{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:18:00Z","timestamp":1787771880727,"version":"build-2784847793"},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>\u201cTiger stripes\u201d or \u201cZebra stripes\u201d are multiple band-like signals noted on Doppler spectral recordings and have been associated with intracardiac oscillating structures. They have been attributed to flail prosthetic valve leaflet, native valve regurgitation without flail leaflet, papillary muscle rupture in acute coronary syndrome, and possibly Lambl's excrescences. To our knowledge, there is only one case report in the English literature that had identified this sign in rheumatic carditis. We present the case of a 14-year-old boy, who was known to have rheumatic heart disease and presented with worsening dyspnea of recent onset. His antistreptolysin O, C-reactive protein, and erythrocyte sedimentation rate titer were raised. Echocardiography revealed severe eccentric mitral regurgitation with multiple high-intensity signals (tiger stripes) on continuous wave (CW) Doppler. The patient was managed as rheumatic carditis with steroids. Repeat echocardiography after 1 month showed the resolution of tiger stripes. Upon tapering, steroids patient's symptoms worsened and echocardiography revealed the reappearance of tiger stripes. We propose that these high-intensity signals in spectral Doppler reflect valvulitis and are the echocardiographic counterpart of musical overtones. We suggest that these signals on CW Doppler in a patient with established rheumatic heart disease be taken as a marker of carditis and the patient should be managed accordingly. We refer to this sign as a \u201cFingerprint sign\u201d due to its resemblance to it and to differentiate it from Tiger strips because of its dynamic nature. This sign can be used to identify and follow carditis in a rheumatic scenario.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/heartviews.heartviews_4_22","type":"journal-article","created":{"date-parts":[[2024,2,10]],"date-time":"2024-02-10T07:34:09Z","timestamp":1707550449000},"page":"230-234","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Tiger Stripes in Carditis of Rheumatic Origin"],"prefix":"10.4103","volume":"23","author":[{"given":"Najeeb Ullah","family":"Sofi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Santosh Kumar","family":"Sinha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohit","family":"Sachan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramesh","family":"Thakur","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-7-20240902","doi-asserted-by":"crossref","first-page":"1806","DOI":"10.1161\/CIR.0000000000000205","article-title":"Revision of the jones criteria for the diagnosis of acute rheumatic fever in the era of Doppler echocardiography: A scientific statement from the American Heart Association","volume":"131","author":"Gewitz","year":"2015","journal-title":"Circulation"},{"key":"R2-7-20240902","doi-asserted-by":"crossref","first-page":"558","DOI":"10.1111\/j.1540-8175.2007.00431.x","article-title":"Tiger stripes","volume":"24","author":"Kerut","year":"2007","journal-title":"Echocardiography"},{"key":"R3-7-20240902","doi-asserted-by":"crossref","first-page":"70","DOI":"10.14503\/THIJ-13-3808","article-title":"Lambl's excrescence, migrainous headaches, and \u201ctiger stripes\u201d: Puzzling findings in one patient","volume":"42","author":"Davogustto","year":"2015","journal-title":"Tex Heart Inst J"},{"key":"R5-7-20240902","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1016\/0002-8703(86)90290-5","article-title":"Cooing intracardiac sound in a perforated porcine mitral valve detected by pulsed Doppler echocardiography","volume":"112","author":"Kinney","year":"1986","journal-title":"Am Heart J"},{"key":"R6-7-20240902","first-page":"138","article-title":"Tiger stripes sign","volume":"5","author":"Rakesh","year":"2015","journal-title":"JICC"},{"key":"R7-7-20240902","first-page":"349","article-title":"\u201cTiger stripes\u201d sign in acute coronary syndrome. Signo \u201cmanchas de tigre\u201d en s\u00edndrome coronario agudo","volume":"90","author":"Cervantes-Nieto","year":"2020","journal-title":"Archivos de cardiologia de Mexico"}],"container-title":["Heart Views"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/heartviews.heartviews_4_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T18:19:20Z","timestamp":1787768360000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/heartviews.heartviews_4_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10]]},"references-count":6,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/heartviews.heartviews_4_22","relation":{},"ISSN":["1995-705X"],"issn-type":[{"value":"1995-705X","type":"print"}],"subject":[],"published":{"date-parts":[[2022,10]]}}}