Prevalence of Kawasaki Disease in Young Adults With Suspected Myocardial Ischemia
| Autor: | Peter E. Linz, Hannah H. Walford, Keshav R. Nayak, Jane C. Burns, John B. Gordon, Hoang-Anh L. Phan, Vera Trofimenko, Lori B. Daniels, Daryl B. Fick, Matthew S. Tjajadi, Susan Jimenez-Fernandez, Andrew M. Kahn |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
Male medicine.medical_specialty Myocardial ischemia Myocardial Ischemia Mucocutaneous Lymph Node Syndrome Coronary Angiography Coronary artery disease Young Adult Aneurysm Risk Factors Physiology (medical) Internal medicine Prevalence medicine Humans cardiovascular diseases Young adult medicine.diagnostic_test business.industry Medical record Coronary Aneurysm medicine.disease medicine.anatomical_structure Angiography Cardiology Female Kawasaki disease Cardiology and Cardiovascular Medicine business Artery |
| Zdroj: | Circulation. 125:2447-2453 |
| ISSN: | 1524-4539 0009-7322 |
| DOI: | 10.1161/circulationaha.111.082107 |
| Popis: | Background— Up to 25% of patients with untreated Kawasaki disease (KD) and 5% of those treated with intravenous immunoglobulin will develop coronary artery aneurysms. Persistent aneurysms may remain silent until later in life when myocardial ischemia can occur. We sought to determine the prevalence of coronary artery aneurysms suggesting a history of KD among young adults undergoing coronary angiography for evaluation of possible myocardial ischemia. Methods and Results— We reviewed the medical histories and coronary angiograms of all adults Conclusions— Coronary sequelae of KD are present in 5% of young adults evaluated by angiography for myocardial ischemia. Cardiologists should be aware of this special subset of patients who may benefit from medical and invasive management strategies that differ from the strategies used to treat atherosclerotic coronary artery disease. |
| Databáze: | OpenAIRE |
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