Kawaski disease

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Kawasaki DIsease affects infants and children. It results in involvement of the heart. Early diagnosis is the key to preventing the heart propblem. Treatment is simple:ivig and aspirin. Once heart problem is establsihed, the patient needs life long follow up and evaluation by a cardiologist.

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Kawaski disease

  1. 1. KAWASAKI DISEASE HEART OF THE MATTER VIKAS KOHLI MD FAAP FACC DIPLOMATE AMERICAN BOARD OF PEDS CARDIOLOGY SENIOR CONSULTANT PEDIATRIC CARDIOLOGY INDRAPRASTHA APOLLO HOSPITALS
  2. 2. CORONARY ANATOMY
  3. 3. ANTERIOR POSTERIOR
  4. 5. NOMOGRAM CORONARY DIAMETER
  5. 6. Format for Reporting of Kawasaki <ul><li>SIZE: Quantitative assesment of the cornary artery inner diameters </li></ul><ul><li>SHAPE: Configuration of aneurysms: Saccular, Fusiform, Focal </li></ul><ul><li>NUMBER of aneurysms </li></ul><ul><li>ECTASIA: coronary wall irregularity /dilatation </li></ul><ul><li>ANEURYSM: small, moderate, large. </li></ul><ul><li>STENOSIS/THROMBUS </li></ul><ul><li>LOCATION </li></ul>
  6. 8. CARDIAC INVOLVEMENT: 14/32 <ul><li>TOTAL PTS 32 </li></ul><ul><li>ECTASIA 11 </li></ul><ul><li>ANEURYSM 3 </li></ul><ul><li>PERICAR EFF 1 </li></ul><ul><li>VALVE REGURG 1 </li></ul><ul><li>THROMBUS 1 </li></ul><ul><li>RECURRENT 1 </li></ul><ul><li>RESISTANT 1 </li></ul>
  7. 9. Aneurysm location in 43 pts Prog in Pediatric Cardiology 19 (2004) 167–177
  8. 10. CARDIOVAS COMPLICATIONS
  9. 11. PATHOLOGICAL SEQUENCE
  10. 12. LEFT CORONARY ANGIO
  11. 13. GIANT ANEURYSM
  12. 14. RCA ANGIOGRAM
  13. 15. THROMBUS
  14. 25. PERICARDIAL EFF
  15. 26. NEWER MODALITIES FOR EVALUATION
  16. 27. NUCLEAR SCAN STRESS AT REST
  17. 28. MULTI SLICE CT
  18. 29. MULTI SLICE CT
  19. 30. INTRAVASCULAR US
  20. 31. OTHER ISSUES NOT COVERED <ul><li>MEDICAL MX: ROLE OF DYPIRIDAMOLE </li></ul><ul><li>ROLE OF CLOPIDOGREL </li></ul><ul><li>POSSIBLE EARLY ATHEROSCLEROSIS </li></ul><ul><li>LIFESTLYLE MANAGEMENT RATHER THAN CORONARY MX </li></ul><ul><li>ROLE OF BRACHIAL ARTERY AS A SURROGATE </li></ul>

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