Cardiac abnormalitiesMost of the 662 children suffered cardiac involvement as indicated by markers such as troponin, which is used with great accuracy in adults to diagnose heart attacks."Almost 90% of the children (581) underwent an echocardiogram because they had such a significant cardiac manifestation of the disease," Dr Moreira said.The damage included:-Dilation of coronary blood vessels, a phenomenon also seen in Kawasaki disease.-Depressed ejection fraction, indicating a reduced ability for the heart to pump oxygenated blood to the tissues of the body.Almost 10% of children had an aneurysm of a coronary vessel. "This is a localized stretching or ballooning of the blood vessel that can be measured on an ultrasound of the heart," Dr.