Asian Pacific Society of Cardiology Consensus Statement on Management of Coronary Artery Disease in Adults with Late Complications of Kawasaki Disease
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- Khung Keong Yeo
- Department of Cardiology, National Heart Centre, Singapore; Duke-NUS Medical School, Singapore
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- Ryuji Fukazawa
- Department of Pediatrics, Nippon Medical School, Tokyo, Japan
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- Mamoru Ayusawa
- Faculty of Health and Medical Science, Kanagawa Institute of Technology, Kanagawa, Japan
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- Ming-Tai Lin
- Department of Pediatrics, National Taiwan University Hospital and College of Medicine, National Taiwan University, Taipei, Taiwan
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- Koji Maemura
- Department of Cardiovascular Medicine, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
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- Paul Tern
- Department of Cardiology, National Heart Centre, Singapore
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- Sofian Johar
- Department of Cardiology, RIPAS Hospital, Institute of Health Sciences, University Brunei Darussalam, Brunei Darussalam
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- Oktavia Lilyasari
- Department of Cardiology and Vascular Medicine, Faculty of Medicine Universitas Indonesia, National Cardiovascular Center Harapan Kita Jakarta, Jakarta, Indonesia
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- Aurelia Leus
- Department of Pediatrics Cardiology, Makati Medical Centre, Manila, the Philippines; Philippine Heart Centre, Manila, the Philippines
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- Sidney Lo
- Department of Cardiology, Liverpool Hospital, Sydney, Australia
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- Hiroyoshi Yokoi
- Department of Cardiology, Fukuoka Sanno Hospital, Fukuoka, Japan
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- Yoshihide Mitani
- Department of Pediatrics, Mie University Graduate School of Medicine, Mie, Japan
説明
<jats:p>Despite reductions in the mortality of Kawasaki disease with advances in its treatment, a proportion of patients still develop coronary artery dilatation that may persist even into adulthood. These lesions carry an increased risk of myocardial ischaemia and infarction. However, published clinical guidelines on the management and long-term follow up of patients with these late complications of Kawasaki disease are limited. The Asian Pacific Society of Cardiology convened an expert panel to review the available literature and develop consensus recommendations to guide clinicians in this area. The panel developed statements on the assessment and risk stratification of coronary artery disease, investigations for follow up, as well as considerations around treatment of stenotic lesions with medical therapy, percutaneous coronary intervention and coronary artery bypass grafting. Each statement was voted on by each panel member and consensus was reached when 80% of experts voted ‘agree’ or ‘neutral’. This process resulted in the development of consensus recommendations to guide cardiologists and internists in the follow up and management of patients with coronary artery lesions as a late complication of Kawasaki disease.</jats:p>
収録刊行物
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- Journal of Asian Pacific Society of Cardiology
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Journal of Asian Pacific Society of Cardiology 2 2023-09-04
Radcliffe Media Media Ltd