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| The clinical significance of exercise tolerance test in the follow up of Kawasaki disease |
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Abstract ObjectiveTo explore the clinical significance of exercise tolerance test (ETT) in the followup of Kawasaki disease(KD). Methods Among the 100 children diagnosed with KD in our hospital since 2003, select 54 cases who were suitable for the test and divide them into two groups according to the results of echocardiogram. There were 24 cases in coronaryarterylesion group and 30 in noncoronaryarterylesion group. Compare the parameters of EET in those two groups.ResultsAbnormal changes in ETT were detected in 26 out of 54 cases which accounted for 48.2%, and the coronaryarterylesion group shared 20 cases(83.3%) while the other group 6 cases(20%).The majority of changes in the coronaryarterylesion group represented as STT abnormality(16 cases, 66.7%), followed by decrease of tolerance dose(33.3%) and premature beat(20.8%). Comparing the 3 parameters between the two groups, the difference was statistically significant(P<0.05) while other parameters without statistical significance(P>0.05). ConclusionThe exercise tolerance test can be repeatable for the followup and diagnosis of KD patients which is one of the safe, feasible and noninvasive methods in evaluating coronary artery disease.
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2013, Vol. 22 
