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Published on: May 13, 2019
Cardiac involvement and cardiovascular risk factors in pediatric primary systemic vasculitides
Seher Sener1, Elif Arslanoglu Aydin2, Ezgi Deniz Batu3
1Division of Rheumatology, Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Insights
Pediatric systemic vasculitis can affect the heart, increasing cardiovascular risks like atherosclerosis and thrombosis. Early diagnosis and treatment are crucial for better outcomes in children with these inflammatory conditions.
Area of Science:
- Pediatric Rheumatology
- Cardiovascular Medicine
- Systemic Vasculitis
Background:
- Pediatric primary systemic vasculitides are diverse inflammatory conditions affecting blood vessels.
- Disease presentation and severity depend on vessel size, location, and pathology.
- Cardiac involvement varies among vasculitis types, being rare in IgA vasculitis and common in Kawasaki disease.
Purpose of the Study:
- To increase physician awareness of cardiac involvement in pediatric systemic vasculitis.
- To highlight the significant cardiovascular risks associated with these diseases.
- To emphasize the importance of early detection and management.
Main Methods:
- This is a review article.
- It synthesizes current knowledge on cardiac manifestations and risks.
- Focuses on primary systemic vasculitides in pediatric populations.
Main Results:
- Chronic inflammation in vasculitis accelerates atherosclerosis and promotes thrombosis.
- Cardiovascular risks are a major concern in pediatric systemic vasculitis.
- Specific vasculitides like Kawasaki disease have higher rates of cardiac involvement.
Conclusions:
- Cardiac involvement and associated cardiovascular risks are critical considerations in pediatric systemic vasculitis.
- Prompt diagnosis and intervention are vital to reduce long-term morbidity and mortality.
- Physicians must be vigilant for cardiac complications in affected children.
Abstract:
Pediatric primary systemic vasculitides are a complex group of diseases. Vasculitis subgroups are mainly determined according to the size of the predominantly affected vessels. In patients with primary systemic vasculitis, the location of vascular involvement, the size of the vessels, the extent of vascular damage, and the underlying pathology determine the disease phenotype and severity. Cardiac involvement is rare in some pediatric vasculitis, such as IgA vasculitis and polyarteritis nodosa, while it is more common in some others like Kawasaki disease and Takayasu arteritis. On the other hand, chronic inflammation in the setting of systemic vasculitis forms a major cardiovascular risk factor. Accelerated atherosclerosis and the tendency to thrombosis are the main issues determining the cardiovascular risks in pediatric systemic vasculitis. Early diagnosis and treatment are essential in these patients to minimize morbidity and mortality. In this review, we aimed to raise physicians' awareness of cardiac involvement and cardiovascular risks in pediatric patients with primary systemic vasculitis.
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