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Clinical features and mid- and long-term outcomes of pediatric patients with subclinical carditis.
[acute rheumatic fever]
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
.
