1/5. A case of acute rheumatic fever accompanied by transient aortic regurgitation.Though acute rheumatic fever (RF) is now rare in japan, it continues to be an important disease condition that physicians should be prepared to diagnose and treat. We describe a patient with acute RF accompanied by transient aortic regurgitation (AR). The AR was detected only by echocardiography. There were no other indications, and it disappeared after treatment with prednisolone. The changes in cardiac valves in the early phase of RF have been the subject of only a few case studies. echocardiography is quite valuable in the workup of patients with acute RF and should be performed even if there are no signs of cardiac involvement.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
2/5. Rapidly progressive aortic valve incompetence in a patient with rheumatoid arthritis.A 27-year-old female with seropositive rheumatoid arthritis of onset at age 18 years developed progressive aortic valve incompetence requiring urgent aortic valve replacement. Rheumatoid aortic valve disease may be more rapidly progressive than aortic valve disease from other causes and awareness of this by the monitoring physicians may help to avoid the possible complications.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
3/5. Cardiac valve disorders: growing significance in the elderly.Accompanying the aging of the population has been a change in the presentation and the manifestations of valvular heart disease. Calcific aortic stenosis is now the most frequent reason for valvular heart surgery and differs greatly from the stenosis produced by rheumatic fever or a congenital bicuspid valve. Mitral insufficiency is found with increasing frequency and is often due to a calcified mitral valve annulus. mitral valve prolapse, once thought to be a disease found in younger patients, is being diagnosed more and more in the elderly and is a significant cause of mitral regurgitation. It is important for the physician caring for the older patient to be aware of the differing presentations, manifestations, and implications of valvular diseases in the elderly.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
4/5. Idiopathic hypertrophic subaortic stenosis and aortic regurgitation in an 84-year-old man.During the ninth decade of life, idiopathic hypertrophic subaortic stenosis (IHSS), particularly when associated with other cardiac disorders, presents a confusing clinical problem. Unless the physician has a high index of suspicion, the diagnosis is easily overlooked, and consequently inappropriate management of the patient may lead to serious complications. One such case in an 84-year-old man is described. Administration of certain drugs may only intensify symptoms. echocardiography is invaluable for diagnosis. Pertinent clinical features of IHSS in the eighth and ninth age decades are outlined.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
5/5. Echocardiographic diagnosis of acute aortic valve endocarditis and its complications.staphylococcus aureus aortic valve endocarditis and its complications in a patient were readily recognized by echocardiography. "Shaggy" echoes recorded from the aortic leaflets in diastole as well as irregular diastolic densities in the left ventricular outflow tract suggested flail aortic leaflets secondary to bacterial endocarditis. The presence of a double echo of the anterior aortic wall was an unusual finding. Initially thought to represent a localized dissection, abscess formation and pocket of edematous fluid accumulation was found between the anterior aortic wall and pulmonary artery. Premature closure of the mitral valve was evident shortly before the patient died. The specific echocardiographic features of flail aortic leaflets and premature mitral valve closure should alert the physician to consider immediate aortic valve replacement.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |