Deprecated: Implicit conversion from float 235.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 235.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 235.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 235.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 235.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 235.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 269.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 269.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 269.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\22371105
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Nat+Rev+Cardiol
2012 ; 9
(5
): 297-309
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
World Heart Federation criteria for echocardiographic diagnosis of rheumatic
heart disease--an evidence-based guideline
#MMPMID22371105
Reményi B
; Wilson N
; Steer A
; Ferreira B
; Kado J
; Kumar K
; Lawrenson J
; Maguire G
; Marijon E
; Mirabel M
; Mocumbi AO
; Mota C
; Paar J
; Saxena A
; Scheel J
; Stirling J
; Viali S
; Balekundri VI
; Wheaton G
; Zühlke L
; Carapetis J
Nat Rev Cardiol
2012[Feb]; 9
(5
): 297-309
PMID22371105
show ga
Over the past 5 years, the advent of echocardiographic screening for rheumatic
heart disease (RHD) has revealed a higher RHD burden than previously thought. In
light of this global experience, the development of new international
echocardiographic guidelines that address the full spectrum of the rheumatic
disease process is opportune. Systematic differences in the reporting of and
diagnostic approach to RHD exist, reflecting differences in local experience and
disease patterns. The World Heart Federation echocardiographic criteria for RHD
have, therefore, been developed and are formulated on the basis of the best
available evidence. Three categories are defined on the basis of assessment by
2D, continuous-wave, and color-Doppler echocardiography: 'definite RHD',
'borderline RHD', and 'normal'. Four subcategories of 'definite RHD' and three
subcategories of 'borderline RHD' exist, to reflect the various disease patterns.
The morphological features of RHD and the criteria for pathological mitral and
aortic regurgitation are also defined. The criteria are modified for those aged
over 20 years on the basis of the available evidence. The standardized criteria
aim to permit rapid and consistent identification of individuals with RHD without
a clear history of acute rheumatic fever and hence allow enrollment into
secondary prophylaxis programs. However, important unanswered questions remain
about the importance of subclinical disease (borderline or definite RHD on
echocardiography without a clinical pathological murmur), and about the
practicalities of implementing screening programs. These standardized criteria
will help enable new studies to be designed to evaluate the role of
echocardiographic screening in RHD control.