Rheumatic cardiopathy in children. A comparative study in 2 consecutive 9-year periods.
Autor(a) principal: | |
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Data de Publicação: | 1989 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/3472 |
Resumo: | The case rate of children observed with rheumatic carditis or rheumatic heart disease during two consecutive periods of nine years are compared. The first was from October 1969 to September 1978, with previously published data, and the present study from October 1978 to September 1987. During the second period there were 38 cases, 26 of which had the first attack in Portugal, with isolated carditis in 18 (69%), associated with polyarthritis in 5 (20%) and associated with chorea in 3 (11%). Isolated mitral insufficiency was the most frequent valve lesion (80%) and 84% of the children were in NYHA class I and II when first seen. Eighteen children were followed during an average of 2.7 years and there was good compliance of secondary prevention in 78% of them with improvement of the valve lesion. The 12 cases referred from the african countries of portuguese language were more severe, and studied separately. Comparing with the first 9 years period, the case rate of rheumatic carditis, per year decreased from 12.5 to 2.3, the mortality was reduced and the clinical presentation was different, with earlier detection, milder forms and better compliance to secondary prevention. |
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Rheumatic cardiopathy in children. A comparative study in 2 consecutive 9-year periods.Cardiopatia reumática na criança. Estudo comparativo em dois períodos sucessivos de nove anos.The case rate of children observed with rheumatic carditis or rheumatic heart disease during two consecutive periods of nine years are compared. The first was from October 1969 to September 1978, with previously published data, and the present study from October 1978 to September 1987. During the second period there were 38 cases, 26 of which had the first attack in Portugal, with isolated carditis in 18 (69%), associated with polyarthritis in 5 (20%) and associated with chorea in 3 (11%). Isolated mitral insufficiency was the most frequent valve lesion (80%) and 84% of the children were in NYHA class I and II when first seen. Eighteen children were followed during an average of 2.7 years and there was good compliance of secondary prevention in 78% of them with improvement of the valve lesion. The 12 cases referred from the african countries of portuguese language were more severe, and studied separately. Comparing with the first 9 years period, the case rate of rheumatic carditis, per year decreased from 12.5 to 2.3, the mortality was reduced and the clinical presentation was different, with earlier detection, milder forms and better compliance to secondary prevention.The case rate of children observed with rheumatic carditis or rheumatic heart disease during two consecutive periods of nine years are compared. The first was from October 1969 to September 1978, with previously published data, and the present study from October 1978 to September 1987. During the second period there were 38 cases, 26 of which had the first attack in Portugal, with isolated carditis in 18 (69%), associated with polyarthritis in 5 (20%) and associated with chorea in 3 (11%). Isolated mitral insufficiency was the most frequent valve lesion (80%) and 84% of the children were in NYHA class I and II when first seen. Eighteen children were followed during an average of 2.7 years and there was good compliance of secondary prevention in 78% of them with improvement of the valve lesion. The 12 cases referred from the african countries of portuguese language were more severe, and studied separately. Comparing with the first 9 years period, the case rate of rheumatic carditis, per year decreased from 12.5 to 2.3, the mortality was reduced and the clinical presentation was different, with earlier detection, milder forms and better compliance to secondary prevention.Ordem dos Médicos1989-06-30info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/3472oai:ojs.www.actamedicaportuguesa.com:article/3472Acta Médica Portuguesa; Vol. 2 No. 3 (1989): Maio-Junho; 127-31Acta Médica Portuguesa; Vol. 2 N.º 3 (1989): Maio-Junho; 127-311646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/3472https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/3472/2762Macedo, APrimo, MKaku, SLima, MSampayo, E Finfo:eu-repo/semantics/openAccess2022-12-20T11:02:14Zoai:ojs.www.actamedicaportuguesa.com:article/3472Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:18:22.116894Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Rheumatic cardiopathy in children. A comparative study in 2 consecutive 9-year periods. Cardiopatia reumática na criança. Estudo comparativo em dois períodos sucessivos de nove anos. |
title |
Rheumatic cardiopathy in children. A comparative study in 2 consecutive 9-year periods. |
spellingShingle |
Rheumatic cardiopathy in children. A comparative study in 2 consecutive 9-year periods. Macedo, A |
title_short |
Rheumatic cardiopathy in children. A comparative study in 2 consecutive 9-year periods. |
title_full |
Rheumatic cardiopathy in children. A comparative study in 2 consecutive 9-year periods. |
title_fullStr |
Rheumatic cardiopathy in children. A comparative study in 2 consecutive 9-year periods. |
title_full_unstemmed |
Rheumatic cardiopathy in children. A comparative study in 2 consecutive 9-year periods. |
title_sort |
Rheumatic cardiopathy in children. A comparative study in 2 consecutive 9-year periods. |
author |
Macedo, A |
author_facet |
Macedo, A Primo, M Kaku, S Lima, M Sampayo, E F |
author_role |
author |
author2 |
Primo, M Kaku, S Lima, M Sampayo, E F |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Macedo, A Primo, M Kaku, S Lima, M Sampayo, E F |
description |
The case rate of children observed with rheumatic carditis or rheumatic heart disease during two consecutive periods of nine years are compared. The first was from October 1969 to September 1978, with previously published data, and the present study from October 1978 to September 1987. During the second period there were 38 cases, 26 of which had the first attack in Portugal, with isolated carditis in 18 (69%), associated with polyarthritis in 5 (20%) and associated with chorea in 3 (11%). Isolated mitral insufficiency was the most frequent valve lesion (80%) and 84% of the children were in NYHA class I and II when first seen. Eighteen children were followed during an average of 2.7 years and there was good compliance of secondary prevention in 78% of them with improvement of the valve lesion. The 12 cases referred from the african countries of portuguese language were more severe, and studied separately. Comparing with the first 9 years period, the case rate of rheumatic carditis, per year decreased from 12.5 to 2.3, the mortality was reduced and the clinical presentation was different, with earlier detection, milder forms and better compliance to secondary prevention. |
publishDate |
1989 |
dc.date.none.fl_str_mv |
1989-06-30 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/3472 oai:ojs.www.actamedicaportuguesa.com:article/3472 |
url |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/3472 |
identifier_str_mv |
oai:ojs.www.actamedicaportuguesa.com:article/3472 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/3472 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/3472/2762 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Ordem dos Médicos |
publisher.none.fl_str_mv |
Ordem dos Médicos |
dc.source.none.fl_str_mv |
Acta Médica Portuguesa; Vol. 2 No. 3 (1989): Maio-Junho; 127-31 Acta Médica Portuguesa; Vol. 2 N.º 3 (1989): Maio-Junho; 127-31 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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