geoscience.net logo
+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Porcelain heart


, : Porcelain heart. Journal of Cardiovascular Computed Tomography 5(3): 183-185

Rheumatic heart disease (RHD) was the leading-cause of death in individual aged 5-20 years a century ago. Developments in diagnosis and treatment, decreased the incidence of RHD and dropped its mortality-rate to less than 10% since the 1960s. Despite the existence of proven preventive strategies in early detection and management of rheumatic fever (RF), RHD remained the most common cause of cardiovascular-mortality and morbidity in patients with RF. Previous studies have showed that Jones criteria may have insufficient support to diagnose patients with RF. Patients with subclinical, ongoing, and unrecognized episodes of RF may present late to medical attention with complication of RF such as indolent carditis. Recent studies revealed the superior role of echocardiography, as compared with clinical screening to diagnose subclinical RHD. While valvular involvement and ventricular dysfunction of RHD can be easily detected with echocardiography and magnetic resonance imaging (MRI), it remains problematic to determine the presence of whether there is myocardial-calcification after rheumatic heart carditis and if yes, how much extent it involves. The current case-report suggests the superior role of computed tomography angiography (CTA), as compared with echocardiography and MRI, to diagnose RHD in individuals without known history of RF. CTA with high spatial-resolution accurately evaluates tissue characterization and simultaneous assessment of the anatomy and function of heart and coronaries, and can precisely differentiate RHD from other cause of porcelain heart. The use of CTA in RHD screening provides the opportunity to initiate secondary antibiotic prophylaxis to prevent the poor outcome of rheumatic heart disease.

US$19.90

PMID: 21367683

DOI: 10.1016/j.jcct.2011.01.010


Other references

Lange, J.H.M.; Klunder, A.J.H.; Zwanenburg, B., 1991: Thermal generation of 2 alkyl 3 carbethoxycyclopentadienones from angularly alkylated tricyclo 5.2.1.0. 2 6 decadienones their use in the synthesis of cyclopentenoids and dihydrosarkomycins. Angularly alkylated 2-carboethoxy-tricylo[5.2.1.02,6]tricyclodecadienones 2 exhibit a facile and efficienthermal [4 + 2]-cycloreversion reaction in DMF at 155.degree.C to produce 2-alkyl-3-carboethoxy-cyclopentadienones 9. Trapping of these relati...

de Keijser, J.W.; Malsch, M.; Luining, E.T.; Weulen Kranenbarg, M.; Lenssen, D.J.H.M., 2016: Differential reporting of mixed DNA profiles and its impact on jurists' evaluation of evidence. An international analysis. While DNA analysis is considered by many the gold standard in forensic science, there is ample room for variation in interpretation and reporting. This seems especially the case when working with (complex) mixed DNA profiles. Two consecutive studi...

Sheon, R.P., 1997: Repetitive strain injury. 2. Diagnostic and treatment tips on six common problems. The Goff Group. Repetitive strain injury is caused by recurrent overuse, resulting in microtrauma to tissues. Local pain and tenderness, weakness, inflammation, and limited function are common findings. Some of the strain injuries seen most often are carpal tunne...

Aubertin, E.; Labad, E., 1953: Edematous scleroderma with muscular involvement. Bulletin de la Societe Francaise de Dermatologie et de Syphiligraphie 60(2): 150-150

Winkler, M.T.; Osorio, F.A.; Barahona, H.J.; Taffarel, M., 1995: Study of neutralizing monoclonal antibodies to bovine herpes virus type-1 (Cooper strain) by immunoperoxidase and immunoelectron microscopy. Three neutralizing monoclonal antibodies (mAbs) that are specific against bovine herpes virus Type-1 (BHV-1) were studied as to their viral specificity by immunoperoxidase and immunoelectron microscopy. Microscopic examination of GBK BHV-1 infecte...

Greten, T.F.; Manns, M.P.; Korangy, F., 2008: Immunotherapy of HCC. Hepatocellular carcinoma (HCC) is the fifth most common cancer worldwide with increasing incidence in the Western World. In contrast to most other malignancies, only surgical and local ablative therapeutic options have shown efficacy in patients w...

Okumichi, T.; Nishiki, M.; Yamane, M.; Nakagawa, K.; Kuroda, Y.; Ezaki, H., 1983: The surgical treatment of giant emphysematous bullae. Thirteen cases of giant emphysematous bullae of the lung were treated. All cases were men and 8 cases had bilateral lesions. The progressive giant emphysematous bullae, so-called vanishing lung, were found in 6 cases. A fixed tendency was not foun...

Koller, L.D.; Zinkl, J.G., 1973: Pathology of polychlorinated biphenyls in rabbits. Rabbits were dosed with 300 mg polychlorinated biphenyl (Aroclor 1221, 1242 or 1254) once a week for 14 weeks. SGPT and SGOT increased during the second week. Serum cholesterol concentrations were moderately elevated in the '1254'-treate...

Neufeld, A.H.; Gachie, E.N., 2003: The inherent, age-dependent loss of retinal ganglion cells is related to the lifespan of the species. Retinal ganglion cells are neurons that transmit visual information from the retina to the brain. With age, there is an inherent loss of retinal ganglion cells that we have quantitated by retrograde labeling of these neurons. In adult mice, the lo...

Pudel V.; Metzdorff M.; Oetting M., 1975: The personality of the obese as shown in psychological tests with special consideration of latently obese subjects. Zeitschrift fuer Psychosomatische Medizin und Psychoanalyse 21(4): 345-361