Assessment of coronary artery abnormalities and variability of Z‐score calculation in the acute episode of Kawasaki disease—A retrospective study from China

• DOI: 10.1111/eci.13409
• Publication Date: 2020-09-25T16:31:04Z
• Authors: Hui Hui Liu; Zhen Qiu; Guo Zhen Fan; Qi Jiang; Rui Xue Li; Wei Xia Chen; Fei Fei Liu; Yue Wu; Jing Jing Wang; Yang Fang Wu; Huang Huang Luo; Dong Dong Zhang; Peng Hu
• Keywords: Christian ministry; Standard score; Body surface area

Abstract Background Accurate classification of coronary artery abnormalities (CAAs) is essential for clinical decision‐making and long‐term management in Kawasaki disease (KD) patients. To date, there are several echocardiographic criteria CAA assessment. Materials methods The Japanese Ministry Health (JMH) the Z ‐score from 2004 American Heart Association guidelines were adopted their detective efficacies CAAs compared 251 Chinese patients with KD scores calculated by 6 published methods. Results According to JMH criteria, 19 (7.57%) classified as during acute episode. However, number was highest had a 0.68‐fold increase Dallaire et al method cut point ≥2.5 criteria; contrast, more than 78.95% identified score ≥2.5. All different satisfactory accuracies range 93.23% 97.61% screening CAAs. For presented widest variation McCrindle method. Conclusions underestimate prevalence criteria. Quantitative assessment luminal dimensions, normalized adjusted body surface, should be recommended. larger dimensions vary, heterogeneous have.