Efficacy of echocardiographic criteria for diagnosis of carditis in acute rheumatic fever.
Artigo
em Inglês
| IMSEAR
| ID: sea-143629
ABSTRACT
Background:
There is a great need forECHOcriteria for accurate diagnosis of carditis in acute rheumatic fever.Aim:
To propose and test the efficacy of ECHO criteria for accurate diagnosis of carditis. Material andMethods:
The 333 cases underwent detailed clinical examination, laboratory tests and meticulous Echocardiographic study.Vijay’s ECHO criteria for the diagnosis of carditis / subclinical valvulitis was used. 220 (66.06%) cases were both Jones’ positive and ECHO positive [True +ve], 52 cases (15.61%), probably had subclinical carditis as murmur was not heard (Jones’-ve) but ECHO was positive [False - ve]. Four cases, clinically diagnosed as carditis were Jones’+ve ,but ECHO showed congenital heart disease [False +ve]. 57 cases (17.11%) were clinically , echocardiographically and Jones’ negative were taken as control (True –ve). Sensitivity is81%and specificity is 93%.Conclusions:
Precise diagnosis of both carditis /subclinical valvulitis is possible with Vijay’s ECHO criteria. ECHO should be included as a major criterion in Jones’criteria.
Texto completo:
DisponíveL
Índice:
IMSEAR (Sudeste Asiático)
Assunto principal:
Cardiopatia Reumática
/
Feminino
/
Humanos
/
Masculino
/
Ecocardiografia Doppler
/
Método Duplo-Cego
/
Incidência
/
Bases de Dados Factuais
/
Sensibilidade e Especificidade
/
Sopros Cardíacos
Tipo de estudo:
Ensaio Clínico Controlado
/
Estudo diagnóstico
/
Guia de Prática Clínica
/
Estudo de incidência
/
Estudo prognóstico
País/Região como assunto:
Ásia
Idioma:
Inglês
Ano de publicação:
2012
Tipo de documento:
Artigo
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