Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for follow-up of sequelae of Kawasaki Disease (KD) diagnosed in childhood. Current status: [Asymptomatic/Chest pain/Dyspnea/Palpitations]. History significant for childhood KD with documented coronary artery aneurysms (CAA). Current medication adherence: [Aspirin/Warfarin/Statins]. No recent history of myocardial infarction or unstable angina. Functional capacity: [NYHA Class I-IV].
Clinical Examination Findings
Cardiovascular: Regular rate and rhythm, S1/S2 normal, no murmurs, rubs, or gallops. Peripheral pulses: [Symmetric/Diminished]. No peripheral edema. Carotid upstroke: [Normal/Delayed]. Lungs: Clear to auscultation bilaterally. Abdomen: Soft, non-tender, no bruits. Neurological: Intact, no focal deficits.
Treatment Protocol
Long-term management plan: 1. Antiplatelet therapy: [Aspirin 81-325mg daily]. 2. Anticoagulation: [Warfarin/DOAC] if giant aneurysms present. 3. Lipid management: Statin therapy to maintain LDL < [70/100] mg/dL. 4. Beta-blockers for heart rate control. 5. Regular surveillance: Annual echocardiography, stress testing, or coronary CT angiography (CCTA) as indicated.