MI in KAWASAKI’S DISEASE. Epidemiology of Kawasaki’s. 80% 0f patients are under 5 yrs of age Male/female= 1.5 U.S. attack rate 1/10,000 Attack rate for Asians 6/10,000 Attack rate for African American 1.5/10K 2%die during subacute or conval. stage from acute thrombosis of aneurys. CA’s.
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Onset: 40% within 3 months
73% within first yr.
20% occur more than 2 yrs out
5% greater than 6 yrs
Symptoms:63% had symptomatic MI
54% presented in shock
Infants<1yr, 43% died
Distribution of coronary stenotic lesions( >75% narrowing):
load and nature of blood supply
Exercise and Training:
Exercise - Bodily exertion for the purpose of restoring the the and functions to a healthy state or keeping them healthy
1.Dynamic:changes in muscle length and joint movement with small force.
2.Static: large force with little or no change in muscle length or joint move.
audible 3rd and 4th heart sounds
cardiomegaly, globular heart on CXR
wandering atrial pacemaker
1st degree heart block
ST segment elevation in precordial
ST segment elevation normalizes with
Tall T waves ass with ST elevation
Isolated T wave inversion.
Increased LV end diastolic dimension
Increased LV wall thickness
IVS thickness may increase out of
proportion to LVPW
IVS/LVFM may be 2/1, this is reversed
THE PHYSICAL EXAM,ECG, AND ECHO
OF HIGHLY TRAINED ATHLETES MAY
SIMULATE ISCHEMIC HEART DISEASE
OR HYPERTROPHIC CARDIOMYO-
A witnessed or unwitnessed natural
death resulting from sudden cardiac
arrest occurring unexpectedly within 6
hours of a previously witnessed usual
normal state of health.
Barry Maron 1980