Why the study?
Kawasaki disease may cause coronary artery aneurysms and long-term myocardial dysfunction, but data comparing exercise responses using contemporary coronary risk stratification are limited.
Does exercise stress echocardiography reveal differences in myocardial function reserve in paediatric patients with Kawasaki disease compared to controls?
Population
34 Kawasaki disease patients with coronary aneurysms and 27 age-matched controls
Comparison
Kawasaki disease with coronary artery aneurysm vs age-matched controls without cardiac disease
Design
Retrospective study
Key result
Paediatric patients with a history of Kawasaki disease and coronary aneurysms showed no significant differences in exercise-induced changes in systolic and diastolic indices compared to controls.
Authors
Loading...
Adds retrospective exercise reserve data in Kawasaki disease by risk stratum; leaves open prospective validation before guiding surveillance.
Case-Control (n=61)
Does exercise stress echocardiography reveal differences in myocardial function reserve in paediatric patients with Kawasaki disease compared to controls?
Paediatric patients with a history of Kawasaki disease and mild to moderate coronary artery aneurysms show preserved systolic and diastolic reserve on exercise stress echocardiography comparable to healthy controls.
Wang et al. (2026) conducted a case-control in Kawasaki disease (n=61). History of Kawasaki disease-related coronary artery aneurysm vs. Age-matched controls without cardiac disease was evaluated on Magnitude of exercise-induced change in systolic and diastolic indices (left ventricular and left atrial strain and mitral inflow velocities). Paediatric patients with a history of Kawasaki disease and coronary aneurysms showed no significant differences in exercise-induced changes in systolic and diastolic indices compared to controls.