JCS/JS']JSCS 2020 Guideline on Diagnosis and Management of Cardiovascular Sequelae in Kawasaki Disease

被引：223

作者：

Fukazawa, Ryuji ^{[1
]}

Kobayashi, Junjiro ^{[2
]}

Ayusawa, Mamoru ^{[3
]}

Hamada, Hiromichi ^{[15
]}

Miura, Masaru ^{[6
]}

Mitani, Yoshihide ^{[5
]}

Tsuda, Etsuko ^{[13
]}

Nakajima, Hiroyuki ^{[7
]}

Matsuura, Hiroyuki ^{[4
]}

Ikeda, Kazuyuki ^{[16
]}

Nishigaki, Kazuhiko ^{[8
]}

Suzuki, Hiroyuki ^{[11
]}

Takahashi, Kei ^{[12
]}

Suda, Kenji ^{[10
]}

Kamiyama, Hiroshi ^{[3
]}

Onouchi, Yoshihiro ^{[18
]}

Kobayashi, Tohru ^{[17
]}

Yokoi, Hiroyoshi ^{[14
]}

Sakamoto, Kisaburo ^{[9
]}

Ochi, Masami ^{[23
]}

Kitamura, Soichiro ^{[21
,22
]}

Hamaoka, Kenji ^{[19
]}

Senzaki, Hideaki ^{[24
]}

Kimura, Takeshi ^{[20
]}

机构：

[1] Nippon Med Sch, Dept Pediat, Tokyo, Japan

[2] Natl Cerebral & Cardiovasc Ctr, Dept Cardiovasc Surg, Suita, Osaka, Japan

[3] Nihon Univ, Dept Pediat & Child Hlth, Sch Med, Tokyo, Japan

[4] Toho Univ, Omori Med Ctr, Dept Pediat, Tokyo, Japan

[5] Mie Univ, Dept Pediat, Grad Sch Med, Tsu, Mie, Japan

[6] Tokyo Metropolitan Childrens Med Ctr, Dept Cardiol, Tokyo, Japan

[7] Saitama Med Univ, Dept Cardiovasc Surg, Int Med Ctr, Saitama, Japan

[8] Gifu Univ, Grad Sch Med, Dept Cardiol & Respirol, Gifu, Japan

[9] Mt Fuji Shizuoka Childrens Hosp, Dept Cardiovasc Surg, Shizuoka, Japan

[10] Kurume Univ, Dept Pediat & Child Hlth, Sch Med, Kurume, Fukuoka, Japan

[11] Wakayama Med Univ, Dept Pediat, Wakayama, Japan

[12] Toho Univ, Dept Pathol, Ohashi Med Ctr, Tokyo, Japan

[13] Natl Cerebral & Cardiovasc Ctr, Dept Pediat Cardiol, Suita, Osaka, Japan

[14] Fukuoka Sanno Hosp, Cardiovasc Ctr, Fukuoka, Japan

[15] Tokyo Womens Med Univ, Dept Pediat, Yachiyo Med Ctr, Tokyo, Japan

[16] Kyote Prefectural Univ Med, Grad Sch Med Sci, Kyoto, Japan

[17] Natl Ctr Child Hlth & Dev, Clin Res Ctr, Dept Management & Strategy, Tokyo, Japan

[18] Chiba Univ, Dept Publ Hlth, Grad Sch Med, Chiba, Japan

[19] Uji Tokushukai Med Ctr, Pediat Cardiol & Kawasaki Dis Ctr, Uji, Japan

[20] Kyoto Univ, Dept Cardiovasc Med, Grad Sch Med, Kyoto, Japan

[21] Natl Cerebral & Cardiovasc Ctr, Tokyo, Japan

[22] Japan Cardiovasc Res Fdn, Tokyo, Japan

[23] Nippon Med Sch, Tokyo, Japan

[24] Kitasato Univ, Pediat Cardiol & Intens Care, Sch Med, Tokyo, Japan

来源：

CIRCULATION JOURNAL | 2020年 / 84卷 / 08期

关键词：

INTERNAL-THORACIC-ARTERY; ACUTE MYOCARDIAL-INFARCTION; FRACTIONAL FLOW RESERVE; GENOME-WIDE ASSOCIATION; PERCUTANEOUS CORONARY INTERVENTION; SAPHENOUS-VEIN GRAFT; C-REACTIVE PROTEIN; DOBUTAMINE STRESS ECHOCARDIOGRAPHY; MAGNETIC-RESONANCE ANGIOGRAPHY; EMISSION COMPUTED-TOMOGRAPHY;

D O I：

10.1253/circj.CJ-19-1094

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

As a summary of this guideline, Table 21 shows the frequency of each examination, treatment, and lifestyle guidance according to the severity classification of KD. Authors would be pleased if it could be used as a reference for medical staff who handle the remote stage of KD. On the other hand, the higher the severity, the more likely it is that various disorders will be complicated, and specialists are required to manage each case individually. Keeping in mind that the policy shown in this guideline is general, authors would like readers to deal with each case with the best policy. Most of the long-term treatment and management of KD still have a low level of evidence, and the treatments that could show strong recommendation level in this guideline are very limited. Authors would like to emphasize that the accumulation of evidence is urgent in the future. © 2020 Japanese Circulation Society. All rights reserved.

引用

页码：1348 / 1407

页数：60

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