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January 1, 1995Circulation

Two patients developed new exercise-induced wall motion abnormalities corresponding to critical LAD stenosis, whereas no patients had ECG evidence of ischemia; 26 of 28 had normal exercise tolerance with no adverse reactions.

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Why the study?

Is treadmill exercise stress echocardiography feasible and safe for identifying myocardial ischemia in children with coronary abnormalities secondary to Kawasaki disease?

Population

28 children ages 6 to 16 years with coronary artery abnormalities identified during previous…

Design

Cohort

Authors

EPElfriede PahlRSRajesh SehgalDCDale Chrystof

Discussion

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Overview

May detect ischemia missed by ECG in Kawasaki children; hypothesis-generating and should not yet change practice.

Structured PICO

Is treadmill exercise stress echocardiography feasible and safe for identifying myocardial ischemia in children with coronary abnormalities secondary to Kawasaki disease?

P
Population
28 children ages 6 to 16 years with coronary artery abnormalities identified during previous echocardiographic imaging, 1 to 10 years after acute Kawasaki disease.
I
Intervention
Treadmill exercise stress echocardiography using a standard Bruce protocol.
O
Outcome
Feasibility, safety, and identification of exercise-induced wall motion abnormalities.surrogate

Exercise stress echocardiography is a feasible, safe, and radiation-free modality that can detect myocardial ischemia missed by ECG stress testing in children with Kawasaki disease.

Cite This Study

Pahl et al. (1995) studied this question.

synapsesocial.com/papers/6a93aab4744b618ad237e259https://doi.org/10.1161/01.cir.91.1.122
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Exercise stress echocardiographic assessment of myocardial function in paediatric patients with Kawasaki disease2026
  2. 2Exercise myocardial perfusion stress testing in children with Kawasaki disease2006 · 14 citations
  3. 3The role of echocardiography in Kawasaki disease2017 · 60 citations
  4. 4An exercise tissue Doppler and strain rate imaging study of diastolic myocardial dysfunction after Kawasaki syndrome in childhood2007 · 24 citations
  5. 5Exercise capacity and incidence of myocardial perfusion defects after Kawasaki disease in children and adolescents1995 · 80 citations