Wave Changes Research Articles

Experimental Study of Mechanical Wave Propagation in Solidifying Cement-Based Composites.

In this paper, a new measurement procedure is presented as an experimental study. In this experimental study, a measurement system using the pass-through pulsed ultrasonic method was used. The pilot application of the measurement setup was to monitor mechanical wave changes during the solidification and hardening of fine-grained cement-based composites. The fine-grained composites had different water-cement ratios. The measured results show apparent differences in the recorded mechanical wave parameters. Significant differences were observed in the waveforms of the amplitude increase in the passing mechanical waves. At the same time, the frequency spectra of the five most dominant frequencies are presented, where the frequency lines are clear, indicating the quality of the hydration process. Based on the results, it can be concluded that the new method is usable for fine-grained cement-based materials but is not limited to that. The advantages of this method are its high variability and non-destructive character. The experimental study also outlines the possible future applications of the pulsed passage ultrasonic method.

Prospective Outcomes After Serial Platelet-Rich Plasma (PRP) Injection in Vocal Fold Scar and Sulcus.

Vocal fold scar and sulcus pose significant treatment challenges with no current optimal treatment. Platelet-rich plasma (PRP), an autologous concentration of growth factors, holds promise for regenerating the superficial lamina propria. This study aims to evaluate the potential benefits of serial PRP injections on mucosal wave restoration and vocal function. In a prospective clinical trial across two institutions, patients with vocal fold scar underwent four serial PRP injections, one month apart. Blinded independent laryngologists and expert listeners used pretreatment and one-month post-fourth injection videostroboscopy and CAPE-V assessments to evaluate mucosal wave and voice quality changes, respectively. Additionally, patient reported outcome measures (PROMs) were evaluated. In the study, 15 patients received 55 PRP injections without adverse effects. Eight patients (53.3%) had mild, three patients (20%) had moderate, and four patients (26.7%) had severe scar. There was an average reduction of 8.7 points in post-treatment VHI-10 scores (p = 0.007). The raters observed an improvement in post-treatment voice in 73.4% of cases, and CAPE-V scores showed a reduction of 18.8 points on average (p = 0.036). The videostroboscopic VALI ratings showed an improvement in mucosal wave rating from 2.0 to 4.0. On average, the raters perceived the post-PRP exams to be better in 56.7% of cases. PRP has been validated as a safe autologous option for treatment of vocal fold scar. While results for mucosal wave and voice quality varied, there was a consistent improvement in PROMs. 3: Prospective cohort study, with blinded analysis Laryngoscope, 134:5021-5027, 2024.

Numerical Simulation Study on Reverse Source Tracing for Heating Pipeline Network Leaks Based on Adjoint Equations

In order to identify the leak source in complex heating pipeline networks, a timely and effective simulation of the leakage process was conducted. The open-source computational fluid dynamics software OpenFOAM 5.0 was combined with the PISO algorithm to simulate the pressure during the leakage in water supply networks, transforming the reverse source tracing problem into the solution of an adjoint equation. The validation of the transient adjoint equation for single-phase flow was completed through simulation, and the pressure wave change graph at the moment of the network leakage was solved, which was consistent with the experimental results. Using the open-source finite element analysis software OpenFOAM 5.0, the positioning accuracy of pipeline leak points can be controlled within the range from 92% to 96%. Based on the pressure wave change graph, the position of the leak source in the complex network was determined using the reverse source tracing method combined with the second correlation theory. The results show that the calculation speed of the PISO algorithm combined with the adjoint equation is significantly better than that of the individual SIMPLE and PISO algorithms, thereby proving the superiority of the adjoint method.

The Influence of Ultrasonic Irradiation of a 316L Weld Pool Produced by DED on the Mechanical Properties of the Produced Component

Additive manufacturing of metallic components often results in the formation of columnar grain structures aligned along the build direction. These elongated grains can introduce anisotropy, negatively impacting the mechanical properties of the components. This study aimed to achieve controlled solidification with a fine-grained microstructure to enhance the mechanical performance of printed parts. Stainless steel 316L was used as the test material. High-intensity ultrasound was applied during the direct energy deposition (DED) process to inhibit the formation of columnar grains. The investigation emphasized the importance of amplitude changes of the ultrasound wave as the system’s geometry continuously evolves with the addition of multiple layers and assessed how these changes influence the grain size and distribution. Initial tests revealed significant amplitude fluctuations during layer deposition, highlighting the impact of layer deposition on process uniformity. The mechanical results demonstrated that the application of ultrasound effectively refined the grain structure, leading to a 15% increase in tensile strength compared to conventionally additively manufactured samples.

