title: Clinical features and mid- and long-term outcomes of pediatric patients with subclinical carditis.
abstract: A study to examine mid- and long-term outcomes in patients with subclinical carditis was conducted. Data obtained at the time of diagnosis and during the follow-up of 158 patients diagnosed with subclinical carditis were retrieved and analyzed. Most patients had isolated mitral insufficiency. Frequency of morphological changes in the mitral valve was significantly lower in patients with at least one additional Jones criterion both at baseline (10.3% vs. 48.8%, p < 0.01) and at the end of the follow-up (27.8% versus 43.5%, p = 0.11). Mean jet size for mitral (12.0 +/- 8.8 versus 18.2 +/- 5.5 mm, p < 0.01) and aortic (4.1 +/- 4.0 versus 14.0 +/- 5.8 mm, p = 0.008) insufficiency were decreased compared to baseline. Improvement in mitral insufficiency was more frequent among patients with more than five years of follow-up (82.6% versus 60.0%, p = 0.039). Subclinical carditis due to acute rheumatic fever is not a benign and temporary condition. These patients should be given secondary prophylaxis.
authors: Division of Cardiology, Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey. msahinn2001@gmail.com
authors: Murat
authors: M
authors: Sahin
authors: Işil
authors: I
authors: Yildirim
authors: Süheyla
authors: S
authors: Ozkutlu
authors: Dursun
authors: D
authors: Alehan
authors: Sema
authors: S
authors: Ozer
authors: Tevfik
authors: T
authors: Karagöz
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D004452:Echocardiography; D005260:Female; D005500:Follow-Up Studies; D006349:Heart Valve Diseases / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology*; D006801:Humans; D015994:Incidence; D008297:Male; D009205:Myocarditis / Q000150:complications* / Q000175:diagnosis; D011379:Prognosis; D012189:Retrospective Studies; D012214:Rheumatic Heart Disease / Q000150:complications* / Q000175:diagnosis; D012307:Risk Factors; D012720:Severity of Illness Index; D015996:Survival Rate / Q000639:trends; D013997:Time Factors; D014421:Turkey / Q000453:epidemiology