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He ectasia. That most often spontaneously goes away and regresses and doesn't cause major problems down the road. The aneurysms, however, are more significant, and those are usually broken up into different categories: small, medium and large, and sometimes the large are considered giant aneurysms.
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We know that the patients with giant aneurysms are at the highest risk for problems like clotting off their coronary arteries, calcification, thrombosis, things that can cause damage to the heart muscle, infarction or heart attacks, things like that, things that can require heart intervention down the road or may even cause the patient to have significant problems, even death in the worst extreme. Most small aneurysms typically go away on their own and don't cause any long-term problems. 15:11 so whether they have aneurysms is a big determinant off the bat, and then secondly, how large those are. Mike patrick:: sure. John kovalchin: so coronary artery problems are a primary concern. There are also some other things that can occur with the heart. There can be involvement of the cardiac valves or valvulitis. Sometimes we can see the valves leak a little bit. That again is usually a transient thing.
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That's not usually something that causes long-term problems.
And then the other minor thing that sometimes we see is a small amount of fluid around the heart called ' pericardial effusion'. Again, those don't often lead to problems.
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Those things usually go away on their own. viagra used yahoo Almost all patients will have some what we call 'myocarditis' or inflammation of the heart muscle itself, and that can affect their ventricular function in the short term.
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Most of the time, it's not significant to the point where they're having problems or needing medicines or things like that, and again that typically resolves or goes away on its own. 16:11 mike patrick:: now, when you talk about aneurysms, just for folks out there who may not know exactly what that term means, what is an aneurysm of the coronary artery?
John kovalchin: an aneurysm is kind of a weakening in the blood vessel wall that makes it enlarged compared to the blood vessels around it, like a little ballooning. Mike patrick:: ok. viagra used yahoo The coronary artery is how the heart muscle itself gets oxygen, so it's important, and if you had a clot in there that occluded it, then the heart wouldn't get enough oxygen, and then that leads to what would commonly be called a heart attack or an mi or myocardial infarction. John kovalchin: absolutely, and that's why it's very important to recognize this disease early on and get treatment. symbolism of bathtubs on viagra As we said earlier, up to 15% to 25% of patients with kawasaki disease without treatment c. viagra used yahoo viagra bayer 20 mg
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