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January 1, 2009Sunhwan'giOpen Access

Carotid Intima-Media Thickness and Pulse Wave Velocity After Recovery From Kawasaki Disease

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Why the study?

Does a history of Kawasaki disease increase arterial stiffness (measured by PWV, ABI, and cIMT) in children who have recovered?

Population

80 children, including 25 patients who recovered from Kawasaki disease with coronary aneurysm and 55 healthy…

Comparison

History of Kawasaki disease with coronary… vs Healthy children with no history of Kawasaki…

Design

Case-control, Single-blind.

Follow-up

>8 years since recovery from Kawasaki disease

Key result

A history of Kawasaki disease with coronary aneurysms was associated with significantly higher left brachial-ankle pulse wave velocity compared to healthy controls (1020.6 vs 984.0 cm/sec, p<0.05), indicating increased arterial stiffness.

Authors

SLSoo Jin LeeHAHye Mi AhnJYJung Hyun You

Discussion

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Overview

Supports vascular monitoring in Kawasaki survivors with aneurysms; hypothesis-generating for prospective pediatric outcome studies.

Study Design

Type

Case-Control (n=80)

Blinding

Single-blind

Multicenter

No

Structured PICO

Does a history of Kawasaki disease increase arterial stiffness (measured by PWV, ABI, and cIMT) in children who have recovered?

P
Population
80 children, comprising 25 who recovered from Kawasaki disease complicated by coronary aneurysms at least 8 years prior and 55 healthy controls, evaluated for arterial stiffness.
E
Exposure
History of Kawasaki disease with coronary aneurysm (recovered and normal for >8 years).
C
Comparator
Healthy children with no history of Kawasaki disease.
O
Outcome
Arterial stiffness evaluated by pulse wave velocity (PWV), ankle-brachial index (ABI), and carotid intima-media thickness (cIMT).surrogate

Main Result

Absolute Event Rate: 1020.6% vs 984%

p-value: p=<0.05

Children who recovered from Kawasaki disease with coronary aneurysms exhibit increased arterial stiffness (higher pulse wave velocity) compared to healthy controls, suggesting a need for long-term cardiovascular follow-up.

Limitations

  • Control group had a slightly higher age than the Kawasaki disease group
  • Small number of patients enrolled
  • Short-term study period
  • Control group had a slightly higher age than the KD group
  • Small number of patients

Cite This Study

Lee et al. (2009) conducted a case-control in Kawasaki disease (n=80). History of Kawasaki disease with coronary aneurysm vs. Healthy children was evaluated on Left brachial-ankle pulse wave velocity (LbaPWV) (p=<0.05). A history of Kawasaki disease with coronary aneurysms was associated with significantly higher left brachial-ankle pulse wave velocity compared to healthy controls (1020.6 vs 984.0 cm/sec, p<0.05), indicating increased arterial stiffness.

synapsesocial.com/papers/6a93c3e473075f1cdcafe354https://doi.org/10.4070/kcj.2009.39.7.264
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