Serum brain natriuretic peptide in children with Kawasaki disease
Serum brain natriuretic peptide in children with Kawasaki disease作者机构：Qingdao Children＇s Hospital Qingdao 266011 China
出 版 物：《World Journal of Emergency Medicine》 (世界急诊医学杂志（英文）)
年 卷 期：2010年第1卷第2期
页 面：114-117页
学科分类：0401[教育学-教育学] 04[教育学] 040110[教育学-教育技术学（可授教育学、理学学位）]
主 题：Natriuretic peptide brain Kawasaki disease Ejection fraction left ventricular Shorten fraction left ventricular Cardiac index E/A Correlation Children
摘 要：BACKGROUND： Kawasaki disease （KD） is a common cause of acquired heart disease in children. Recent studies have focused on the biochemical markers of the myocardium, their high sensitivity and specificity and significance in the diagnosis of KD. This study aimed to determine the serum level of brain natriuretic peptide （BNP） and its relation with the heart function of children with KD and to explore its clinical value in diagnosis of ***： Forty-three KD children, aged from 5 months to 8 years （mean 2.3±0.6 years ）, were admitted to Qingdao Children＇s Hospital from February 2007 to April 2009. Among them 27 were male, and 16 female. The 43 patients served as a KD group. Patients with myocarditis, cardiomyopathy, congenital heart disease and other primary heart diseases were excluded. Thirty healthy children, aged from 3 months to 15 years （mean 2.5±0.8 years） or 17 males and 13 females served as a control group. There were no significant differences in age and gender between the two groups （P〉0.05）. In the KD group, ELISAwas used to measure the levels of serum BNP in acute and convalescent stages; and in the control group, the levels of serum BNP were measured once randomly. Left ventricular ejection fraction （LVEF）, left ventricular shorten fraction （LVSF）, cardiac index （CI） and left ventricular inflow velocity through the mitral annulus （including E-velocity and A-velocity） were measured by two- dimensional echocardiography in the acute and convalescent stages in the KD group. All data were expressed as mean±SD. The methods of analysis included Student＇s t test and the linear regression analysis test. P〈0.05 was considered statistically ***： The level of serum BNP in the acute stage （517.26±213.40） ng/ml was significantly higher than that in the convalescent stage （91.56±47.97） ng/ml in the control group （37.55±7.56） ng/ ml （P〈0.01）. The levels of LVEF, LVSF and CI in the acute stage were significantly lower than those in the convalescent sta
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