The case for utilizing more strict quantitative Doppler echocardiographic criterions for diagnosis of subclinical rheumatic carditis

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dc.contributor.authorCaldas, Alvaro M.
dc.contributor.authorTerreri, Maria Teresa R. A.
dc.contributor.authorMoises, Valdir A.
dc.contributor.authorSilva, Celia M. C.
dc.contributor.authorCarvalho, Antonio C.
dc.contributor.authorHilario, Maria Odete E.
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2016-01-24T12:41:52Z
dc.date.available2016-01-24T12:41:52Z
dc.date.issued2007-02-01
dc.description.abstractAim: Our aim was to perform a comparative, quantitative and qualitative, analysis of valvar echocardiographic findings in patients with acute rheumatic fever, with or without clinical manifestations of carditis, as compared to healthy controls. Methods and results: We analyzed cross-sectional Doppler echocardiographic images of 31 patients with acute rheumatic fever diagnosed according to the Jones criterions as modified in 1992. of 31 patients, 22 presented with clinical carditis, while 9 had subclinical carditis. the patients, and a control group of 20 healthy individuals, underwent cardiac examination and echocardiographic assessment, assessing quantitative and qualitative findings of mitral and aortic valvar abnormalities. the leaflets of the mitral valve were statistically thicker in those with clinical and subclinical carditis when compared to controls (p less than 0.001). We observed a greater frequency of mitral variance, convergence of mitral flow, and aortic regurgitation for those with clinical and subclinical carditis when compared to controls (p less than 0.001, p less than 0.001 and p equal to 0.003, respectively). Patients with clinical and subclinical carditis had more quantitative and qualitative changes in the parameters than did the controls. Conclusion: Echocardiography is a sensitive method to detect valvar abnormalities in patients with acute rheumatic fever and carditis. Additionally, by using regular standardized criterions, abnormalities that lead to a diagnosis of subclinical carditis are found in those patients with acute rheumatic fever in the apparent absence of cardiac involvement.en
dc.description.affiliationUniversidade Federal de São Paulo, Dept Pediat, Div Allergy Clin Immunol & Rhumatol, São Paulo, Brazil
dc.description.affiliationUniversidade Federal de São Paulo, Dept Med, Div Pediat Cardiol, Discipline Cardiol, São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Dept Pediat, Div Allergy Clin Immunol & Rhumatol, São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Dept Med, Div Pediat Cardiol, Discipline Cardiol, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent42-47
dc.identifierhttp://dx.doi.org/10.1017/S1047951106001296
dc.identifier.citationCardiology in the Young. Cambridge: Cambridge Univ Press, v. 17, n. 1, p. 42-47, 2007.
dc.identifier.doi10.1017/S1047951106001296
dc.identifier.issn1047-9511
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/29498
dc.identifier.wosWOS:000244878100006
dc.language.isoeng
dc.publisherCambridge Univ Press
dc.relation.ispartofCardiology in the Young
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.rights.licensehttp://journals.cambridge.org/action/displaySpecialPage?pageId=4676
dc.subjectJones criteriaen
dc.subjectcarditisen
dc.subjectvalvar regurgitationen
dc.subjectChildrenen
dc.titleThe case for utilizing more strict quantitative Doppler echocardiographic criterions for diagnosis of subclinical rheumatic carditisen
dc.typeinfo:eu-repo/semantics/article
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