Revised Jones Criteria For The Diagnosis of Acute Rheumatic Fever (AHA 2015) - An Indian Perspective
Journal Title: BMH Medical Journal - Year 2015, Vol 2, Issue 3
Abstract
Acute Rheumatic Fever (ARF) is still a major problem in some developing and low middle income countries though the incidence and prevalence has remarkably reduced in North America and Europe. Ever since T. Duckett Jones in 1944 proposed the Jones criteria, it was modified and later revised by the American Heart Association (AHA) in 1992. This was reconfirmed in and AHA sponsored Work shop in 2002. No modification or change was suggested after the introduction of Doppler Echocardiography (DE) for the diagnosis of clinical and "subclinical carditis". When a clinical diagnosis by the clinician fails to show evidence of carditis, DE may pick up cases of "subclinical carditis". Moreover, previous recommendations did not include the Classification of Recommendations (Class I, II a, II b, and III) and Levels of Evidence (Levels A, B and C). Recently, however, a scientific statement from the American Heart Association (AHA) has published an update to the Jones criteria including the use of DE in the diagnosis of ARF.
Authors and Affiliations
KV Sahasranam
Keywords
Related Articles
- EP ID EP325346
- DOI -
- Views 127
- Downloads 0
Kerala Pioneering Pediatric Surgery in India
Pediatric surgeons of Kerala are very proud to have led the development of superspeciality in any branch of medicine in Kerala and also superspeciality of Pediatric surgery in whole of India. Late Prof. Raman Nair return...
Coronary Lithoplasty: Shockwave Lithotripsy for the Coronaries
Calcified coronaries are always the nightmare of the interventional cardiologist. They cannot be easily dilated by balloon angioplasty and balloons might rupture while high pressure inflation is attempted, leading to cor...
EDTA Dependent Pseudothrombocytopenia In A Patient With Scrub Typhus - A Case Report
We report a case of EDTA induced pseudothrombocytopenia (EDTA-PTCP) in a patient with scrub typhus who was referred as a case of pyrexia of unknown origin (PUO) with marked thrombocytopenia and treated with platelet tran...
Differential Diagnosis of Narrow QRS Tachycardia
Differential diagnosis of short RP tachycardia include atrioventricualr nodal re entrant tachycardia, atrio ventricular re entrant tachycardia and less commonly atrial tachycardia with a long PR interval. Analysis of ret...
Effect Of Intravenous Dexmedetomidine On Subarachnoid Block Characteristics, Using 0.5% Hyperbaric Bupivacaine, In Patients Undergoing Unilateral Knee Arthroscopy - A Prospective Randomized Double Blinded Placebo Controlled Study
Introduction: Many techniques and drug regimens, with partial or greater success, have been tried from time to time to eliminate the anxiety component, to improve the quality of regional anesthesia and prolong the postop...