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Kawasaki disease and cardiovascular risk: a comprehensive review of subclinical vascular changes in the longer term

Journal

ACTA PAEDIATRICA
Volume 105, Issue 7, Pages 752-761

Publisher

WILEY
DOI: 10.1111/apa.13367

Keywords

Carotid intima-media thickness; Endothelial function; Kawasaki disease; Mucocutaneous lymph node syndrome; Vascular stiffness

Categories

Funding

  1. University of Melbourne
  2. Murdoch Childrens Research Institute
  3. National Health and Medical Research Senior Research Fellowship [APP1064629]
  4. National Heart Foundation Future Leader Fellowship [100369]
  5. Victorian Government's Operational Infrastructure Support Program
  6. RCH1000
  7. Royal Children's Hospital Foundation
  8. Big W

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Studies of subclinical vascular changes post-Kawasaki disease indicate that, in general, individuals with a history of coronary artery aneurysms have increased carotid intima-media thickness, evidence of endothelial dysfunction, and increased arterial stiffness, possibly indicative of heightened cardiovascular risk. The results are less consistent for low-risk groups. ConclusionUntil data are available from larger prospective studies, it is prudent to advise families of individuals with a history of Kawasaki disease to minimise traditional modifiable cardiovascular risk factors.

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