The Diagnosis and Treatment of Rheumatic Fever and Rheumatic Carditis

1958 ◽  
Vol 42 (5) ◽  
pp. 1343-1360 ◽  
Author(s):  
Benedict F. Massell
Keyword(s):  
Rheumatic Fever ◽  
Diagnosis And Treatment ◽  
Rheumatic Carditis

QT dispersion in acute rheumatic fever

2006 ◽  
Vol 16 (2) ◽  
pp. 141-146 ◽  
Author(s):  
Tugcin Bora Polat ◽  
Yalim Yalcin ◽  
Celal Akdeniz ◽  
Cenap Zeybek ◽  
Abdullah Erdem ◽  
...  
Keyword(s):  
Rheumatic Fever ◽  
Acute Rheumatic Fever ◽  
Qt Dispersion ◽  
Control Group ◽  
Healthy Children ◽  
Rheumatic Carditis ◽  
Normal Children ◽  
A Value ◽  
The Mean

Background:Disturbances of conduction are well known in the setting of acute rheumatic fever. The aim of this study is to investigate the QT dispersion as seen in the surface electrocardiogram of children with acute rheumatic fever.Methods:QT dispersion was quantitatively evaluated in 88 children with acute rheumatic fever. Patients were divided into two groups based on the absence or presence of carditis. As a control group, we studied 36 healthy children free of any disease, and matched for age with both groups. Repeat echocardiographic examinations were routinely scheduled in all patients at 3 months after the initial attack to study the evolution of valvar lesions.Results:The mean QT dispersion was significantly higher in children with rheumatic carditis. But there was no statistical difference between children without carditis and normal children. Among the children with carditis, the mean dispersion was higher in those with significant valvar regurgitation. Dispersion of greater than 55 milliseconds had a sensitivity of 85%, and specificity of 70%, in predicting rheumatic carditis, while a value of 65 milliseconds or greater had sensitivity of 81% specificity of 85% in predicting severe valvar lesions in acute rheumatic carditis. At follow-up examination, a clear reduction on the QT dispersion was the main finding, reflecting an electrophysiological improvement.Conclusions:These observations suggest that QT dispersion is increased in association with cardiac involvement in children with acute rheumatic fever.

A case of acute rheumatic fever: Echocardiographic findings for mitral regurgitation in acute rheumatic carditis.

1987 ◽  
Vol 51 (12) ◽  
pp. 1393-1396 ◽  
Author(s):  
YASUHISA KAJINO ◽  
HAJIME IWAYANI ◽  
NORIYUKI HANEDA ◽  
MASAKAZU SAITO ◽  
TOSHIKAZU NISHIO ◽  
...  
Keyword(s):  
Mitral Regurgitation ◽  
Rheumatic Fever ◽  
Acute Rheumatic Fever ◽  
Rheumatic Carditis ◽  
Echocardiographic Findings

IDENTIFICATION OF URINARY 17-KETOSTEROIDS IN RHEUMATIC FEVER

PEDIATRICS ◽  
1955 ◽  
Vol 15 (5) ◽  
pp. 537-542
Author(s):  
Rose Lubschez
Keyword(s):  
Rheumatic Fever ◽  
Clinical Significance ◽  
Chromatographic Separation ◽  
Structural Formula ◽  
Rheumatic Carditis ◽  
Combined Use ◽  
Infra Red ◽  
Acth Therapy

1. The combined use of chromatographic separation of urinary 17-ketosteroid extracts on alumina columns and infra-red analysis of the fractions has permitted the identification of the major components in 5 mg. of a mixture of α ketosteroids. 2. In 4 non-rheumatic children, 4 rheumatic (inactive) children and 1 patient with active rheumatic carditis, the steroids identified in the urinary extracts were androsterone, Δ androstenolone, etiocholanolone and 11-keto etiocholanolone. Other steroids were present in insufficient quantity to be identified. 3. In 1 patient with active rheumatic carditis, the steroids excreted during an 8-day course of ACTH therapy were Δ androstenolone, etiocholanolone,11-hydroxy androsterone, 3 α, 11 β androstanediol-17-one, and 1 compound of possible clinical significance which has been reported by other investigators, the structural formula for which is not known. 4. There appears to be no inherent difference between the urinary ketosteroids of rheumatic (inactive) and non-rheumatic children.

Transient Complete A-V Block in Two Siblings During Acute Rheumatic Carditis in Childhood

PEDIATRICS ◽  
1970 ◽  
Vol 45 (5) ◽  
pp. 850-856
Author(s):  
Franco P. Stocker ◽  
Gabor Czoniczer ◽  
Benedict F. Massell ◽  
Alexander S. Nadas
Keyword(s):  
Rheumatic Fever ◽  
Acute Rheumatic Fever ◽  
Rheumatic Carditis ◽  
Negro Girl

A report is given of a 12-year-old Negro girl and her 14-year-old brother who presented with transient complete A-V block, reversible with atropine, during an attack of acute rheumatic fever with carditis.

Echocardiographic Evaluation of Patients With Acute Rheumatic Fever and Rheumatic Carditis

Circulation ◽  
1996 ◽  
Vol 94 (1) ◽  
pp. 73-82 ◽  
Author(s):  
Ramachandran S. Vasan ◽  
Savitri Shrivastava ◽  
Manam Vijayakumar ◽  
Rajiv Narang ◽  
Bradford C. Lister ◽  
...  
Keyword(s):  
Rheumatic Fever ◽  
Acute Rheumatic Fever ◽  
Rheumatic Carditis ◽  
Echocardiographic Evaluation
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