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Ventricular arrhythmia complicating Kawasaki disease
I Haney1, M Beghetti, B W McCrindle
1Department of Pediatrics, Hospital for Sick Children, Toronto, Ontario.
The Canadian Journal of Cardiology
|November 1, 1995
Summary
This case report details ventricular arrhythmia in a child with Kawasaki disease, which resolved with steroid treatment. It highlights cardiac complications in pediatric inflammatory conditions.
Area of Science:
- Pediatric Cardiology
- Inflammatory Diseases
- Cardiac Electrophysiology
Background:
- Kawasaki disease is a leading cause of acquired heart disease in children.
- Cardiac sequelae, including myocarditis and coronary artery abnormalities, are significant concerns.
- Ventricular arrhythmias are rare but serious complications during the acute phase.
Observation:
- A 2.5-year-old patient presented with acute Kawasaki disease.
- An unusual finding of ventricular arrhythmia was detected during the acute phase.
- The patient received empirical oral steroid treatment.
Findings:
- The ventricular arrhythmia resolved completely following oral steroid administration.
- This suggests a potential role for inflammation in the arrhythmia's pathogenesis.
- Subclinical myocarditis is common, but overt arrhythmias are infrequent.
Implications:
- Empirical steroid treatment may be beneficial for managing ventricular arrhythmias in Kawasaki disease.
- This case expands the understanding of cardiac manifestations in pediatric inflammatory disorders.
- Further research is warranted to explore the link between Kawasaki disease, myocarditis, and arrhythmias.