Almaleh David, Fournier Anne, Montigny Martine, Dahdah Nagib
Division of Pediatric Cardiology, Department of Pediatrics, Sainte-Justine University Hospital, University of Montréal, Hôpital Cité de la Santé, Laval--Department of Cardiology, Quebec, Canada.
Congenit Heart Dis. 2010 Sep-Oct;5(5):458-61. doi: 10.1111/j.1747-0803.2009.00362.x.
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.
川崎病（KD）与全心炎相关，并伴有冠状动脉（CA）炎症。在本病例中，我们面对的是一位病情严重的KD患者，其心电图显示一度房室传导阻滞和QS波型。这种不寻常的波型是短暂且间歇性的。它反映的是急性心肌炎背景下的传导障碍，而非直接的CA并发症。我们在此讨论在年轻人中很少观察到的一种心电图表现的鉴别诊断。
