Assessment of coronary artery intimal thickening in patients with a previous diagnosis of Kawasaki disease by using high resolution transthoracic echocardiography: our experienceReportar como inadecuado




Assessment of coronary artery intimal thickening in patients with a previous diagnosis of Kawasaki disease by using high resolution transthoracic echocardiography: our experience - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

BMC Cardiovascular Disorders

, 14:106

Coronary artery disease

Abstract

BackgroundKawasaki disease KD is a generalized systemic vasculitis of unknown etiology involving medium and small size blood vessels, particularly the coronary arteries. In these vessels a progressive stenosis may result from active remodeling with an intimal proliferation and neoangiogenesis. The aim of our study was to assess, by using high-resolution transthoracic 2D Echocardiography, if subjects with a previous diagnosis of Kawasaki disease after several years show a coronary intimal thickening, suggestive of a persistent cardiovascular risk.

MethodsWe assessed measurement of thickening, inner diameter and outer diameter of coronary arteries using 2D Echocardiography Philips E 33 with multy-frequency S8-3 and S12-4 probes and examining the proximal portion of left main coronary artery just above the aortic valve with parasternal short axis view.

ResultsWe found a significant intimal thickening in patients with previous Kawasaki disease compared to healthy controls. In particular, we noticed that also subjects not suffering from coronary impairment in acute phase have higher values of thickening than healthy controls, and this wall thickening may confer a higher cardiovascular risk.

ConclusionsTherefore we concluded that the assessment of coronary artery thickening by high-resolution transthoracic 2D Echocardiography may become an essential instrument to evaluate late cardiovascular risk in subjects with a diagnosis of Kawasaki disease in childhood.

KeywordsKawasaki disease High resolution transthoracic echocardiography Cardiovascular risk Coronary intimal thickening AbbreviationsKDKawasaki disease

MIMyocardial infarction

CAACoronary artery aneurysms

LADLeft anterior descending

IVIGIntravenous immunoglobulin

SEStandard error

BSABody Surface Area

BMIBody Mass Index.

Electronic supplementary materialThe online version of this article doi:10.1186-1471-2261-14-106 contains supplementary material, which is available to authorized users.

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Autor: Valentina Giacchi - Pietro Sciacca - Ileana Stella - Martina Filippelli - Patrizia Barone - Mario La Rosa - Salvatore Leona

Fuente: https://link.springer.com/article/10.1186/1471-2261-14-106



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