Volume 9, Issue 3 (10-1995)                   Med J Islam Repub Iran 1995 | Back to browse issues page

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BORZOEE M, AJAMI J. DOPPLER ECHOCARDIOGRAPHY IN SUBCLINICAL RHEUMATIC VALVULAR REGURGITATION: ALONGTERM STUDY. Med J Islam Repub Iran 1995; 9 (3) :193-195
URL: http://mjiri.iums.ac.ir/article-1-1315-en.html
From the Department of Pediatrics, Division of Pediatric Cardiology, Shiraz University of Medical Sciences, Shiraz, I.R. Iran.
Abstract:   (4178 Views)
Doppler echocardiography (DE) is known to be a valuable tool for detecting subclinical forms of valvular regurgitation (VRJ in theacutephase of rheumatic fever (RF). Previous studies have mostly dealt with the acute phase problem with only short-term follow-up. In this study, 24 children between 4-15 years of age (mean age II.X±2.7 years) with RF without clinically diagnosed carditis (most with arthritis) who had two or more DE studies in the course of follow-up (more than 12 months) were assessed utilizing DE. Twenty-one patients had positive DE findings in one or more valve(s) (g7.5%). VR disappeared within I -X months (mean 4.4±2.3mo.) in 9(42.8%) and persisted in 12 (57.2%) patients during 12-60 months follow-up, whereas DE in children with normal heart structure was rarely associated with left-sided VR (P<0.001). Therefore DE can be a more valuable tool for detection of acute and late phase disease, and follow-up and prevention of RF, and since endocarditis may be the only significant finding of organic cardiac involvement, it may be accepted as a major diagnostic criterion.
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Type of Study: Original Research | Subject: Pediatric

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