©The Author(s) 2025.
World J Clin Pediatr. Dec 9, 2025; 14(4): 108920
Published online Dec 9, 2025. doi: 10.5409/wjcp.v14.i4.108920
Published online Dec 9, 2025. doi: 10.5409/wjcp.v14.i4.108920
Table 5 Treatment at the onset of Kawasaki disease
| Therapy at onset | Children with coronary dilatation (n = 32) | Group 1 (with giant/medium coronary artery aneurysms) (n = 13) | Group 2 (with moderate coronary dilatation) (n = 19) |
| Intravenous immunoglobulin | 30 (94.0) | 13 (100) | 17 (89.0) |
| Glucocorticosteroids | 3 (9.0) | 2 (15.0) | 1 (5.0) |
| Etanercept | 1 (3.0) | 1 (8.0) | 0 (0) |
| Cyclosporine | 2 (6.0) | 1 (8.0) | 1 (5.0) |
| Acetylsalicylic acid | 31 (97.0) | 13 (100) | 18 (95.0) |
| Anticoagulants: LMWH or heparin (intravenous) with subsequent LMWH | 12 (38.0) | 7 (54.0) | 5 (26.0) |
| Heart failure therapy at the Kawasaki disease onset | |||
| Carditonics | 2 (6.0) | 1 (8.0) | 1 (5.0) |
| Diuretics | 22 (69.0) | 11 (85.0) | 11 (58.0) |
| Beta-blockers | 14 (44.0) | 5 (38.0) | 9 (47.0) |
| Angiotensin-converting enzyme inhibitors | 7 (22.0) | 5 (38.0) | 2 (11.0) |
| Outcomes | |||
| Regression of thrombosis | 6/6 (100) | 6/6 (100) | 0 (0) |
| Ischemic dilated cardiomyopathy | 3 (9.4) | 3 (23.0) | 0 (0) |
- Citation: Bregel LV, Efremova OS, Podkamenny VA, Kozlov YA, Kostik MM. Giant coronary aneurysms in children with Kawasaki disease and major cardiac complications and dynamic follow-up. World J Clin Pediatr 2025; 14(4): 108920
- URL: https://www.wjgnet.com/2219-2808/full/v14/i4/108920.htm
- DOI: https://dx.doi.org/10.5409/wjcp.v14.i4.108920