The logic for extending the use of echocardiography beyond childhood to detect subclinical rheumatic heart disease

Rheumatic heart disease is the only residual morbidity, and the sole cause of mortality, from rheumatic fever. Echocardiography is ideally suited to confirm and follow the course of rheumatic heart disease. Additionally, both minimal valvar pathology in children, and extensive valvar pathology in ad...

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Bibliographic Details
Published in:Cardiology in the young 2009-02, Vol.19 (1), p.30-33
Main Authors: George Veasy, L., Tani, Lloyd Y., Minich, LuAnn
Format: Article
Language:English
Subjects:
Adult
Child
chordae tendineae
Disease Progression
Echocardiography
Heart Valve Diseases - diagnostic imaging
Heart Valve Diseases - pathology
Humans
mitral annulus
mitral stenosis
Rheumatic Heart Disease - diagnostic imaging
Rheumatic Heart Disease - pathology
rheumatic polyarthritis
Silent mitral regurgitation
Syndenham’s chorea
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Summary:Rheumatic heart disease is the only residual morbidity, and the sole cause of mortality, from rheumatic fever. Echocardiography is ideally suited to confirm and follow the course of rheumatic heart disease. Additionally, both minimal valvar pathology in children, and extensive valvar pathology in adults, may not cause a murmur and can be detected only by echocardiography. Whenever possible, echocardiography should be routinely employed for management of patients with rheumatic fever or suspected rheumatic fever.
ISSN:1047-9511
1467-1107
DOI:10.1017/S1047951109003540