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KMID : 0857220050090020371
Journal of the Korean Pediatric Cardiology Society
2005 Volume.9 No. 2 p.371 ~ p.378
Plasma Brain Natriuretic Peptide Concentration and Tissue Doppler Imaging for Acute Febrile Phase in Patients with Kawasaki Disease
Kim Hee-Jun

Jeong Yeong-Sun
Jung Jo-Won
Abstract
Purpose: The purpose of this study is to evaluate the role of plasma brain natriuretic peptide(BNP) concentraion in Kawasaki disease(KD) and to evaluate the relationship of BNP and Tissue doppler imaging(TDI) in ventricular function

Methods: Plasma BNP concentration was obtained in the acute phases of KD(n=49) and non-KD(n=36). TDI and conventional echocardiography were performed in 49 patients in acute phase of KD. E¡¯ velocity, A¡¯ velocity at the lateral mitral annulus, interventricular septum, lateral tricuspid annulus were measured.

Results: The mean plasma BNP concentration in patients with KD in the acute phase was significantly higher than non-KD(61.1¡¾100.9 pg/mL vs 13.2¡¾9.5 pg/mL, P< 0.05). There was significant negative correlation with BNP and E¡¯ velocity, E/E¡¯ ratio at lateral mitral annulus in the aucte phase of KD.

Conclusion: The level of plasma BNP significantly increased in aucte phase of KD. But, there was no definite level of plasma BNP to diagnosis of KD. Diatolic ventricular function was decreased in acute phase of KD which BNP is elevated by TDI.
KEYWORD
Brain natriuretic peptide, Tissue doppler imaging, Kawasaki disease
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