Criteria for Judging the Improvement in Subclinical Rheumatic Valvitis

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dc.contributor.authorKaraaslan, Sevim
dc.contributor.authorDemiroren, Saadet
dc.contributor.authorOran, Bülent
dc.contributor.authorBaysal, Tamer
dc.contributor.authorBaşpinar, Osman
dc.contributor.authorUçar, Canan
dc.date.accessioned2020-03-26T16:45:32Z
dc.date.available2020-03-26T16:45:32Z
dc.date.issued2003
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractRecent technical improvements in cross-sectional echocardiography have made it possible to detect even mild organic regurgitation of the mitral and aortic valves in patients with acute rheumatic fever. To determine the prevalence and prognosis of subclinical valvitis, we have analyzed 104 patients with acute rheumatic fever referred to our institution. Of 53 patients who had no murmur, 22 of them with polyarthritis, 29 with chorea, and 2 with polyarrhritis and chorea, 23 (43.4%) had subclinical valvitis. Isolated mitral regurgitation was the most common valvar lesion, seen in 82.6% of the patients. Isolated aortic regurgitation was detected in 4.4%, of the cases, and combined mitral and aortic regurgitation in the remaining 13%. During follow-up, the degree of mitral regurgitation improved in 59.1%, decreased in 18.2%, and increased or remained unchanged in 22.7% according to the length of colour jet. According to criterions of velocity, mitral regurgitation improved in 86.4% of the patients, and increased or unchanged in the remaining 13.6%. Mitral regurgitation disappeared completely in 6 of the patients (27.3%) as judged according to both the length of colour jet and the velocity of regurgitation. Aortic regurgitation improved in all the patients with this problem, disappearing completely in two of the four. Based on this experience, we suggest that not only the disappearance of regurgitation, but also improvements in the echocardiographic diagnostic criterions of regurgitation, such as the length of the colour jet less than 1 cm, or velocity less than 2.5 m/s, or indicative of regurgitation that is either intermittent or of short duration, should also be considered as criterions indicating improvement in valvar regurgitation in patients with subclinical rheumatic valvitis.en_US
dc.identifier.citationKaraaslan, S., Demiroren, S., Oran, B., Baysal, T., Başpinar, O., Uçar, C., (2003). Criteria for Judging the Improvement in Subclinical Rheumatic Valvitis. Cardiology in the Young, 13(6), 500-505. DOİ: 10.1017/S1047951103001070
dc.identifier.doi10.1017/S1047951103001070en_US
dc.identifier.endpage505en_US
dc.identifier.issn1047-9511en_US
dc.identifier.issn1467-1107en_US
dc.identifier.issue6en_US
dc.identifier.pmid14982289en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage500en_US
dc.identifier.urihttps://dx.doi.org/10.1017/S1047951103001070
dc.identifier.urihttps://hdl.handle.net/20.500.12395/18406
dc.identifier.volume13en_US
dc.identifier.wosWOS:000188668600003en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorKaraaslan, Sevim
dc.institutionauthorDemiroren, Saadet
dc.institutionauthorOran, Bülent
dc.institutionauthorBaysal, Tamer
dc.institutionauthorBaşpinar, Osman
dc.institutionauthorUçar, Canan
dc.language.isoenen_US
dc.publisherCAMBRIDGE UNIV PRESSen_US
dc.relation.ispartofCardiology in the Youngen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectRheumatic feveren_US
dc.subjectRheumatic carditisen_US
dc.subjectCross-sectional echocardiographyen_US
dc.titleCriteria for Judging the Improvement in Subclinical Rheumatic Valvitisen_US
dc.typeArticleen_US

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