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Echocardiographic diagnosis of subclinical carditis in acute rheumatic fever.

Abstract：

:The diagnosis of carditis in acute rheumatic fever traditionally depends on characteristic auscultatory findings. The advent of pulsed and colour Doppler echocardiography provides a method of detecting minor degrees of pathological regurgitation without characteristic clinical signs. Using strict criteria, pathological left heart regurgitation can be differentiated from physiological regurgitation: colour Doppler must show a substantial colour jet in two planes extending well beyond the valve leaflets; pulsed Doppler must confirm a high velocity signal, holosystolic for mitral regurgitation, or holodiastolic for aortic regurgitation. Several centres have observed subclinical carditis in children with acute rheumatic fever. We are confident that we are not overdiagnosing valvulitis, having tested this in a blinded fashion. Subclinical valvulitis should be accepted as evidence of carditis, a major diagnostic criterion for acute rheumatic fever.

journal_name

Int J Cardiol

journal_title

International journal of cardiology

authors

Wilson NJ,Neutze JM

doi

10.1016/0167-5273(95)02325-q

subject

Has Abstract

pub_date

1995-06-02 00:00:00

pages

1-6

issue

1

eissn

0167-5273

issn

1874-1754

pii

016752739502325Q

journal_volume

50

pub_type

社论

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