Longitudinal Cardiac Testing in Patients with Kawasaki disease with No Coronary Involvement: How much is too much?

Kawasaki disease is an acute vasculitis that preferentially affects small- and medium-sized arteries, particularly the coronary arteries1. Coronary artery aneurysms (CAA) are the most serious long-term complication of KD. Long-term cardiovascular outcomes are directly related to the extent of enlargement of the CAs in the first month of illness1,2. Coronary artery involvement can range from transient, mild dilatation to giant CAAs. In the pre-intravenous immunoglobulin (IVIG) era, CAA occurred in ∼ 25% of patients3.

source https://www.jpeds.com/article/S0022-3476(21)01255-5/fulltext?rss=yes

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