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Pediatric Rheumatic Heart Disease Differential Diagnoses

  • Author: Thomas K Chin, MD; Chief Editor: P Syamasundar Rao, MD  more...
 
Updated: Feb 11, 2014
 
 

Diagnostic Considerations

Important considerations

The incidence of rheumatic heart disease, the facilities available for identifying and treating the illness, and the caring physicians training and experience with this disorder all vary widely with geographic location. Furthermore, scientific understanding of rheumatic heart remains incomplete. For these reasons, recommending a fixed set of guidelines that apply for all situations is difficult.

Special concerns

The American Heart Association no longer recommends subacute bacterial endocardial prophylaxis in patients with aortic or mitral valve abnormalities secondary to rheumatic heart disease.[14]

Differential Diagnoses

 
 
Contributor Information and Disclosures
Author

Thomas K Chin, MD Professor of Pediatrics, Chief of Pediatric Cardiology, Pennsylvania State University College of Medicine

Thomas K Chin, MD is a member of the following medical societies: American Academy of Pediatrics, American Heart Association, American College of Cardiology

Disclosure: Nothing to disclose.

Coauthor(s)

Eric M Chin University of Tennessee Health Science Center College of Medicine

Disclosure: Nothing to disclose.

Specialty Editor Board

Mary L Windle, PharmD Adjunct Associate Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Nothing to disclose.

Hugh D Allen, MD Professor, Department of Pediatrics, Division of Pediatric Cardiology and Department of Internal Medicine, Ohio State University College of Medicine

Hugh D Allen, MD is a member of the following medical societies: American Academy of Pediatrics, American Society of Echocardiography, Society for Pediatric Research, Society of Pediatric Echocardiography, Western Society for Pediatric Research, American College of Cardiology, American Heart Association, American Pediatric Society

Disclosure: Nothing to disclose.

Chief Editor

P Syamasundar Rao, MD Professor of Pediatrics and Medicine, Division of Cardiology, Emeritus Chief of Pediatric Cardiology, University of Texas Medical School at Houston and Children's Memorial Hermann Hospital

P Syamasundar Rao, MD is a member of the following medical societies: American Academy of Pediatrics, American Pediatric Society, American College of Cardiology, American Heart Association, Society for Cardiovascular Angiography and Interventions, Society for Pediatric Research

Disclosure: Nothing to disclose.

Additional Contributors

Jeffrey Allen Towbin, MD, MSc FAAP, FACC, FAHA, Professor, Departments of Pediatrics (Cardiology), Cardiovascular Sciences, and Molecular and Human Genetics, Baylor College of Medicine; Chief of Pediatric Cardiology, Foundation Chair in Pediatric Cardiac Research, Texas Children's Hospital

Jeffrey Allen Towbin, MD, MSc is a member of the following medical societies: American Academy of Pediatrics, American Association for the Advancement of Science, American College of Cardiology, American College of Sports Medicine, American Heart Association, American Medical Association, American Society of Human Genetics, New York Academy of Sciences, Society for Pediatric Research, Texas Medical Association, Texas Pediatric Society, Cardiac Electrophysiology Society

Disclosure: Nothing to disclose.

Acknowledgements

The authors and editors of Medscape Reference gratefully acknowledge the contributions of previous author Clyde Worley, MD, to the development and writing of this article.

References
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Parasternal long-axis view demonstrating the typical systolic mitral insufficiency jet observed with rheumatic heart disease (blue jet extending from the left ventricle into the left atrium). The jet is typically directed to the lateral and posterior wall. (LV=left ventricle; LA=left atrium; Ao=aorta; RV=right ventricle).
Parasternal long-axis view demonstrating the typical diastolic aortic insufficiency jet observed with rheumatic heart disease (red jet extending from the aorta into the left ventricle). (LV=left ventricle; LA=left atrium; Ao=aorta; RV=right ventricle).
 
 
 
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