Echocardiographic evaluation of patients with acute rheumatic fever and rheumatic carditis

Circulation
R S VasanJ Narula

Abstract

Cardiac involvement is the most important component of acute rheumatic fever. The role of echocardiography in the evaluation of rheumatic carditis has not been adequately defined. We used echocardiography in a large sample of patients with acute rheumatic fever to describe morphological abnormalities associated with rheumatic carditis and to assess its role in the diagnosis of rheumatic carditis. Cross-sectional and color Doppler echocardiographic examination was performed in 108 consecutive patients with acute rheumatic fever within 24 to 48 hours of diagnosis. Twenty-eight patients had acute rheumatic fever without clinical evidence of carditis (group 1). Thirty-five patients had a presumed first episode of rheumatic carditis (group 2), and 45 patients had a recurrence of carditis (group 3). Patients in group 1 did not demonstrate any evidence of valvular regurgitation. Mitral regurgitation was the most common Doppler echocardiographic feature in groups 2 (94%) and 3 (84%). Valvular thickening with or without restriction of leaflet mobility was frequently seen in rheumatic carditis. One of every 4 patients with rheumatic carditis demonstrated echocardiographic presence of focal valvular nodules. These nodules were found on th...Continue Reading

References

Oct 1, 1976·The American Journal of Cardiology·R M Schieken, R E Kerber
Jun 1, 1979·The American Journal of Cardiology·W H Gaasch
Nov 15, 1992·Journal of the American College of Cardiology·T WisenbaughP Sareli
Oct 1, 1992·Australian and New Zealand Journal of Medicine·H Feigenbaum
Apr 1, 1992·Journal of the American College of Cardiology·S M NidorfA E Weyman
Jan 1, 1989·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·J G Stevenson
Jul 15, 1989·The American Journal of Cardiology·J C MohanR Arora
Mar 1, 1989·The American Journal of Cardiology·R H MarcusJ B Barlow
Apr 1, 1987·Journal of the American College of Cardiology·G J PerryB Soto
Sep 1, 1986·International Journal of Cardiology·M M de MoorD G Human
Jan 1, 1987·Mayo Clinic Proceedings·L J OlsonW D Edwards
Feb 19, 1987·The New England Journal of Medicine·L G VeasyE L Kaplan
Apr 1, 1981·Annals of Internal Medicine·C F Von ReynC S Crumpacker
Sep 1, 1980·American Heart Journal·T J MardelliC C Chen
Jan 1, 1994·The Journal of Pediatrics·L G VeasyH R Hill
Oct 1, 1994·Australian and New Zealand Journal of Medicine·M AbernethyG Whalley
Aug 1, 1994·The Pediatric Infectious Disease Journal·K A TaubertS T Shulman
Sep 1, 1993·Journal of the American College of Cardiology·M R EssopP Sareli
Apr 28, 1993·JAMA : the Journal of the American Medical Association·L G Veasy
Mar 17, 1960·The New England Journal of Medicine·A R FEINSTEIN, M SPAGNUOLO
Sep 1, 1962·Progress in Cardiovascular Diseases·M G WILSON
Sep 1, 1962·Progress in Cardiovascular Diseases·M J LEVY, J E EDWARDS

❮ Previous
Next ❯

Citations

Dec 8, 2000·The Journal of Experimental Zoology·S C Greenway, K B Storey
Jan 5, 2002·Indian Journal of Pediatrics·B OranI Erkul
Dec 25, 2007·Pediatric Cardiology·Ahsan Beg, Masood Sadiq
Sep 29, 2011·Pediatric Cardiology·Murat Muhtar YilmazerIlker Devrim
Dec 24, 2004·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·D A KafetzisG Liapi
Jul 3, 2002·Current Treatment Options in Cardiovascular Medicine·Anita Saxena
Apr 20, 2004·International Journal of Cardiology·Manat PanamontaSumitr Sutra
Apr 6, 2000·The Annals of Thoracic Surgery·A KalangosB Faidutti
Nov 11, 1998·Journal of the American College of Cardiology·C A RoldanM H Crawford
Nov 22, 2005·Cardiology in the Young·L George Veasy, Lloyd Y Tani
Nov 22, 2005·Cardiology in the Young·Ishwarappa B VijayalakshmiArale N Prabhu Deva
Jun 6, 2009·Cardiology in the Young·John LawrensonRik De Decker
Jan 16, 2013·Nature Reviews. Cardiology·Rajendra TandonJagat Narula
Aug 3, 2007·The New England Journal of Medicine·Eloi MarijonXavier Jouven
Aug 21, 2001·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·G H Stollerman
Aug 13, 1999·Journal of Cardiovascular Pharmacology·M BarancikW Schaper
Mar 28, 2001·Pediatric Emergency Care·J F Knapp, R D Schremmer
Aug 29, 2012·The Pediatric Infectious Disease Journal·Sara NoonanJonathan R Carapetis
Dec 2, 2006·BMJ : British Medical Journal·Antoinette M Cilliers
Jan 1, 2009·Annals of Pediatric Cardiology·S Ramakrishnan
Nov 7, 2012·Annals of Pediatric Cardiology·Rajendra Tandon
Mar 29, 1997·Lancet·G H Stollerman
Mar 15, 2008·Cardiology in the Young·Tugcin Bora PolatAhmet Celebi
Dec 19, 2001·Lancet·J Narula, E L Kaplan
Jun 1, 2014·Journal of Echocardiography·Saurabh Kumar Gupta, Ramamoorthy Ananthakrishnan
Aug 1, 2008·European Journal of Pediatrics·Taner YavuzTurkan Ertugrul
Mar 13, 2012·Lancet·Eloi MarijonXavier Jouven
Jun 12, 2010·The American Journal of Cardiology·John A PaarJames B Dale
Dec 8, 2009·Pediatric Clinics of North America·Andrew C Steer, Jonathan R Carapetis
May 5, 2009·Progress in Cardiovascular Diseases·Mustafa ZakkarPrakash P Punjabi
Mar 14, 2007·Pediatric Neurology·Ayşe KiliçMüjgan Sidal
Aug 25, 2007·Annals of Tropical Paediatrics·Ajit RayamajhiUrmila Shakya
May 2, 2009·Pediatrics International : Official Journal of the Japan Pediatric Society·Ajit RayamajhiUrmila Shakya
Jun 25, 2013·Pediatrics International : Official Journal of the Japan Pediatric Society·Esra PekpakTayfun Uçar
Oct 13, 2006·International Journal of Cardiology·Marissa Tubridy-Clark, Jonathan R Carapetis
Dec 21, 2005·International Journal of Cardiology·Rana OlgunturkSerdar Kula

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiology Journals

Discover the latest cardiology research in this collection of the top cardiology journals.

Arrhythmogenic Right Ventricular Dysplasia

Arrhythmogenic right ventricular dysplasia is a congenital cardiomyopathy that is characterized by infiltration of adipose and fibrous tissue into the right ventricle wall and loss of myocardial cells. Primary injuries usually are at the free wall of the right ventricular and right atria resulting in ventricular and supraventricular arrhythmias. Discover the latest research on arrhythmogenic right ventricular dysplasia here.