All issues > Volume 29(11); 1986

Original Article

J Korean Pediatr Soc. 1986;29(11):1215-1224. Published online November 30, 1986.

Clicical Syudy on Cardiac Involvement in Rheumatic Heart Disease in Children.

Sung Ho Cha¹, Myeong Yeon lee¹, Jong Woo Bae¹, Byeong Soo Cho¹, Chang Il Ahn¹

¹Department of Pediatrics, School of Medicine, Kyung Hee University, Seoul, Korea

Abstract

A clinical study was carried out to obtained the cardiac manifestations and echocardiographic findings from 25 cases of rheumatic carditis, those were undertaken echocardiography among 52 cases of rheumatic carditis from January 1973 to June 1985, admitted to Pediatric department of Kyung Hee university hospital. And compared with age matched 14 cases of control group. The following results were obtained: 1) There were 25 boys and 27 girls with ages ranging between 4 and 15 years old (mean11.7±2.7 years). 2) Clinical manifestations of carditis were organic murmur (100.0%), cardiomegaly on chest PA (51.9%), dyspnea (48.1%), and palpitation (32.7%) in order of frequency. 3) The electrocardiographic findings were prolonged PR interval (44.2%), left atrial enlargement (40. 4%), left ventricular hypertrophy(21.1%), and ST-T changes (7.7%). 4) By using echocardiography, the mitral valve was most frequently involved site in 25cases (100.0%). The isolate mitral insufficiency was observed in 14 cases (56.0%), mitral stenoinsufficiency in 5 cases (20.0%), and isolate mitral stenosis in 3 cases (12.0%) among the 25 cases retrospectively. The mitral stenosis was observed in 6 cases among the 10 cases of rheumatic carditis with past history. More than two valvular involvement were noted in rheumatic carditis with past history compared with rheumatic carditis without past history relatively. 5)There was signfficant different findings which were left atrial enlargement, left ventricular hypertrophy, and decreased fractional shortening (%) in rheumatic carditis with congestive heart failure compared with control group (p<0.005). 6)There was no significant difference between carditis with past history and carditis without past history, but decreased fractional shortening (%) in carditis with past history compared with carditis without past history (p<0.005).

Keywords :Rheumatic carditis; Carditis; Cardiac manifestations; Echocardiography.