Raymond P. Lorenzoni III1, Jaeun Choi2, Nadine F. Choueiter3, Iona M. Munjal1, Chhavi Katyal4, Kenan W. D. Stern3
Congenital Heart Disease, Vol.13, No.3, pp. 470-475, 2018, DOI:10.1111/chd.12598
Abstract Objective: Kawasaki disease is the primary cause of acquired pediatric heart disease in developed
nations. Timely diagnosis of Kawasaki disease incorporates transthoracic echocardiography for visualization of the coronary arteries. Sedation improves this visualization, but not without risks and
resource utilization. To identify potential sedation criteria for suspected Kawasaki disease, we analyzed factors associated with diagnostically inadequate initial transthoracic echocardiography
performed without sedation.
Design: This retrospective review of patients < 18 years old undergoing initial transthoracic echocardiography for the inpatient evaluation of suspected Kawasaki disease from 2009 to 2015
occurred at a medium-sized urban children’s hospital. The primary outcome was diagnostically… More >
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