CARDIOLOGY
EISENMENGER S SYNDROME
|
Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
|
Which of the following is correct regarding coronary artery pathology in a child with KAWASAKI?
|
|
Child less than 1 yo have decreased risk of coronary aneurysm
|
|
|
Majority of small coronary aneurysms regress back to normal coronary vessels
|
|
|
Immunoglobulins must be given within first 20 days of fever
|
|
|
Approx. 20% of untreated kids will develop coronary aneurysms
|
|
|
If aneurysms are small, aspirin therapy can be stopped at 8 weeks
|
Explanation:
Detailed explanation-1: -Coronary artery involvement is the most important complication of Kawasaki disease and is seen in approximately 15–20% of affected [1, 2].
Detailed explanation-2: -[1] About 15-25% of untreated children will go on to develop CAAs. [1] Specific factors lead to an increased risk of coronary artery aneurysms including [1][4][5][10][11][12]: Fever >8 days (most important risk factor)
Detailed explanation-3: -Kawasaki disease (KD) is an acute vasculitis that preferentially affects medium‐sized arteries, particularly the coronary arteries (CA). CA involvement can range from transient mild dilatation or ectasia, occurring in up to 40% of patients, to giant coronary artery aneurysms (CAA).
There is 1 question to complete.