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Erschienen in: Heart and Vessels 10/2019

25.03.2019 | Original Article

Magnetocardiographic recognition of abnormal depolarization and repolarization in patients with coronary artery lesions caused by Kawasaki disease

verfasst von: Wataru Tamaki, Etsuko Tsuda, Syuji Hashimoto, Tamami Toyomasa, Mikiya Fujieda

Erschienen in: Heart and Vessels | Ausgabe 10/2019

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Abstract

Myocardial ischemia changes the electrophysiological properties of the myocardium, but it is difficult to detect the abnormalities of depolarization and repolarization noninvasively in patients with coronary artery disease. Depolarization and repolarization abnormalities were retrospectively investigated in 61 patients (48 males and 13 females) with coronary artery lesions (CALs) caused by Kawasaki disease (KD) from 2007 to 2014 using magnetocardiography (MCG). CAL had been diagnosed by selective coronary angiography. The integral value was computed for each channel, and isointegral maps were constructed during depolarization and repolarization. The MCG findings were compared between the stenotic lesions group (SL group) and the non-stenotic lesions group (non-SL group). The incidence of MCG abnormalities was significantly higher in the SL group than in the non-SL group (p < 0.0001). The incidence of abnormal repolarization was significantly higher than that of abnormal depolarization (p < 0.0001). The number of coronary artery occlusions significantly affected the severity of abnormal repolarization (p = 0.02). Six (75%) of the patients with abnormal depolarization had a previous anteroseptal myocardial infarction. The transmural myocardial infarction affects on abnormalities of depolarization, and the non-transmural myocardial infarction might relate on abnormalities of repolarization. The myocardial electrical properties were preserved in patients except very severe coronary stenosis. MCG is possible to detect electrical myocardial abnormalities noninvasively in patients with CALs caused by KD.
Literatur
1.
Zurück zum Zitat Tsuda E, Hirata T, Matsuo O, Abe T, Sugiyama H, Yamada O (2011) The 30-year outcome for patients after myocardial infarction due to coronary artery lesions caused by Kawasaki disease. Pediatr Cardiol 32:176–182CrossRefPubMed Tsuda E, Hirata T, Matsuo O, Abe T, Sugiyama H, Yamada O (2011) The 30-year outcome for patients after myocardial infarction due to coronary artery lesions caused by Kawasaki disease. Pediatr Cardiol 32:176–182CrossRefPubMed
2.
Zurück zum Zitat Izumida N, Asano T, Hosaki J, Sakurada H, Motomiya T, Kawano S, Sawanobori T, Hiraoka M (1998) Non-dipolarity of heart potentials estimated by magnetocardiography in normal subjects. Jpn Heart J 39:731–742CrossRefPubMed Izumida N, Asano T, Hosaki J, Sakurada H, Motomiya T, Kawano S, Sawanobori T, Hiraoka M (1998) Non-dipolarity of heart potentials estimated by magnetocardiography in normal subjects. Jpn Heart J 39:731–742CrossRefPubMed
3.
Zurück zum Zitat Tsukada K, Miyashita T, Kandori A, Yamada S, Sato M, Terada Y, Mitsui T, Yamaguchi I, Kanzaki H, Kamakura S, Miyatake K (2000) Magnetocardiographic mapping characteristic for diagnosis of ischemic heart disease. Comput Cardiol 27:505–508 Tsukada K, Miyashita T, Kandori A, Yamada S, Sato M, Terada Y, Mitsui T, Yamaguchi I, Kanzaki H, Kamakura S, Miyatake K (2000) Magnetocardiographic mapping characteristic for diagnosis of ischemic heart disease. Comput Cardiol 27:505–508
4.
Zurück zum Zitat Hailer B, Van Leeuwen P, Chaikovsky I, Auth-Eisernitz S, Schafer H, Gronemeyer D (2005) The value of magnetocardiology in the course of coronary intervention. Ann Noninvasive Electrocardiol 10:188–196CrossRefPubMed Hailer B, Van Leeuwen P, Chaikovsky I, Auth-Eisernitz S, Schafer H, Gronemeyer D (2005) The value of magnetocardiology in the course of coronary intervention. Ann Noninvasive Electrocardiol 10:188–196CrossRefPubMed
5.
Zurück zum Zitat Kawakami S, Takaki H, Hashimoto S, Kimura Y, Nakashima T, Aiba T, Kusano KF, Kamakura S, Yasuda S, Sugimachi M (2016) Utility of high-resolution magnetocardiography to predict later cardiac events in nonischemic cardiomyopathy patients with normal QRS duration. Circ J 81:44–51CrossRefPubMed Kawakami S, Takaki H, Hashimoto S, Kimura Y, Nakashima T, Aiba T, Kusano KF, Kamakura S, Yasuda S, Sugimachi M (2016) Utility of high-resolution magnetocardiography to predict later cardiac events in nonischemic cardiomyopathy patients with normal QRS duration. Circ J 81:44–51CrossRefPubMed
