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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Date
2021
Journal Title
Journal ISSN
Volume Title
Publisher
Aves
Access Rights
info:eu-repo/semantics/openAccess
Abstract
Objective: This study aimed to determine the possibility of subclinical myocardial dysfunction detected by strain echocardiography in the late period of children with Kawasaki disease. Material and Methods: The study enrolled 30 patients with Kawasaki disease with a follow-up period of at least 12 months and 30 healthy age- and gender-matched children. During the follow-up period, standard echocardiography, pulsed and tissue Doppler, and strain echocardiography were recorded for both groups. Results: The mean age at the time of the diagnosis was 2.6 +/- 2.3 years (2 months-11 years). The mean follow-up period after the diagnosis was 3.55 +/- 2.20 years. Conventional echocardiography, M mode, pulsed and tissue Doppler values, and myocard performance index did not reveal significant differences. Left ventricle strain and strain rate parameters obtained by apical four-, three-, and two-chamber views did not show statistical differences between patients and controls. There was a positive correlation between the duration of follow-up and global fourand three-chamber longitudinal strain and global longitudinal strain values (r=0.465, p=0.010; r=0.414, p=0.023; r=0.492, p=0.006, respectively), whereas global radial strain showed negative correlation (r=-0.517, p=0.003). Conclusion: The analysis of systolic strain and strain rate did not detect a subclinical myocardial dysfunction in the long-term follow-up of Kawasaki disease. However, strain values showed variability with the follow-up periods, which indicates that Kawasaki disease might cause left ventricular dysfunction in the later phases. Therefore, a follow-up of children with a diagnosis of Kawasaki disease is of capital importance.
Description
Keywords
Kawasaki Disease, Left Ventricular Function, Speckle Tracking Imaging, Strain, Ventricular Systolic Strain, Consequences, Professionals, Deformation, Statement, Heart
Journal or Series
Turkish Archives Of Pediatrics
WoS Q Value
N/A
Scopus Q Value
Q3
Volume
56
Issue
1
