Since Kawasaki disease was first described more than 40 years ago, outcomes have improved significantly. With proper identification and treatment, the incidence of coronary artery lesions has declined to approximately 3% to 5%, from an initial rate of 25% to 30% previously.95 Long-term management of children following diagnosis of Kawasaki disease depends largely on whether or not they develop coronary artery lesions. Risk stratification schemes exist to help guide follow-up. These can be found in the AHA guidelines on Kawasaki disease, and they are summarized in Table 4.
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