographic parameters and indices are developed for the assessment of systolic ventricular function; however, no single parameter adequately provides all the necessary information. One should integrate information from different parameters to comprehensively describe systolic function. Echocardiographic assessment of diastolic function is based on Doppler method of mitral inflow and the pulmonary veins with supplemental assessment by tissue Doppler, strain, and strain rate. Although several indices are available, no single indices adequately evaluate diastolic function. Therefore, a comprehensive examination is mandatory as well as in systolic ventricular function. This chapter will discuss traditional and newer echocardiographic techniques for the evaluation of ventricular function and, in addition, vascular function in patients with congenital heart disease.

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“…Studies have been published on PET, single photon emission CT, and transthoracic Doppler flow assessment that showed impaired myocardial flow reserve in the chronic phase of Kawasaki disease with cardiac involvement [18,19].…”

Section: Kawasaki Diseasementioning

confidence: 99%

Use of imaging studies in the diagnosis of vasculitis

Schmidt¹

2004

Curr Rheumatol Rep

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Imaging studies are necessary to determine disease extension and disease activity in the small-vessel vasculitides. Computed tomography (CT) and magnetic resonance imaging (MRI) increase the number of pathologic findings compared with conventional radiography. MRI delineates mucosal inflammation and granulomas in the paranasal sinuses, whereas CT provides information about osseous lesions. CT is superior to MRI for the detection of pulmonary lesions. Radiograph angiography has been the gold standard for medium- and large-vessel vasculitides for decades. Echocardiography and MRI correspond well with conventional angiography to assess cardiac involvement in Kawasaki disease. MRI, CT, and CT angiography are alternative noninvasive techniques to delineate vasculitic lesions in polyarteritis nodosa, Takayasu's arteritis, and large-vessel giant cell arteritis. Duplex ultrasonography has the greatest resolution. It delineates typical artery wall swelling in temporal arteritis and Takayasu's arteritis. Positron emission tomography can assess inflammatory activity of large arteries.

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Transthoracic Doppler assessment of coronary flow velocity reserve in children with Kawasaki disease

Abstract: The CFVR measured by TTDE predicts the presence of significant coronary stenosis of either the right coronary artery or LAD, as well as myocardial ischemia of these territories in children with KD.

Cited by 32 publications

References 24 publications

How to image Kawasaki disease: A validation of different imaging techniques

How to image Kawasaki disease: A validation of different imaging techniques

Assessment of Ventricular-Vascular Function by Echocardiography

Use of imaging studies in the diagnosis of vasculitis

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