title: [Characteristics of diagnosis and clinical course of rheumatic heart defects in middle- and old age].
abstract: In 56 patients aged over 60 years features peculiar to the diagnosis and the course of rheumatic heart diseases were studied. Clinical and laboratory findings, those of roentgenoscopy and roentgenography of the heart, as well as of electro- and phonocardiography were used. In 35 lethal cases clinico-anatomic comparisons and histological investigation were made for elucidating the activity of the rheumatic process. In persons aged over 60 the relapses of rheumatism have been found to be of rare occurrence and rheumatic affections run a course without any marked hypertension in the lesser circulation and become complicated by cardiac insufficiency no sooner than many years after establishiment fo the diagnosis. In individuals older than 60 an active rheumatic process according to histological investigations and the authors occurs in 14.3 per cent of the cases.
mesh_terms: D000367:Age Factors; D000368:Aged; D000989:Antistreptolysin / Q000032:analysis; D002097:C-Reactive Protein / Q000032:analysis; D005260:Female; D006334:Heart Function Tests / Q000379:methods; D006349:Heart Valve Diseases / Q000097:blood / Q000175:diagnosis; D006801:Humans; D008297:Male; D008875:Middle Aged; D009088:Mucoproteins / Q000097:blood; D012214:Rheumatic Heart Disease / Q000097:blood / Q000175:diagnosis
chemical_list: D009088:Mucoproteins; D000989:Antistreptolysin; D002097:C-Reactive Protein
vernacular_title: Osobennosti diagnostiki i techniia revmaticheskikh porokov serdtsa v pozhilom i starcheskom vozraste