Electrocardiogram Diagnosis of Kawasaki Disease

What is the role of electrocardiogram diagnosis of Kawasaki disease? Many people do not understand why we have to do an electrocardiogram when we have Kawasaki disease. What is the use of an electrocardiogram? Indeed, many people are not very clear about this disease, have not had much contact with it, and feel it is very unfamiliar. They do not understand the significance of electrocardiogram diagnosis of Kawasaki disease. Today I will answer your questions one by one.

Kawasaki disease is also known as mucocutaneous lymph node syndrome. Its clinical manifestations include fever, rash, non-purulent lymphadenopathy in the neck, conjunctival congestion, diffuse congestion of the oral mucosa, bayberry tongue, palmoplantar erythema, and edema of the hands and feet. The main complications include coronary artery dilatation and myocardial damage.

Clinically, high fever (above 39°C) is often the initial manifestation, and the fever lasts for more than 5 days, generally one or two weeks. Some fevers subside for one or two days and then rise again. The fever lasts for three or four weeks, and antipyretics can only reduce the fever slightly for a short time. After a few days of fever, the palms and soles become red, swollen and painful. Maculopapular rashes of varying sizes appear on the trunk, with no special shape. They also appear on the face and limbs. They are not itchy, and there are no herpes or scabs. After a few days of fever, the conjunctivae on both sides are congested, especially the bulbar conjunctivae. Only a few people have purulent conjunctivitis. Anterior iridocyclitis may be found with a slit lamp. The lips are red, swollen, dry and cracked, and even bleeding; the tongue is often bayberry tongue, and the oral mucosa is congested, but there are no ulcers.

In addition, some cases have early lymphadenopathy, which is unilateral or bilateral, non-suppurative, and subsides after a few days. Sometimes the swelling spreads to the submandibular area, and is even misdiagnosed as mumps. The lymphadenopathy is limited to the anterior triangle of the neck, is painless, and rarely spreads to other parts. In the second week of the disease, some children have peeling of the hands and feet, which starts from the transition of the nail bed, and some may first show perianal desquamation.

Kawasaki disease patients need to have a cardiac ultrasound every three to six months within a year, and have an electrocardiogram checked regularly. If the results are completely normal, the medication can be stopped. The duration of this process is uncertain, and it can be determined based on the electrocardiogram results. Vomiting has no direct relationship with Kawasaki disease. Check if you have had a cold or indigestion recently, take some probiotics to help digestion, eat small meals frequently, and pay attention to your diet structure. If you have a nosebleed for a long time or it recurs, you need to go to the hospital to see the ENT department and check your blood routine. Only after clarifying the cause can you decide whether to deal with it.

The above is an explanation of the electrocardiogram diagnosis of Kawasaki disease. I believe that through my narration everyone has a certain understanding. I wish all patients a speedy recovery.