{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T11:22:19Z","timestamp":1785151339047,"version":"3.55.0"},"reference-count":21,"publisher":"Cambridge University Press (CUP)","issue":"6","license":[{"start":{"date-parts":[[2008,12,1]],"date-time":"2008-12-01T00:00:00Z","timestamp":1228089600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2008,12]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n There is a great need for echocardiographic criterions for accurate diagnosis of carditis in acute rheumatic fever.<\/jats:p>\n <\/jats:sec>\n \n Aim<\/jats:title>\n To test the efficacy of proposed echocardiographic criterions for the diagnosis of carditis.<\/jats:p>\n <\/jats:sec>\n \n Materials and methods<\/jats:title>\n We studied 333 patients suspected of having acute rheumatic fever, undertaking detailed clinical examination, laboratory tests and meticulous echocardiography in each case. We used previously established echocardiographic criterions for the diagnosis of carditis and subclinical valvitis. In 220 cases (66.06%), both the echo criterions, and the Jones\u2019 criterions, gave positive results. In 52 cases (15.61%), we found evidence of subclinical carditis, in that clinically no murmur was heard, meaning the Jones\u2019 criterions were negative, but the echocardiographic evaluation was positive. In 4 patients clinically diagnosed as having carditis, the Jones\u2019 criterions were positive, but echocardiographic evaluation showed them to have congenitally malformed hearts. In another 57 cases (17.11%), the Jones\u2019 criterions were negative, as were the results of echocardiographic evaluation. These patients were taken as control subjects. On this basis, the echocardiographic criterions had sensitivity of 81% and specificity of 93%.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Using our echocardiographic criterions, it is possible to make a precise diagnosis of carditis or subclinical valvitis. Hence, echocardiography should, in future, be included as a major criterion in the Jones\u2019 system.<\/jats:p>\n <\/jats:sec>","DOI":"10.1017\/s1047951108003107","type":"journal-article","created":{"date-parts":[[2008,10,10]],"date-time":"2008-10-10T05:16:46Z","timestamp":1223615806000},"page":"586-592","source":"Crossref","is-referenced-by-count":34,"title":["The efficacy of echocardiographic criterions for the diagnosis of carditis in acute rheumatic fever"],"prefix":"10.1017","volume":"18","author":[{"given":"Ishwarappa B.","family":"Vijayalakshmi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajan O.","family":"Vishnuprabhu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Narasimhan","family":"Chitra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ravindra","family":"Rajasri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thejoor V.","family":"Anuradha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2008,12,1]]},"reference":[{"key":"S1047951108003107_ref5","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1992.03490150121036"},{"key":"S1047951108003107_ref10","first-page":"383","volume-title":"Pediatric Cardiology for Practitioners","author":"Park","year":"2007"},{"key":"S1047951108003107_ref16","first-page":"200","article-title":"Colour Doppler demonstration of pathological valve regurgitation should be accepted as evidence of carditis in acute rheumatic fever","volume":"108","author":"Wilson","year":"1995","journal-title":"New Zealand Medical Journal"},{"key":"S1047951108003107_ref3","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.32.4.664"},{"key":"S1047951108003107_ref6","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.100.14.1576"},{"key":"S1047951108003107_ref1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.65.2.375"},{"key":"S1047951108003107_ref18","doi-asserted-by":"publisher","DOI":"10.1542\/peds.112.5.1065"},{"key":"S1047951108003107_ref17","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-5994.1994.tb01753.x"},{"key":"S1047951108003107_ref2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1944.02850430015005"},{"key":"S1047951108003107_ref11","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000037745.65929.FA"},{"key":"S1047951108003107_ref8","first-page":"3","author":"Vijayalakshmi","year":"2002"},{"key":"S1047951108003107_ref13","first-page":"285","article-title":"The community control of rheumatic fever and rheumatic heart disease: report of a WHO international cooperative project","volume":"59","author":"Strasser","year":"1981","journal-title":"Bull WHO"},{"key":"S1047951108003107_ref4","first-page":"204A","article-title":"Jones Criteria (Revised) for guidance in the diagnosis of rheumatic fever","volume":"70","year":"1984","journal-title":"Circulation"},{"key":"S1047951108003107_ref7","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951105001745"},{"key":"S1047951108003107_ref9","doi-asserted-by":"publisher","DOI":"10.1097\/00005792-199501000-00001"},{"key":"S1047951108003107_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/S0894-7317(03)00335-3"},{"key":"S1047951108003107_ref14","first-page":"563,","article-title":"The echocardiogram in the first attack of rheumatic fever in childhood","volume":"13","author":"Cotrim","year":"1994","journal-title":"Rev Port Cardiol"},{"key":"S1047951108003107_ref15","doi-asserted-by":"publisher","DOI":"10.1016\/0167-5273(95)02325-Q"},{"key":"S1047951108003107_ref19","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.2004.034744"},{"key":"S1047951108003107_ref20","unstructured":"20. Diagnosis and Management of Acute Rheumatic Fever and Rheumatic Heart Disease in Australia. http:\/\/www.heartfoundation.org.au\/document\/NHF\/PP-590_Diagnosis-Management_ARF-RHD_Evidence-Based%20Review_Sep06Update_FINAL.pdf"},{"key":"S1047951108003107_ref21","unstructured":"21. The New Zealand Guidelines: Guidelines for Rheumatic Fever 1: Diagnosis, Management and Secondary Prevention. http:\/\/www.heartfoundation.org.nz\/files\/Rheumatic%20fever%20guideline%201.pdf"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951108003107","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,4]],"date-time":"2019-04-04T15:47:56Z","timestamp":1554392876000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951108003107\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,12]]},"references-count":21,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2008,12]]}},"alternative-id":["S1047951108003107"],"URL":"https:\/\/doi.org\/10.1017\/s1047951108003107","relation":{"has-review":[{"id-type":"doi","id":"10.3410\/f.1147428.604604","asserted-by":"object"}]},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"value":"1047-9511","type":"print"},{"value":"1467-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,12]]}}}