The potential of hand cutaneous vision: A study on groups of sighted individuals and two cases of blind adults

Recent research has uncovered photoreceptors in human skin akin to those found in the retina, suggesting the potential for color perception through tactile sensation. In addition, a study has demonstrated changes in brain waves in response to the skin’s perception of colors. Building on these findings, this study investigated whether two totally blind adults could acquire the ability to identify colors by touching cards after 1 month of home training. This followed a preliminary experiment that verified sighted individuals could improve their scores through 1 month of home training while blindfolded. Participant A, who is in their 50s and was sighted until age 11, showed improved tactile color perception after the training. In contrast, Participant B, blind since birth and in their 30s, did not show similar improvement but instead showed slight improvement. These results indicate that tactile color perception can develop even in totally blind adults, and furthermore suggest that acquisition is more advantageous with prior visual experience. This research underscores the potential for alternative pathways to color perception beyond traditional vision.

Abstract 4138424: Ring of Power: Unraveling a Rare Diagnosis in a Young Male with Palpitations

Case Description: A 36-year-old male presented for an outpatient treadmill ECG stress test for further evaluation of palpitations exacerbated by exercise. He had no ischemic ECG changes, but developed a sustained episode of polymorphic VT at 13 minutes (Figure 1a). The test was stopped and the VT self-terminated after 43 seconds. The patient was admitted for further workup. Lab workup was unremarkable; baseline ECG demonstrated no ST-T wave changes and displayed normal QT and QRS duration. TTE showed mild biventricular dysfunction. Coronary CT angiogram showed type 3 subtype of Vieussens’ arterial ring (VAR), with an absent left main and super-dominant RCA supplying both LAD and LCx. FFR-CT showed non-hemodynamically significant stenosis in the mid-distal LAD (Figure 1b). Left heart catheterization confirmed presence of VAR and mild diffuse disease in a small-caliber mid-distal LAD (Figures 1c&d). No malignant course or dynamic coronary compression was present. Cardiac MRI revealed normal biventricular function and the absence of late gadolinium enhancement. An exercise stress test, now with myocardial perfusion, was performed and was entirely normal without evidence of myocardial ischemia. Genetic testing for catecholaminergic polymorphic VT was negative. After a multidisciplinary discussion, it was decided not to pursue CABG in the absence of demonstrable ischemia at peak exercise. He underwent an ICD placement for secondary prevention and was discharged on beta blockers. Discussion: Three distinct subtypes of VAR have been described, with type 3 being the rarest. The coronary anomaly was first described by Raymond de Vieussens in 1706, and represents an embryologic remnant of the conotruncal circle. It may be diagnosed incidentally in asymptomatic patients or present with angina especially if underlying CAD, aneurysms or fistulae are present. We report the first case of exercise-induced polymorphic VT in a type 3 VAR patient, theorizing that intermittent myocardial ischemia at peak exercise may induce VT in these patients. Surgical revascularization may be considered if myocardial ischemia is demonstrated on stress testing, although its benefit in patients without such evidence of ischemia is unknown.

Derivation and internal validation of prediction models for pulmonary hypertension risk assessment in a cohort inhabiting Tibet, China.

Individuals residing in plateau regions are susceptible to pulmonary hypertension (PH) and there is an urgent need for a prediction nomogram to assess the risk of PH in this population. A total of 6603 subjects were randomly divided into a derivation set and a validation set at a ratio of 7:3. Optimal predictive features were identified through the least absolute shrinkage and selection operator regression technique, and nomograms were constructed using multivariate logistic regression. The performance of these nomograms was evaluated and validated using the area under the curve (AUC), calibration curves, the Hosmer-Lemeshow test, and decision curve analysis. Comparisons between nomograms were conducted using the net reclassification improvement (NRI) and integrated discrimination improvement (IDI) indices. NomogramI was established based on independent risk factors, including gender, Tibetan ethnicity, age, incomplete right bundle branch block (IRBBB), atrial fibrillation (AF), sinus tachycardia (ST), and T wave changes (TC). The AUCs for NomogramI were 0.716 in the derivation set and 0.718 in the validation set. NomogramII was established based on independent risk factors, including Tibetan ethnicity, age, right axis deviation, high voltage in the right ventricle, IRBBB, AF, pulmonary P waves, ST, and TC. The AUCs for NomogramII were 0.844 in the derivation set and 0.801 in the validation set. Both nomograms demonstrated satisfactory clinical consistency. The IDI and NRI indices confirmed that NomogramII outperformed NomogramI. Therefore, the online dynamic NomogramII was established to predict the risks of PH in the plateau population.

