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M-mode, cross-sectional and color flow Doppler echocardiographic findings in acute rheumatic fever

Published online by Cambridge University Press:  19 August 2008

Edison T Ty  and
Edgardo E. Ortiz
Edison T Ty*
Affiliation:
University of the Philippines-PhilippineGeneral Hospital, Manila and the Philippine Children's Medical Center, Quezón City
Edgardo E. Ortiz*
Affiliation:
University of the Philippines-PhilippineGeneral Hospital, Manila and the Philippine Children's Medical Center, Quezón City
*
Dr. Edgardo E. Ortiz. Philippine Childern's Medical Center, Qyezon Avenue, Quezon City, Philippines. Tel 96-90-6197-54-47
Dr. Edgardo E. Ortiz. Philippine Childern's Medical Center, Qyezon Avenue, Quezon City, Philippines. Tel 96-90-6197-54-47
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Abstract

M-mode, cross-sectional and color flow Doppler echocardiography were performed in 28 patients with acute rheumatic fever. The patients were grouped according to the presence or absence of carditis and congestive heart failure. Abnormal echocardiographic findings were found in 25 patients (89%), including five with no carditis. M mode echocardiography showed significant cardiac enlargement in all patients with carditis, and in two patients with no carditis. The myocardial contractility, as based on ejection fraction and fractional shortening, was normal in all patients except one. Prolapse of the leaflets of the mitral valve (57%) and increased echogenicity of the leaflets of the mitral valve (36%) were the most common findings seen on cross-sectional echocardiography. Pericardial effusion was seen in six patients (21%), all with heart failure. Color flow and Doppler echocardiography showed that mitral regurgitation, which was seen in 24 patients (86%), was the most common finding. Aortic regurgitation was found in 17 patients (60%). The presence of congestive heart failure in patients with carditis was related to the severity of the valvar regurgitation and the number of valves involved. Echocardiographic evidence of rheumatic involvement of the heart may be observed even in the absence of clinical signs of carditis.

Keywords

Acute rheumatic feverM-mode echocardiographycross-sectional echocardiographyoclor flow Doppler echocardiographycarditiscongestive heart failure
Type
World Forum for Pediatric Cardiology Symposium on Rheumatic Fever
Information
Cardiology in the Young , Volume 2 , Issue 3 , July 1992 , pp. 229 - 235
Copyright
Copyright © Cambridge University Press 1992

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References

1. Schieken, RM, Kerber, RE. Echocardiographic abnormalities in acute rheumatic fever. Am J Cardiol 1976; 38: 458–462.CrossRefGoogle ScholarPubMed
2. Vardi, P, Markiewicz, W, Weiss, Y, Lev, J, Benderly, A. Clinical echocardiographic correlation in acute rheumatic fever. Pediatrics 1983; 71: 830–834.CrossRefGoogle ScholarPubMed
3. Folger, GM Jr, Hajar, R. Doppler echocardiographic findings of mitral and aortic valvular regurgitation in children manifesting only rheumatic arthritis. Am J Cardiol 1989; 63: 1278–1280.CrossRefGoogle ScholarPubMed
4. Committee on Rheumatic Fever and Bacterial Endocarditis (1982), American Heart Association: Jones criteria (revised) for guidance in the diagnosis of rheumatic fever. Circulation 1984; 69: 204A–208A.Google Scholar
5. Feigenbaum, H. Echocardiography. Lea and Febiger, Philadelphia, 1986.Google Scholar
6. Helmcke, F, Nanda, NC, Hsiung, MC, Soto, B, Adey, C, Goyal, LG, Gatewood, RC Jr. Color Doppler assessment of mitral regurgitation with orthogonal planes. Circulation 1987; 75:175–183.CrossRefGoogle ScholarPubMed
7. Perry, GJ, Helmcke, F, Nanda, NC, Byard, C, Soto, B. Evaluation of aortic insufficiency by Doppler color flow mapping. J Am Coll Cardiol 1987; 9: 952–959.CrossRefGoogle ScholarPubMed
8. Kajino, Y, Iwayani, H, Haneda, N, Saito, M, Nishio, T, Moric, C, Kijima, Y, Nakao, A. A case of acute rheumatic fever:Echocardiographic findings for mitral regurgitation in acute rheumatic carditis. Jpn Circ J 1987; 51: 1393–1396.CrossRefGoogle ScholarPubMed
9. Markowitz, M, Gordis, L. Rheumatic Fever. W. B. Saunders Company, Philadelphia, 1972.Google ScholarPubMed