Coronary Artery Sequel of Kawasaki Disease in Adulthood, a Concern for Internists and Cardiologists
Abstract: Young adults
suffered from acute cardiac event, such as acute coronary syndrome,
ischemic-associated arrhythmia and sudden death, are frequently encountered without
known etiology and significant risk factors. Coronary vasculitis due to
Kawasaki disease contributes to be a risk factor in young adult population to
develop acute coronary event. Afflicted predominantly during childhood,
Kawasaki disease gives rise to vasculitis of coronary artery which becomes
major concern since it leads to coronary aneurysm and stenosis. Self-limited
nature of Kawasaki disease make those suffered in childhood survive into adult
life. Accelerated coronary atherosclerosis in the Kawasaki disease-related
lesion occurring in young adult and subsequent acute coronary syndrome and
sudden death in this population are devastating impacts of the sequel of
Kawasaki disease. It is expected that internists and adult cardiologists become
familiar with this sequel and provide better care for the patients.
Key words: Kawasaki disease,
coronary aneurysm, atherosclerosis
Author: Anggoro B Hartopo,
Budi Y Setianto
Kode Jurnal: jpkedokterangg130286