Derivation and internal validation of prediction models for pulmonary hypertension risk assessment in a cohort inhabiting Tibet, China

Individuals residing in plateau regions are susceptible to pulmonary hypertension (PH) and there is an urgent need for a prediction nomogram to assess the risk of PH in this population. A total of 6603 subjects were randomly divided into a derivation set and a validation set at a ratio of 7:3. Optimal predictive features were identified through the least absolute shrinkage and selection operator regression technique, and nomograms were constructed using multivariate logistic regression. The performance of these nomograms was evaluated and validated using the area under the curve (AUC), calibration curves, the Hosmer–Lemeshow test, and decision curve analysis. Comparisons between nomograms were conducted using the net reclassification improvement (NRI) and integrated discrimination improvement (IDI) indices. NomogramI was established based on independent risk factors, including gender, Tibetan ethnicity, age, incomplete right bundle branch block (IRBBB), atrial fibrillation (AF), sinus tachycardia (ST), and T wave changes (TC). The AUCs for NomogramI were 0.716 in the derivation set and 0.718 in the validation set. NomogramII was established based on independent risk factors, including Tibetan ethnicity, age, right axis deviation, high voltage in the right ventricle, IRBBB, AF, pulmonary P waves, ST, and TC. The AUCs for NomogramII were 0.844 in the derivation set and 0.801 in the validation set. Both nomograms demonstrated satisfactory clinical consistency. The IDI and NRI indices confirmed that NomogramII outperformed NomogramI. Therefore, the online dynamic NomogramII was established to predict the risks of PH in the plateau population.

Estimating Operating States of Numerical Control Milling Machines Using Wi-Fi Sensing and Channel State Information

This study investigates whether wi-fi sensing, through channel state information (CSI), can estimate the operating state and the material machined by a numerical control (NC) milling machine without contact sensors. The research aims to develop a predictive system that detects machine tool failures by analyzing fluctuations in wi-fi radio waves and assesses the state of the machine based on changes in wi-fi radio waves. If a machine tool vibrates differently from usual, the system predicts a fault based on historical vibration data. To achieve this, a novel approach is required to predict the operating state of a machine tool using wi-fi sensing. Thus, this study conducted a preliminary evaluation to determine the possibility of estimating the operating state of a machine tool using wi-fi sensing. The experiment involved controlling the NC machine tool to alter its operational state during material processing and measuring the processing state using CSI obtained from a wi-fi module. Results indicated that CSI can estimate the operating and machining states of the milling machine.

Application of Geo-Radar in the Detection of Various Adverse Geology in Tunnel Over-advance Geological Forecasting

Abstract Tunnel excavation process will encounter a variety of adverse geological problems, different adverse geologic bodies on the safety of tunneling projects will have more or less impact. This paper summarizes and analyzes several kinds of common adverse geological bodies based on previous engineering examples, and compares and analyzes the prediction results of geo-radar with the actual excavation characteristics in the preliminary over-advanced geological prediction, which shows that different adverse geological bodies such as fracture zones (faults), water-bearing bodies, cavities, joints and fissures development zones, etc., will have an impact on the frequency and amplitude (energy) of radar waves, which will confirm the frequency and amplitude changes of radar waves in the face of the palm. By analyzing the frequency and amplitude changes of radar waves, we can confirm the change of surrounding rocks in front of the palm face. The application of geo-radar in over-advanced geological forecasting and detection of adverse geology has solved the problems encountered in the process of tunnel construction and excavation, and has provided reliable technical support for safe tunnel construction.

The propagation characteristics of a detonation wave in uniformly premixed gases within a semi-confined channel

