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Echocardiographic assessment of rheumatic carditis: a long term follow up study

Authors:

K S H de Silva ,

Department of Paediatrics, Lady Ridgeway Childrens Hospital and Faculty of Medicine, University of Colombo., LK
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S N Perera,

Department of Cardiology, Lady Ridgeway Childrens Hospital, Colombo., LK
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M D Samarasinghe

Department of Cardiology, Lady Ridgeway Childrens Hospital, Colombo., LK
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Abstract

Objective: Document the long term cardiac outcome of childhood rheumatic fever (RF).

Method: Children diagnosed with RF were prospectively studied for 5 years from August 1994. Their cardiac status was re-evaluated in 2006 based on WHO criteria.   

Results: Initial episode of RF was seen in 91 children during the 5 years from 1994. Fifty (55%) presented for re-assessment. Six (2 with RC) had discontinued prophylaxis. None had relapses. In the 9 with carditis during the initial presentation, no residual changes were seen in 2, but cardiac damage had progressed in 3. Three patients initially diagnosed as having mitral valve prolapse (MVP) had evidence of RC. Therefore of the 50 patients re-assessed, 12 (24%) had evidence of carditis with resolution of changes seen in 2 (16.7%).   

Conclusions: Regular assessments with echocardiography are mandatory to confirm and monitor cardiac involvement.

DOI:http://dx.doi.org/10.4038/jccp.v43i1-2.6805

 

Journal of the Ceylon College of Physicians,2012, 43, 20-23


How to Cite: de Silva, K.S.H., Perera, S.N. & Samarasinghe, M.D., (2014). Echocardiographic assessment of rheumatic carditis: a long term follow up study. Journal of the Ceylon College of Physicians. 43(1-2), pp.20–23. DOI: http://doi.org/10.4038/jccp.v43i1-2.6805
Published on 07 Apr 2014.
Peer Reviewed

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