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2015 ; 7
(2
): 7-11
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gab.com Text
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English Wikipedia
The 2015 revision of the Jones criteria for the diagnosis of acute rheumatic
fever: implications for practice in low-income and middle-income countries
#MMPMID27326214
Beaton A
; Carapetis J
Heart Asia
2015[]; 7
(2
): 7-11
PMID27326214
show ga
The Jones criteria has longed served as the primary guideline for diagnosing
acute rheumatic fever (ARF). However, since the first iteration in 1944, the
global epidemiology of ARF and our knowledge regarding the variability of its
presentation have changed. In 2015, the American Heart Association took on an
ambitious and successful revision, which accounts for these changes. For the
first time, the criteria consider the risk within a population and offer two
separate diagnostic pathways that prioritise specificity among those at low risk
and sensitivity among those at moderate/high risk. Echocardiography is now
recommended in all patients with suspected or confirmed ARF, and subclinical
carditis can fulfil a major criterion for ARF in all populations. Finally, new
and specific criteria are provided for the diagnosis of ARF recurrences. These
changes improve the diagnosis of ARF among moderate/high-risk populations and
re-establish the Jones criteria as the international gold standard for ARF
diagnosis. It is our hope that they will also serve as a catalyst in the global
community to increase advocacy, improve case detection, and invest in new
research techniques that could ultimately control global ARF in our lifetimes.