Prospective comparison of clinical and echocardiographic diagnosis of rheumatic carditis

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dc.contributor.authorFigueroa, FE
dc.contributor.authorFernández, MS
dc.contributor.authorValdés, P
dc.contributor.authorWilson, C
dc.contributor.authorLanas, F
dc.contributor.authorCarrión, F
dc.contributor.authorBerríos, X
dc.contributor.authorValdés, F
dc.date.accessioned2025-01-21T01:30:55Z
dc.date.available2025-01-21T01:30:55Z
dc.date.issued2001
dc.description.abstractObjective-To determine the frequency of occurrence and long term evolution of subclinical carditis in patients with acute rheumatic fever.
dc.description.abstractDesign-Valvar incompetence was detected by clinical examination and Doppler echocardiographic imaging during the acute and quiescent phases of rheumatic fever. Patients were followed prospectively and submitted to repeat examinations at one and fire years after the acute attack. Persistence of acute mitral and aortic lesions detected solely by echocardiography (subclinical. disease) was compared with that of disease detected by clinical examination as well (thereby fulfilling the latest 1992 Jones criteria for rheumatic carditis).
dc.description.abstractSetting-Three general hospitals with a university affiliation in Chile.
dc.description.abstractPatients-35 consecutive patients fulfilling the revised Jones criteria for rheumatic fever. Clinical and echocardiographic examination was repeated in 32 patients after one year and in 17 after five years. Ten patients had subclinical carditis on admission, six of whom were followed for five years.
dc.description.abstractMain outcome measures-Auscultatory and echocardiographic evidence of mitral or aortic regurgitation during the acute attack or at follow up.
dc.description.abstractResults-Mitral or aortic regurgitation was detected by Doppler echocardiographic imaging in 25/35 rheumatic fever patients as opposed to 5/35 by clinical examination (p = 0.03). Doppler echocardiography revealed acute valvar lesions in 10 of 20 rheumatic fever patients who had no auscultatory evidence of rheumatic carditis (subclinical carditis). Three of these subclinical lesions and three of the clinical or auscultatory lesions detected on admission were still present after five years of follow up, emphasising that subclinical lesions are not necessarily transient.; improves the detection of rheumatic
dc.description.abstractConclusions-Doppler echocardiographic imaging carditis. Subclinical valve lesions, detected only by Doppler imaging, can persist. Echocardiographic findings should be accepted as a major criterion for the diagnosis of rheumatic fever.
dc.fuente.origenWOS
dc.identifier.issn1355-6037
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/96931
dc.identifier.wosidWOS:000167619400016
dc.issue.numero4
dc.language.isoen
dc.pagina.final410
dc.pagina.inicio407
dc.revistaHeart
dc.rightsacceso restringido
dc.subjectrheumatic heart disease
dc.subjectrheumatic fever
dc.subjectechocardiography
dc.subjectcarditis
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleProspective comparison of clinical and echocardiographic diagnosis of rheumatic carditis
dc.typeartículo
dc.volumen85
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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