The value of echocardiography in the diagnosis and followup of rheumatic carditis in children and adolescents: A 2 year prospective study

The value of echocardiography in the diagnosis and followup of rheumatic carditis in children and adolescents: A 2 year prospective study

Author Hilário, Maria Odete Esteves Autor UNIFESP Google Scholar
Andrade, J. L. Google Scholar
Gasparian, A. B. Google Scholar
Carvalho, A. C. Google Scholar
Andrade, C. T. Google Scholar
Len, Claudio Arnaldo Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract Objective. To evaluate echocardiographic/Doppler findings in patients with rheumatic fever whether or not clinical manifestations of carditis were present, and the followup of these findings 24 months after the acute phase.Methods. Twenty-two patients with rheumatic fever (13 boys, 9 girls, mean age 11.0 years) were evaluated at baseline Cat diagnosis) and after 3 and 6 mo of disease. Eighteen patients were reevaluated 24 mo later. The assessment included physical and cardiac examination, electrocardiogram, chest radiography, and color ECHO/Doppler performed blindly by different investigators. The control group included 15 healthy children.Results. We observed clinical carditis in 8 patients (36.4%): Group 1, all with ECHO abnormalities. We observed no clinical cardiac manifestations in 14 patients (Group 2), but 5 (35.7%) had positive ECHO/Doppler abnormalities that persisted at least 6 mo in followup assessments. Mitral and aortic were the most frequently involved valves. In Group 1 we observed normalization of the ECHO/Dappler in 3 patients, improvement in 2, no change in 2, and worsening in one. Twelve of 14 patients without clinical carditis were reevaluated, including the 5 patients with ECHO/Doppler abnormalities during the initial evaluations; normalization or improvement: was observed in 2 patients, no change in 2, and worsening in one, We observed no ECHO/Doppler abnormalities in the control group.Conclusion. This blind prospective study suggests the existence of asymptomatic carditis in some patients with rheumatic fever and the role ECHO/Doppler investigation could play in diagnosis and Followup.
Keywords rheumatic fever
children
echocardiogram
valvulopathy
Language English
Date 2000-04-01
Published in Journal Of Rheumatology. Toronto: J Rheumatol Publ Co, v. 27, n. 4, p. 1082-1086, 2000.
ISSN 0315-162X (Sherpa/Romeo, impact factor)
Publisher J Rheumatol Publ Co
Extent 1082-1086
Access rights Closed access
Type Article
Web of Science ID WOS:000086538100041
URI http://repositorio.unifesp.br/11600/44661

Show full item record




File

File Size Format View

There are no files associated with this item.

This item appears in the following Collection(s)

Search


Browse

Statistics

My Account