Based on the OpenFOAM platform, a numerical study was conducted to investigate the propagation characteristics of a detonation wave in uniformly premixed gases within a semi-confined channel, specifically examining the changes in wave's structure and analyzing the detonation reinitiation-extinguishment process. The results indicate that, due to the weak confinement, the detonation wave experiences lateral expansion, with transverse waves on the detonation wave front penetrating into the inert gas and forming segmented protrusions on the oblique shock wave. During the propagation process, the number of transverse waves decreases gradually, and the reflected waves formed by the interaction between transverse waves and the inert gas are weak, collectively leading to a gradual decay in the strength of the detonation wave and a reduction in the frequency of pressure oscillation on the detonation wave front. Furthermore, when transverse waves interact with the inert gas and undergo Mach reflection, the reflected waves would detach the inert gas and form new transverse waves promoted by upward-moving old transverse waves and disturbances on the flame front, thereby extending the duration distance of the detonation wave. Subsequently, after the detonation wave decouples, a transverse wave reflected from the inert gas interface interacts with the lower wall, triggering local detonation reinitiation, which generates a higher-intensity longitudinal wave that couples with the leading shock wave, temporarily restoring the detonation wave and forming lateral detonation in the decoupled region. However, the detonation wave will ultimately extinguish due to the attenuation of transverse waves' intensity and decreasing number of these waves.

Exploring the relationship between ventricular fibrillation recurrence after defibrillation in myocardial infarction and the effectiveness of renal sympathetic denervation therapy

ObjectiveThis study aimed to explore the association between electrophysiological markers of early recurrence after defibrillation in post-myocardial infarction ventricular fibrillation and the therapeutic effects of sympathetic renal denervation, as well as to investigate the potential underlying mechanisms.MethodsExperimental research was conducted using an animal model. Myocardial infarction was induced, followed by defibrillation treatment for ventricular fibrillation cases, and the electrophysiological markers of early recurrence were recorded. Subsequently, a subset of animals underwent sympathetic renal denervation intervention, and the therapeutic effects were compared between the sympathetic renal denervation group and the control group. Electrocardiogram monitoring, histological analysis of myocardial tissue, and neurotransmitter measurements were also performed.ResultsFollowing defibrillation treatment, early recurrence was observed in ventricular fibrillation cases. The electrophysiological markers revealed significantly higher ST segment elevation and T wave changes in the early recurrence group. However, in the sympathetic renal denervation intervention group, the early recurrence rate was significantly reduced, and the electrocardiogram showed improved stability and regularity. Additionally, histological analysis of myocardial tissue demonstrated less cellular damage and lower levels of myocardial fibrosis in the sympathetic renal denervation group. Neurotransmitter measurements revealed a significant decrease in sympathetic nerve activity in the sympathetic renal denervation intervention group.ConclusionThe results of this study indicate an association between electrophysiological markers of early recurrence after defibrillation in post-myocardial infarction ventricular fibrillation and the therapeutic effects of sympathetic renal denervation. Sympathetic renal denervation intervention can significantly reduce the early recurrence rate, improve electrocardiogram characteristics, and alleviate myocardial damage and fibrosis. Furthermore, the reduction in sympathetic nerve activity may be one of the potential underlying mechanisms of sympathetic renal denervation intervention.

A novel ultrasonic-velocity-based concrete carbonation monitoring method based on step-wise stretching technique

Carbonation is a common and slow process that occurs in cement-based material, resulting in durability degradation of reinforced concrete structures. In this research, the relative velocity change (d v/ v) of both ultrasonic direct waves and coda waves are extracted based on the step-wise stretching method for concrete carbonation monitoring. To this end, two-dimensional mesoscale models are established to investigate the ultrasonic propagation behaviors and assess the effectiveness of direct waves and coda waves on concrete carbonation monitoring. The numerical results indicate that direct waves could evaluate the initial carbonation, but exhibit limited sensitivity for severe carbonation. Conversely, the d v/ v values of coda waves show a linear correlation with carbonation depth in all conditions. Accelerated concrete carbonation experiments are conducted to validate the numerical findings. The experimental results and numerical findings mutually corroborate, validating the effectiveness of velocity changes of coda waves on all-stage concrete carbonation monitoring. This research contributes a novel method for monitoring concrete carbonation and enhances the understanding of ultrasonic wave propagation in concrete.

Metal surface crack depth laser acoustic emission detection method based on multivariate feature adaptive extraction and cross-modal interaction fusion

Surface crack depth detection of metal structures is of great significance to ensure the safe of equipment. However, the commonly used detection methods currently suffer from sensitivity and imaging dimension limitations, which make it difficult to ensure accuracy and feature extraction. To this end, a laser acoustic emission crack depth detection method that combines modal decomposition and deep learning is proposed. The new method is more sensitive to elastic wave changes that detect the depth of microscopic cracks and shows higher accuracy than traditional detection methods. At the same time, frequency-adaptive feature mode decomposition of multivariate signals and color multimodal feature fusion are used to solve the difficulty of time–frequency domain feature mining in current research. The crack depth detection network CDDNet is constructed using an attention-based fusion backbone, a novel cross-modal interaction fusion, and a hierarchical information fusion strategy. Its transfer learning achieves a crack detection accuracy level of 0.05 mm and outperforms other models in terms of accuracy, reaching 93.6 %. This paper shows that the proposed transfer learning laser acoustic emission technology and supporting data processing methods can effectively establish a connection between the experimental and simulation datasets, solving the current challenges of crack depth detection in terms of micro-precision and data processing.

