Acute Carditis

Phonocardiography in acute rheumatic carditis.

The diagnosis of early rheumatic carditis usually depends upon the detection of murmurs produced by acute valvulitis. It may be difficult to evaluate clinically the significance of certain murmurs occurring in patients with rheumatic fever, though the development of a loud apical pansystolic murmur in a patient already under observation usually presents no diagnostic problem. More frequently a ...

Treatment choice in acute rheumatic carditis.

A trial was conducted using sequential analysis by pairs to compare the efficacy of corticosteroids and salicylates in the treatment of acute rheumatic carditis. The results show a significantly favourable effect of steroid treatment both in clinical response and in reduction of the erythrocyte sedimentation rate. In addition, patients receiving steroids usually had a shorter hospital stay. The...

Acute heart failure from lyme carditis.

Case Report A 47-year-old woman presented with subacute fever, erythema migrans-like rash, shortness of breath, and spells of dizziness that had progressed to “blackouts.” At admission, complete atrioventricular (AV) block was present (Figure 1A), and ceftriaxone 1g was given initially for suspected Lyme disease. Within 6 hours of antimicrobial treatment, she developed polymorphic ventricular t...

Practical Observations on Acute and Chronic Carditis

Case reports. Rupture of chordae tendineae during acute rheumatic carditis.

K.H.C., a 7-year-old Chinese boy, was admitted in August 1966, with a history of cough for two weeks, swelling of ankles, and puffiness offace for 10 days, fever, and the passage of diminishing amounts of dark urine for 3 days. He had had four previous admissions for exacerbations of acute nephritis over the previous three years. After discharge from his last admission in May 1965, he had faile...