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December 30, 2020Turkish Archives of PediatricsOpen Access

Is there myocardial involvement in children with long-term follow-up for Kawasaki disease? A study based on two-dimensional speckle tracking echocardiography

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Key result

Two-dimensional speckle tracking echocardiography did not detect subclinical myocardial dysfunction in children with a history of Kawasaki disease compared to healthy controls at a mean follow-up of 3.55 years.

Why the study?

This study aimed to evaluate whether subclinical myocardial dysfunction could be detected by strain echocardiography during the late period in children with Kawasaki disease.

Does a history of Kawasaki disease cause subclinical myocardial dysfunction detected by strain echocardiography in long-term follow-up in children?

Population

30 patients with Kawasaki disease and 30 healthy age- and gender-matched children

Comparison

Patients with Kawasaki disease followed for at least 12 months vs healthy controls

Design

Case-control study

Follow-up

Mean 3.55±2.20 years

Authors

ÖKÖzlem KayabeyTTTunç TunçerMDMurat Devecí

Discussion

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Member takes

Overview

Strain echocardiography detects no late subclinical dysfunction after Kawasaki disease; leaves open possible time-dependent LV changes in longer follow-up.

Study Design

Type

Case-Control (n=60)

Blinding

Single-blind (outcome assessors)

Multicenter

No

Structured PICO

Does a history of Kawasaki disease cause subclinical myocardial dysfunction detected by strain echocardiography in long-term follow-up in children?

P
Population
60 children, comprising 30 with a history of Kawasaki disease and 30 healthy matched controls, evaluated for subclinical myocardial dysfunction at a mean follow-up of 3.55 years.
E
Exposure
History of Kawasaki disease
C
Comparator
Healthy age- and gender-matched controls
O
Outcome
Subclinical myocardial dysfunction assessed by left ventricle strain and strain rate parameters using two-dimensional speckle tracking echocardiographysurrogate

Main Result

Absolute Event Rate: -19.91% vs -20.12%

p-value: p=0.747

Long-term follow-up of children with Kawasaki disease showed no subclinical myocardial dysfunction using strain echocardiography compared to healthy controls, though strain values correlated with follow-up duration.

Limitations

  • Lack of echocardiographic values from the acute phase of the disease.
  • Small sample size, with only three patients having coronary artery dilation and none having aneurysms, preventing subgroup analysis.
  • Small sample size of patients with coronary artery involvement prevented subgroup statistical analysis
  • Lack of echocardiographic values from the acute phase of the disease for comparison

Cite This Study

Kayabey et al. (2020) conducted a case-control in Kawasaki disease (n=60). History of Kawasaki disease vs. Healthy age- and gender-matched children was evaluated on Global longitudinal strain (GLS) (p=0.747). Two-dimensional speckle tracking echocardiography did not detect subclinical myocardial dysfunction in children with a history of Kawasaki disease compared to healthy controls at a mean follow-up of 3.55 years.

synapsesocial.com/papers/6a93aad1c71ca0043637d310https://doi.org/10.5152/turkarchpediatr.2020.20193
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Myocardial strain and strain rate in Kawasaki disease2013 · 60 citations
  2. 2Myocardial Strain and Strain Rate in Kawasaki Disease: Range, Recovery, and Relationship to Systemic Inflammation/Coronary Artery Dilation2016 · 20 citations
  3. 3Long term consequences of regressed coronary aneurysms after Kawasaki disease: vascular wall morphology and function2000 · 244 citations
  4. 4Kawasaki Disease2009 · 56 citations
  5. 5Long-Term Outcome of Kawasaki Disease2008 · 120 citations