Experimental Investigation of Meter-Level Resolution Radar Measurement at Ka Band in Yellow Sea

The backscatter characteristics of ocean surfaces are of great importance in active marine remote-sensing fields. This paper presents the high spatial and temporal resolution dual co-polarized (VV and HH) and cross-polarized (HV) Ka-band sea-surface backscattering measurements taken from the Yellow Sea research platform at incidence angles ranging from 30° to 50° and in the wind speed range from 5.8 to 8.6 m/s. The experimental results show that the backscattering coefficient in HH polarization is close to (or even surpassing) that in VV polarization within a wind speed range of 7.1 to 8.6 m/s for Ka band under high resolution at medium incidence angles (30°–50°). Further analysis of the 10-ms short-time observation samples found that the sea surface echoes in VV polarization are more sensitive to wave motions, exhibiting more complex scattering characteristics such as multi-peaks and reducing scattering energy, especially at high wind speeds and large incident angles. The Doppler velocity analysis also confirms that rapid ocean wave changes can be detected within a short observation period, especially in VV polarization. The research in this article not only demonstrates the high spatial and temporal resolution capabilities of Ka-band radar for ocean surface observation but also reveals its great potential in interpreting and inversing rapidly evolving marine phenomena.

Flow conditions of the Quaternary Deep-water Current reconstructed by sediment waves in the northeastern South China Sea

The South China Sea (SCS) plays a key role in maintaining the circulation in the Pacific and Indian oceans. After entering the northeast South China Sea from the Luzon Strait, the Pacific Deep Water transforms into the Deep-water Current (DWC) and flows westward. The upwelling of the DWC in the SCS could outflow into both the Indian and Pacific oceans. However, when and how this modern circulation was established in the SCS remains unclear. By using seismic reflection data tied to the Ocean Drilling Program wells in the northeastern SCS margin, we have discovered fields of previously unreported sediment waves, of which the onset dates back to ∼2.6 Ma. The sediment wave heights increased from 2.0 to 7.5 m, in association with spatial extent from 630 km2 to 800 km2 between ∼2.6 Ma and ∼ 0.7 Ma. After that, the wave heights and spatial extent reduced to ∼5.5 m and 700 km2, respectively. Considering the location, morphological features and water depth, we propose that these sediment waves were formed by the DWC. The morphological changes of the sediment waves are linked to energy increase and decrease of the DWC within ∼2.6–0.7 Ma and ∼ 0.7–0 Ma, respectively. We interpret the intensification as caused by the narrowing and uplifting of the Luzon Strait that is the sole deep-water gateway of the SCS, and speculate that the post-0.7 Ma weakening was probably related to the reduced Kuroshio Current intrusion due to the middle Pleistocene climate transition. This study proposes a novel model for the evolution of the Quaternary DWC hydrodynamics, fostering our understanding of the paleo-oceanographic links between the SCS and the Pacific Ocean.

Numerical Investigation of the Sediment Load Exchange between a Coastal Mud Bank and Its Neighbouring Estuary

Muddy coastlines cover much of the world’s shores, yet studies on the interaction between mud-affected coasts and estuaries are limited. This study focuses on the Mahury River estuary and its interaction with the muddy coast of the Guianas, primarily fed by the Amazon. A coupled wave–current–sediment transport model is developed to analyze the sediment exchange in an environment with strong interactions between the waves and the fluid mud. Simulations explore how seasonal changes in waves, mud availability, and tides affect sediment fluxes. The main processes influencing suspended particulate matter (SPM) and sediment transport are well emulated, notwithstanding the complexity of the ambient muddy environment. The results show that during the rainy season, strong wave damping and wave refraction zones cause high SPM resuspension in shallow waters (<5 m). In contrast, during the dry season, wave influence shifts to the estuary mouth. Erosion and sedimentation patterns indicate that ebb currents associated with neap tides during the rainy season represent the most favourable conditions for the alongshore migration of mud banks. Neaptide ebb currents also contribute to sedimentation during the dry season but only in the estuary mouth and the nearby coastal area. The abundance of mud leads to an extension of the estuary’s intertidal area during the dry season.

