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Published on: April 29, 2011
Rate dependent QS pattern in an acute Kawasaki disease
David Almaleh1, Anne Fournier, Martine Montigny
1Division of Pediatric Cardiology, Department of Pediatrics, Sainte-Justine University Hospital, University of Montréal, Hôpital Cité de la Santé, Laval--Department of Cardiology, Quebec, Canada.
Abstract:
Kawasaki disease (KD) is associated with pancarditis and complicated by coronary artery (CA) inflammation. In the present case, we were confronted with a very ill KD patient with first degree atrioventricular block and QS pattern on the electrocardiogram. This unusual pattern was transient and intermittent. It reflected a conduction disturbance in the context of an acute myocarditis rather than an immediate CA complication. We herein discuss the differential diagnoses of a rarely observed electrocardiographic finding in the young.
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