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January 1, 2014Korean Journal of PediatricsOpen Access

Cardiovascular risk factors of early atherosclerosis in school-aged children after Kawasaki disease

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Key result

School-aged children with a history of Kawasaki disease had significantly higher aortic pulse wave velocity and homocysteine levels compared to healthy controls, indicating increased arterial stiffness and risk for early atherosclerosis.

Why the study?

Do school-aged children with a history of Kawasaki disease have an increased risk for early atherosclerosis compared to healthy children?

Population

98 school-aged children, including 19 with Kawasaki disease with persistent or regressed coronary arterial…

Comparison

History of Kawasaki disease vs Healthy age- and sex-matched control children

Design

Cohort

Follow-up

Group A: 68.95±31.75 months after KD; Group B: 52.29±26.51…

Authors

HCHyun Jeong ChoSeoul National UniversitySYSoo In YangAgricultural Research ServiceKKKyung‐Hee KimKookmin University

Discussion

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Member takes

Implication

May support vascular monitoring in Kawasaki survivors; leaves open whether stiffness predicts events or warrants intervention.

Study Design

Type

Cohort (n=98)

Multicenter

No

Structured PICO

Do school-aged children with a history of Kawasaki disease have an increased risk for early atherosclerosis compared to healthy children?

P
Population
98 school-aged children (mean age 7.5 years, 42.9% female), including 68 with a history of Kawasaki disease and 30 healthy controls, evaluated for cardiovascular risk factors approximately 4 to 6 years after acute illness.
E
Exposure
History of Kawasaki disease (with or without coronary arterial lesions)
C
Comparator
Healthy age- and sex-matched control children
O
Outcome
Cardiovascular risk factors for early atherosclerosis, including lipid profiles (total cholesterol, HDL-C, LDL-C, apolipoprotein A, apolipoprotein B, triglycerides), homocysteine, hs-CRP, and brachial artery stiffness measured by pulse wave velocity (PWV)surrogate

Main Result

Absolute Event Rate: 1181.5% vs 966.71%

p-value: p=0.0001

School-aged children with a history of Kawasaki disease exhibit higher lipid profiles, homocysteine levels, and arterial stiffness compared to healthy controls, indicating an increased risk for early atherosclerosis.

Limitations

  • Small number of patients investigated
  • Retrospective study design
  • Excluded patients with incomplete or atypical Kawasaki disease
  • Excluded patients with incomplete or atypical KD

Cite This Study

Cho et al. (2014) conducted a cohort in Kawasaki disease (n=98). History of Kawasaki disease vs. Healthy children was evaluated on Aortic pulse wave velocity (PWV) (p=0.0001). School-aged children with a history of Kawasaki disease had significantly higher aortic pulse wave velocity and homocysteine levels compared to healthy controls, indicating increased arterial stiffness and risk for early atherosclerosis.

synapsesocial.com/papers/6a93aa4c35aeea2fa8b84563https://doi.org/10.3345/kjp.2014.57.5.217
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Role of lipoprotein lipase in the regulation of high density lipoprotein apolipoprotein metabolism. Studies in normal and lipoprotein lipase-inhibited monkeys.1990 · 110 citations
  2. 2Noninvasive Assessment of the Early Progression of Atherosclerosis in Adolescents With Kawasaki Disease and Coronary Artery Lesions2001 · 143 citations
  3. 3Long term consequences of regressed coronary aneurysms after Kawasaki disease: vascular wall morphology and function2000 · 243 citations
  4. 4Altered lipid profile after Kawasaki syndrome.1991 · 145 citations