Study of age-related retinal hemodynamic changes by laser speckle flowgraphy

Background: Diagnostics of hemodynamic changes is important both for clarifying the features of the course of pathological process of many ophthalmic diseases and for optimizing treatment tactics. Laser speckle flowgraphy (LSFG) is a new non-invasive method for quantitative assessment of retinal blood flow. Aim: To study age-related changes of pulse waves both in large blood vessels and microvasculature in the optic nerve head and macula by laser speckle flowgraphy. Materials and methods: Age-related changes in blood flow were studied in 60 healthy volunteers using LSFG-RetFlow. We analyzed MBR — main parameter of pulse wave assessed by the laser speckle flowgraphy and also another 8 pulse wave parameters for large vessels and microvasculature in the areas of optic nerve head and macula. Results: The study revealed statistically significant (p ≤ 0.05) age-related changes in pulse waves for most parameters under study. In the large vessels of the optic disc blood flow dropped after 60 years, while in the microvasculature it decreased progradiently in the groups older than 40 and 60 years. In the macular region, blood flow in large vessels and microvasculature decreased mainly in the group aged over 61. Age-related changes in pulse wave parameters were unidirectional for both large vessels and microvasculature; trends were similar in both areas under investigation. Conclusions: The study demonstrated statistically significant (age-related changes in most laser speckle flowgraphy pulse wave parameters. The MBR, MV (MBR of Vascular area), MT (MBR of Tissue area) indicators are most informative in the ophthalmic hemodinamic screening. The study of another pulse wave parameters seems sufficient for the general MBR.

Cluster-analysis of human pulse wave by self-organizing Cohonen maps to identify markers of age groups

The present study is methodological in nature and describes an approach to the study of the human cardiovascular system. The assessment of biological age is important for the management of the human aging process. Regular monitoring of this indicator makes it possible to take preventive measures to reduce the likelihood of cardiovascular disasters. The aim of the study is to determine the age groups based on the pulse waves of the subjects using Kohonen neural networks. In this study, Kohonen self-organizing maps were used to cluster pulse waves of people of different ages by observing the dy-namic change of the pulse wave with the selection of parameters of the neural network self-organization algorithm. A data set of different age groups was used. Each group con-tained files of subjects of the same age, each file – pulse waves of these subjects. As a result of experiments with neural network configurations, cluster structures were obtained and geometric characteristics of pulse waves corresponding to age groups were estab-lished. The clustering algorithm used broke the pulse waves into clusters, the reliability of which in some cases reached 91–96 %. The software implementation of the trained neural network and the portability of the pulse wave measuring device allow the proposed tech-nique to be used to monitor the state of the cardiovascular system in people at risk of cardiovascular disasters, as well as people associated with dangerous professions, ath-letes, office workers, etc. Registration of changes in biological age contributes to the adoption of timely preventive measures, decisions on the modification of nutrition, life-style and physical activity. The resulting network can be used in diagnostic systems to support medical decision-making.

Electrocardiographic Changes in Acute Kawasaki Disease in the Era of Immunoglobulin Therapy.

Kawasaki disease (KD), an acute, febrile, self-limiting, multisystem vasculitis of unknown etiology, often involves the cardiac complications of coronary artery aneurysm development, myocarditis, pericarditis, and valvulitis. However, there are insufficient epidemiological data on electrocardiographic (ECG) changes in acute KD in the IVIG era, and little is known about the association between ECG changes and the prognosis. The present study aimed to determine the type of ECG changes found in acute KD and to clarify the course of these changes as well as their relationship to disease severity. The present, retrospective, observational study analyzed 201 patients aged < 15years with Kawasaki disease who received IVIG from April 2021 to March 2023. In the 156 eligible patients analyzed (male: 62.8%; median age on admission: 24months), the most common abnormalities were T wave changes (n = 141; 90.4%) on any lead followed by T wave inversions (n = 63; 40.4%), tachycardia (n = 36; 23.1%), and a prolonged PR interval (n = 23; 14.7%). PR prolongation, abnormal Q wave, QTc prolongation, and ST changes were less common in the present cohort, and arrhythmia occurred less frequently than in previous studies. No significant association was found between T wave inversion and disease severity. T wave changes occurred frequently in the acute phase ECG in KD but were not associated with clinical features, such as unresponsiveness to IVIG therapy or coronary artery abnormalities.