Abstract

Objective To investigate the correlation between coronary artery lesion and left ventricular torsion of Kawasaki disease in children.Methods The lesions of coronary artery were observed by normal ultrasound at early stage.The children suffering from Kawasaki disease were divided into coronary artery lesion group and non-coronary lesion group.The left ventricular torsion of disease group and control group were contrasted by 2-dimension ultrasound speckle tracing imaging.Results The left ventricular torsion of disease group was lower than that of control group,the F values of peak subendocardial totation,peak epicardial rotation,bulk rotation and peak mural torsion were 75.56,14.52,37.97 and 29.80 respectively,the difference had statistical significance (P < 0.01).The left ventricular torsion of non-coronary lesion group was lower than that of coronary artery lesion group,the F values of peak subendocardial totation and the peak epicardial rotation were 51.99,11.56,the difference had statistical significance (P < 0.01); The F values of bulk rotation,peak mural torsion were 23.39 and 18.17,the difference had statistical significance (P < 0.05).Conclusion The decline of left ventricular torsion is one of the sensitive indexes in early diagnosis of coronary artery lesion in Kawasaki disease. Key words: Kawasaki disease; Coronary artery lesion; Left ventricular torsion; Correlation

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