Kawasaki Disease (KD) is the leading cause of acquired heart disease among children in the developed world. Consensus-based guidelines from the American Heart Association (AHA) recommend echocardiograms be performed at the time of diagnosis, at two weeks, and again at 4-6 weeks for uncomplicated KD. This study examines the frequency of cardiac abnormalities on follow-up echocardiograms in patients with uncomplicated KD. We performed a retrospective chart review using the electronic health record at a tertiary care freestanding children's hospital, non-KD referral center. Patients with KD hospitalized from 1/1/2005 to 10/31/2016 were screened for uncomplicated disease (defined as normal echocardiogram upon diagnosis and fever resolution with initial therapy). Ninety-four patients with uncomplicated KD were included in this study. Fifty-seven percent were male, and the median age was 2.6 years (range=0.15-12). Fifty patients had an echocardiogram performed at two weeks, revealing no (0%) coronary abnormalities. Fifty-six patients had an echocardiogram performed at 6-8 weeks, revealing no coronary anomalies (0%). This study revealed that patients with uncomplicated KD did not develop coronary abnormalities on follow-up echocardiograms, providing additional evidence to help inform current KD guidelines. Further studies are needed to evaluate the optimal frequency of recommended echocardiograms for patients with uncomplicated KD.
| Published in | Science Journal of Clinical Medicine (Volume 10, Issue 4) |
| DOI | 10.11648/j.sjcm.20211004.13 |
| Page(s) | 97-101 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Kawasaki Disease, Echocardiography, Pediatric Cardiology, Hospital Medicine
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APA Style
Shaila Siraj, Carlos Sanchez Parra, Jasmine Jordan, Ashish Shah, Ernest Amankwah, et al. (2021). Clinical Utility of Follow-up Echocardiograms in Uncomplicated Kawasaki Disease. Science Journal of Clinical Medicine, 10(4), 97-101. https://doi.org/10.11648/j.sjcm.20211004.13
ACS Style
Shaila Siraj; Carlos Sanchez Parra; Jasmine Jordan; Ashish Shah; Ernest Amankwah, et al. Clinical Utility of Follow-up Echocardiograms in Uncomplicated Kawasaki Disease. Sci. J. Clin. Med. 2021, 10(4), 97-101. doi: 10.11648/j.sjcm.20211004.13
AMA Style
Shaila Siraj, Carlos Sanchez Parra, Jasmine Jordan, Ashish Shah, Ernest Amankwah, et al. Clinical Utility of Follow-up Echocardiograms in Uncomplicated Kawasaki Disease. Sci J Clin Med. 2021;10(4):97-101. doi: 10.11648/j.sjcm.20211004.13
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Download@article{10.11648/j.sjcm.20211004.13,
author = {Shaila Siraj and Carlos Sanchez Parra and Jasmine Jordan and Ashish Shah and Ernest Amankwah and Jeffrey Fadrowski},
title = {Clinical Utility of Follow-up Echocardiograms in Uncomplicated Kawasaki Disease},
journal = {Science Journal of Clinical Medicine},
volume = {10},
number = {4},
pages = {97-101},
doi = {10.11648/j.sjcm.20211004.13},
url = {https://doi.org/10.11648/j.sjcm.20211004.13},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjcm.20211004.13},
abstract = {Kawasaki Disease (KD) is the leading cause of acquired heart disease among children in the developed world. Consensus-based guidelines from the American Heart Association (AHA) recommend echocardiograms be performed at the time of diagnosis, at two weeks, and again at 4-6 weeks for uncomplicated KD. This study examines the frequency of cardiac abnormalities on follow-up echocardiograms in patients with uncomplicated KD. We performed a retrospective chart review using the electronic health record at a tertiary care freestanding children's hospital, non-KD referral center. Patients with KD hospitalized from 1/1/2005 to 10/31/2016 were screened for uncomplicated disease (defined as normal echocardiogram upon diagnosis and fever resolution with initial therapy). Ninety-four patients with uncomplicated KD were included in this study. Fifty-seven percent were male, and the median age was 2.6 years (range=0.15-12). Fifty patients had an echocardiogram performed at two weeks, revealing no (0%) coronary abnormalities. Fifty-six patients had an echocardiogram performed at 6-8 weeks, revealing no coronary anomalies (0%). This study revealed that patients with uncomplicated KD did not develop coronary abnormalities on follow-up echocardiograms, providing additional evidence to help inform current KD guidelines. Further studies are needed to evaluate the optimal frequency of recommended echocardiograms for patients with uncomplicated KD.},
year = {2021}
}
TY - JOUR T1 - Clinical Utility of Follow-up Echocardiograms in Uncomplicated Kawasaki Disease AU - Shaila Siraj AU - Carlos Sanchez Parra AU - Jasmine Jordan AU - Ashish Shah AU - Ernest Amankwah AU - Jeffrey Fadrowski Y1 - 2021/11/05 PY - 2021 N1 - https://doi.org/10.11648/j.sjcm.20211004.13 DO - 10.11648/j.sjcm.20211004.13 T2 - Science Journal of Clinical Medicine JF - Science Journal of Clinical Medicine JO - Science Journal of Clinical Medicine SP - 97 EP - 101 PB - Science Publishing Group SN - 2327-2732 UR - https://doi.org/10.11648/j.sjcm.20211004.13 AB - Kawasaki Disease (KD) is the leading cause of acquired heart disease among children in the developed world. Consensus-based guidelines from the American Heart Association (AHA) recommend echocardiograms be performed at the time of diagnosis, at two weeks, and again at 4-6 weeks for uncomplicated KD. This study examines the frequency of cardiac abnormalities on follow-up echocardiograms in patients with uncomplicated KD. We performed a retrospective chart review using the electronic health record at a tertiary care freestanding children's hospital, non-KD referral center. Patients with KD hospitalized from 1/1/2005 to 10/31/2016 were screened for uncomplicated disease (defined as normal echocardiogram upon diagnosis and fever resolution with initial therapy). Ninety-four patients with uncomplicated KD were included in this study. Fifty-seven percent were male, and the median age was 2.6 years (range=0.15-12). Fifty patients had an echocardiogram performed at two weeks, revealing no (0%) coronary abnormalities. Fifty-six patients had an echocardiogram performed at 6-8 weeks, revealing no coronary anomalies (0%). This study revealed that patients with uncomplicated KD did not develop coronary abnormalities on follow-up echocardiograms, providing additional evidence to help inform current KD guidelines. Further studies are needed to evaluate the optimal frequency of recommended echocardiograms for patients with uncomplicated KD. VL - 10 IS - 4 ER -
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