Enfermedad de Kawasaki: afección cardiaca durante la infancia / Kawasaki Disease: heart disease during childhood
Rev. esp. cardiol. (Ed. impr.)
; 59(4): 387-390, abr. 2006. ilus, tab
Article
in Es
| IBECS
| ID: ibc-044084
Responsible library:
ES1.1
Localization: ES1.1 - BNCS
RESUMEN
Con objeto de determinar los factores de riesgo para la coronariopatía, el tipo de lesión cardiaca y la evolución a largo plazo en la enfermedad de Kawasaki, evaluamos a 150 niños con criterios de la enfermedad, de 3 meses a 9,5 años de edad. El 18% desarrolló cardiopatía, en todos los casos lesiones coronarias; el 11,1%, pancarditis y el 3,7%, insuficiencia mitral. Las lesiones coronarias fueron clasificadas en ectasia difusa en el 40,7%, aneurisma solitario en el 33,3%, aneurismas múltiples en el 11,1%, aneurismas gigantes en el 11,1% y estenosis coronaria en el 3,7%. La pancarditis fue predictora de aneurismas gigantes. La mortalidad fue del 3,7%. Los aneurismas coronarios fueron las lesiones cardiacas predominantes. La edad menor de 27 meses, la fiebre durante más de 8 días, la velocidad de sedimentación globular > 70 mm y la pancarditis fueron factores de riesgo para aneurismas coronarios
ABSTRACT
The aim of this study was to determine risk factors for coronary lesions, the type of heart lesion present, and long-term outcome in Kawasaki disease. We studied 150 children, aged 3 months to 9.5 years, who met the criteria for a diagnosis of Kawasaki disease. Of the 18% who were diagnosed with heart disease, 100% had coronary artery abnormalities, 11.1% had pancarditis, and 3.7%, mitral insufficiency. The coronary abnormalities were classified according severity as follows diffuse ectasia in 40.7%; a small-to-medium-sized solitary coronary artery aneurysm in 33.3%; numerous small-to-medium-sized aneurysms in 11.1%; giant aneurysms in 11.1%; and coronary artery stenosis in 3.7%. The presence of pancarditis was a predictor of a giant coronary artery aneurysm. Mortality was 3.7%. Coronary aneurysm was the predominant heart lesion. The risk factors for coronary aneurysm in Kawasaki disease included age less than 27 months, fever lasting more than 8 days, erythrocyte sedimentation greater than 70 mm, and pancarditis
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Collection:
National databases
/
Spain
Database:
IBECS
Main subject:
Coronary Disease
/
Mucocutaneous Lymph Node Syndrome
Type of study:
Etiology study
/
Prognostic study
/
Risk factors
Limits:
Child
/
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
Language:
Spanish
Journal:
Rev. esp. cardiol. (Ed. impr.)
Year:
2006
Document type:
Article
Institution/Affiliation country:
Hospital Pediátrico Dr. Humberto J. Notti/Argentina