心电图在川崎病急性期的应用研究进展

Research progress on the application of electrocardiogram in acute phase of Kawasaki disease

川崎病是一种急性血管炎症性疾病,冠状动脉损伤及心肌炎是其常见的并发症,尤其在急性期可表现出不同程度的心肌损伤,在心电图上可表现出多种异常。心电图作为一种无创的电生理检查手段,对川崎病的早期诊断及治疗预后评估均有重要意义。随着研究的深入,川崎病早期的心电图表现及电生理意义逐渐被认识,现对近年来国内外研究川崎病急性期心电改变及临床意义进行回顾及总结,就心电图在川崎病诊治的应用进展进行综述。

Kawasaki disease(KD)is one of the acute vasculitis diseases,and its most common complications are coronary artery lesions and myocarditis.Different degrees of myocardial injury can be observed in the acute phase of KD,and different abnormal waveforms can be detected in the electrocardiogram(ECG).As a noninvasive electrophysiological examination,ECG is of great significance for both early diagnosis and prognosis evaluation of KD.The advance in research enables ECG manifestations and electrophysiological significance in the early phase of KD to be gradually re-cognized.In this article,the foreign and domestic research on the changes and clinical significance of ECG in acute stage of Kawasaki disease in recent years was reviewed and summarized,and recent advance in the application of ECG in the acute phase of KD was also summarized.