6.
Zurück zum Zitat Kandori A, Ogata K, Miyashita T, Watanabe Y, Tanaka K, Murakami M, Oka Y, Takaki H, Hashimoto S, Yamada Y, Komamura K, Shimizu W, Kamakura S, Watanabe S, Yamaguchi I (2008) Standard template of adult magnetocardiogram. Ann Noninvasive Electrocardiol 13:391–400CrossRefPubMed Kandori A, Ogata K, Miyashita T, Watanabe Y, Tanaka K, Murakami M, Oka Y, Takaki H, Hashimoto S, Yamada Y, Komamura K, Shimizu W, Kamakura S, Watanabe S, Yamaguchi I (2008) Standard template of adult magnetocardiogram. Ann Noninvasive Electrocardiol 13:391–400CrossRefPubMed
7.
Zurück zum Zitat Kandori A, Ogata K, Watanabe Y, Takuma N, Tanaka K, Murakami M, Miyashita T, Sasaki N, Oka Y (2008) Space-time database for standardization of adult magnetocardiogram-making standard MCG parameters. Pacing Clin Electrophysiol 31:422–431CrossRefPubMed Kandori A, Ogata K, Watanabe Y, Takuma N, Tanaka K, Murakami M, Miyashita T, Sasaki N, Oka Y (2008) Space-time database for standardization of adult magnetocardiogram-making standard MCG parameters. Pacing Clin Electrophysiol 31:422–431CrossRefPubMed
8.
Zurück zum Zitat Hailer B, Chaikovsky I, Auth-Eisernitz S, Schafer H, Van Leeuwen P (2005) The value of magnetocardiology in patients with and without relevant stenoses of the coronary arteries using an unshielded system. PACE 28:8–16CrossRefPubMed Hailer B, Chaikovsky I, Auth-Eisernitz S, Schafer H, Van Leeuwen P (2005) The value of magnetocardiology in patients with and without relevant stenoses of the coronary arteries using an unshielded system. PACE 28:8–16CrossRefPubMed
9.
Zurück zum Zitat Tsuda E, Tsuii N, Hayama Y (2018) Stenotic lesions and the maximum diameter of coronary artery aneurysms in Kawasaki disease. J Pediatr 194:165–170CrossRefPubMed Tsuda E, Tsuii N, Hayama Y (2018) Stenotic lesions and the maximum diameter of coronary artery aneurysms in Kawasaki disease. J Pediatr 194:165–170CrossRefPubMed
10.
Zurück zum Zitat Nakaoka H, Tsuda E, Morita S (2018) Evaluation of left ventricular function by magnetic resonance in patients with asymptomatic coronary artery occlusion after Kawasaki disease. In: The 12th international Kawasaki disease symposium, Yokohama Nakaoka H, Tsuda E, Morita S (2018) Evaluation of left ventricular function by magnetic resonance in patients with asymptomatic coronary artery occlusion after Kawasaki disease. In: The 12th international Kawasaki disease symposium, Yokohama
11.
Zurück zum Zitat Morguet AJ, Behrens S, Kosch O, Lange C, Zabel M, Selbig D, Munz DL, Schultheiss HP, Koch H (2004) Myocardial viability evaluation using magnetocardiography in patients with coronary artery disease. Coron Artery Dis 15:155–162CrossRefPubMed Morguet AJ, Behrens S, Kosch O, Lange C, Zabel M, Selbig D, Munz DL, Schultheiss HP, Koch H (2004) Myocardial viability evaluation using magnetocardiography in patients with coronary artery disease. Coron Artery Dis 15:155–162CrossRefPubMed
12.
Zurück zum Zitat Hailer B, Van Leeuwen P, Lange S, Wehr M (1998) Value of spatial dispersion of the magnetocardiographically determined QT intervals and its components in identification of patients at risk for arrhythmia after myocardial infarction. Ann Noninvasive Electrocardiol 3:311CrossRef Hailer B, Van Leeuwen P, Lange S, Wehr M (1998) Value of spatial dispersion of the magnetocardiographically determined QT intervals and its components in identification of patients at risk for arrhythmia after myocardial infarction. Ann Noninvasive Electrocardiol 3:311CrossRef
13.
Zurück zum Zitat Tsukada K, Miyashita T, Kandori A, Mitsui T, Terada Y, Sato M, Shiono J, Horigome H, Yamada S, Yamaguchi I (2000) An iso-integral mapping technique using magnetocardiogram, and its possible use for diagnosis of ishemic heart disease. Int J Cardiac Imag 16:55–66CrossRef Tsukada K, Miyashita T, Kandori A, Mitsui T, Terada Y, Sato M, Shiono J, Horigome H, Yamada S, Yamaguchi I (2000) An iso-integral mapping technique using magnetocardiogram, and its possible use for diagnosis of ishemic heart disease. Int J Cardiac Imag 16:55–66CrossRef
Metadaten
Titel
Magnetocardiographic recognition of abnormal depolarization and repolarization in patients with coronary artery lesions caused by Kawasaki disease
verfasst von
Wataru Tamaki
Etsuko Tsuda
Syuji Hashimoto
Tamami Toyomasa
Mikiya Fujieda
Publikationsdatum
25.03.2019
Verlag
Springer Japan
Erschienen in
Heart and Vessels / Ausgabe 10/2019
Print ISSN: 0910-8327
Elektronische ISSN: 1615-2573
DOI
https://doi.org/10.1007/s00380-019-01383-4

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