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[Cardiac involvement in Kawasaki disease]
Revista Chilena De Pediatria
|November 1, 1989
Summary
Kawasaki disease (KD) can cause cardiovascular complications (CVC) in children. Echocardiograms revealed coronary artery lesions and cardiac enlargement in most affected children, highlighting the need for monitoring.
Area of Science:
- Pediatric Cardiology
- Infectious Diseases
Context:
- Kawasaki disease (KD) is a leading cause of acquired heart disease in children.
- Cardiovascular complications (CVC) are a significant concern in KD patients.
Purpose:
- To describe the cardiovascular complications (CVC) in a cohort of 15 children diagnosed with Kawasaki disease (KD).
- To analyze echocardiographic findings and their correlation with clinical presentation and treatment.
Summary:
- 15 children with KD underwent serial echocardiography. Abnormalities, including coronary artery lesions (CAL) and cardiac enlargement, were detected in 12 patients.
- CAL were observed in 9 patients, with some developing aneurysms. Cardiac enlargement affected 3 patients.
- While no clinical myocardial ischemia was evident, echocardiography identified significant CVC, even in some treated with intravenous gammaglobulin.
Impact:
- Highlights the high prevalence of subclinical cardiovascular abnormalities in KD.
- Emphasizes the utility of serial echocardiography in detecting and monitoring CVC in KD.
- Informs clinical management and follow-up strategies for children with Kawasaki disease.