Han Zhang1, Ming-Guo Xu2, Li-Jian Xie3, Min Huang1, Jie Shen1, Ting-Ting Xiao1. 1. Department of Cardiology, Shanghai Children's Hospital, Shanghai Jiaotong University, Shanghai, China. 2. Department of Cardiovascular Center, Shenzhen Children's Hospital, Shenzhen, China. 3. Department of Cardiology, Shanghai Children's Hospital, Shanghai Jiaotong University, Shanghai, China. naijileix@aliyun.com.
Abstract
BACKGROUND: Kawasaki disease (KD) has now become the leading cause of acquired heart disease among children in developed countries. This study investigated whether patients with KD have an increased risk of atherosclerosis. METHODS: Electronic databases, including PubMed, Embase and Springer link, were searched through June 1, 2015, for eligible studies. Studies were included when they met the following criteria: 1) an observational study focusing on evaluating the risk factors for atherosclerosis in patients with KD; 2) KD was diagnosed clinically according to the Japan Kawasaki Disease Research Committee or American Heart Association's diagnostic criteria; 3) the study subjects were KD patients without coronary heart disease or related cardiovascular disease (KD group) and non-KD patients as control (control group), and 4) investigation of important atherosclerosis risk factors, total cholesterol (TC), low-density lipoprotein cholesterol (LDL), triglycerides (TG), systolic blood pressure (SBP), and flowmediated dilatation (FMD). The methodological quality of the included studies was evaluated using the Newcastle- Ottawa Scale. Mean difference (MD) and relative risk (RR) and corresponding 95% confidence intervals (CI) were used to calculate the pooled results. RESULTS: Sixteen studies were included with a total of 870 patients, including 421 KD patients and 449 non-KD controls. Differences in TG and SBP between KD patients and controls were not significant; in contrast, TC and LDL levels were significantly higher in KD patients than the controls, whereas FMD in the KD patients was significantly lower. CONCLUSIONS: KD patients may have an increased risk of developing atherosclerosis.
BACKGROUND:Kawasaki disease (KD) has now become the leading cause of acquired heart disease among children in developed countries. This study investigated whether patients with KD have an increased risk of atherosclerosis. METHODS: Electronic databases, including PubMed, Embase and Springer link, were searched through June 1, 2015, for eligible studies. Studies were included when they met the following criteria: 1) an observational study focusing on evaluating the risk factors for atherosclerosis in patients with KD; 2) KD was diagnosed clinically according to the Japan Kawasaki Disease Research Committee or American Heart Association's diagnostic criteria; 3) the study subjects were KDpatients without coronary heart disease or related cardiovascular disease (KD group) and non-KDpatients as control (control group), and 4) investigation of important atherosclerosis risk factors, total cholesterol (TC), low-density lipoprotein cholesterol (LDL), triglycerides (TG), systolic blood pressure (SBP), and flowmediated dilatation (FMD). The methodological quality of the included studies was evaluated using the Newcastle- Ottawa Scale. Mean difference (MD) and relative risk (RR) and corresponding 95% confidence intervals (CI) were used to calculate the pooled results. RESULTS: Sixteen studies were included with a total of 870 patients, including 421 KDpatients and 449 non-KD controls. Differences in TG and SBP between KDpatients and controls were not significant; in contrast, TC and LDL levels were significantly higher in KDpatients than the controls, whereas FMD in the KDpatients was significantly lower. CONCLUSIONS:KDpatients may have an increased risk of developing atherosclerosis.
Entities:
Keywords:
Kawasaki disease; atherosclerosis; flow-mediated dilatation; meta-analysis; total cholesterol
Authors: D S Celermajer; K E Sorensen; V M Gooch; D J Spiegelhalter; O I Miller; I D Sullivan; J K Lloyd; J E Deanfield Journal: Lancet Date: 1992-11-07 Impact factor: 79.321