Circulation, Vol 89, 916-922, Copyright © 1994 by American Heart Association
AS Dajani, KA Taubert, M Takahashi, FZ Bierman, MD Freed, P Ferrieri, M Gerber, ST Shulman, AW Karchmer and W Wilson
Long-term management of patients with Kawasaki disease should be tailored
to the degree of coronary arterial involvement. This committee has made
recommendations for each risk level about antiplatelet and anticoagulant
therapy, physical activity, follow-up assessment by a pediatric
cardiologist or primary care physician, and the appropriate diagnostic
procedures that may be performed to evaluate cardiac disease. The risk
level for a given patient with coronary arterial involvement may change
over time because of changes in coronary artery morphology. The
recommendations for management presented here are intended as practical
interim guidelines until additional prospective or retrospective data are
compiled to define more clearly the natural history of Kawasaki disease.
ARTICLES
Guidelines for long-term management of patients with Kawasaki disease. Report from the Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease, Council on Cardiovascular Disease in the Young, American Heart Association
Office of Scientific Affairs, American Heart Association, Dallas, TX 75231-4596.
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