Does stress perfusion cardiac magnetic resonance imaging predict major cardiovascular events and guide management in Kawasaki disease patients with coronary artery aneurysms?
Stress perfusion CMR is a valuable prognostic tool for predicting major cardiovascular events and guiding longitudinal surveillance in high-risk Kawasaki disease patients with coronary artery aneurysms.
In KD patients with CAA, inducible perfusion defects on spCMR were associated with increased MCE risk, whereas a normal spCMR in AHA risk levels 3-4 was reassuring. Serial spCMR identified evolving ischemia, guided revascularization decisions, and informed post-intervention management. These findings support the incorporating spCMR into longitudinal surveillance pathway for high-risk KD patients.
Kiener et al. (Sun,) studied this question.