Revisão de Literatura: Arritmias em Pacientes Pediátricos com Doença de Kawasaki
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Introdução: Esta revisão da literatura foi feita visando identificar as arritmias mais frequentes em crianças e adolescentes com doença de Kawasaki, em cada fase da doença, a fim de auxiliar as equipes a identificar da maneira adequada. Sabe-se que esta vasculite é a maior causa de doença cardiovascular adquirida em países desenvolvidos, daí a importância em ampliar os conhecimentos sobre ela. Objetivo: Reunir neste artigo todos os relatos de arritmias relacionados à doença de Kawasaki. Fontes dos dados: Foram utilizadas as bases de dados PubMed e SciELO, utilizando descritores do MeSH “Mucocutaneous Lymph Node Syndrome”, “Cardiovascular Disease” e “Arrhythmias”. Foram encontrados 177 trabalhos, dos quais 30 foram selecionados. Os trabalhos que não responderam à pergunta, os que estavam duplicados ou não disponíveis na íntegra foram excluídos. Analisamos trabalhos de 1980 a 2023. Síntese dos dados: 105 pacientes com diagnóstico de doença de Kawasaki, sejam estes advindos de relatos de caso, estudos retrospectivos ou coortes, apresentaram arritmias. Foi feita uma divisão em três grupos, de acordo com a fase da doença - aguda, subaguda e crônica -, com base nos relatos de casos. Conclusões: A arritmia mais comum na fase aguda e crônica foi a taquicardia sinusal. Além desta, na fase crônica, contrações ventriculares prematuras e bloqueio de ramo direito também foram mais frequentes.
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