Myocardial performance and perfusion during exercise in patients with coronary artery disease caused by Kawasaki disease

Stephen M. Paridon, Robert D. Ross, Lawrence R. Kuhns, William W. Pinsky

Research output: Contribution to journalArticlepeer-review

18 Scopus citations

Abstract

For a study of the natural history of coronary artery lesions after Kawasaki disease and their effect on myocardial blood flow reserve with exercise, five such patients underwent exercise testing on a bicycle. Oxygen consumption, carbon dioxide production, minute ventilation, and electrocardiograms were monitored continuously. Thallium-201, scintigraphy was performed for all patients. One patient stopped exercise before exhaustion of cardiovascular reserve but had no evidence of myocardial perfusion abnormalities. Four patients terminated exercise because of exhaustion of cardiovascular reserve: one had normal cardiovascular reserve and thallium scintiscans, but the remaining patients had diminished cardiovascular reserve. Thallium scintigrams showed myocardial ischemia in two and infarction in one. No patient had exercise-induced electrocardiographic changes. These results indicate that patients with residual coronary artery lesions after Kawasaki disease frequently have reduced cardiovascular reserve during exercise. The addition of thallium scintigraphy and metabolic measurements to exercise testing improved the detection of exercise-induced abnormalities of myocardial perfusion.

Original languageEnglish
Pages (from-to)52-56
Number of pages5
JournalJournal of Pediatrics
Volume116
Issue number1
DOIs
StatePublished - Jan 1990

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