GOGGIO A F
Calif Med. 1959 Feb;90(2):151-4.
The results of three independent surveys concerned with rheumatic fever and heart disease in students at the University of California were assembled and found to be in close agreement. A full 2 per cent of all students believed they had had rheumatic fever; and several times that proportion gave a history of one of the rheumatic manifestations. Only 0.25 per cent had demonstrable rheumatic heart disease and 0.1 per cent had congenital heart disease. Physiologic murmurs may occur in 3 per cent or more of students entering college. Penicillin prophylaxis is important in persons with rheumatic heart disease, but it is important not to put a label of rheumatic heart disease on persons who think they have had rheumatic fever but who have no demonstrable heart disease. Long term penicillin prophylaxis or other long term prophylactic procedures directed against rheumatic fever are not indicated unless the diagnostic criteria for rheumatic fever are clearly met or unless rheumatic heart involvement is definitely present.
对加利福尼亚大学学生进行的三项关于风湿热和心脏病的独立调查结果汇总后发现，它们的结果非常一致。所有学生中整整2%的人认为自己患过风湿热；有这种风湿热表现病史的人数是这个比例的好几倍。只有0.25%的人有可证实的风湿性心脏病，0.1%的人有先天性心脏病。进入大学的学生中3%或更多的人可能会出现生理性杂音。青霉素预防对患有风湿性心脏病的人很重要，但对于那些认为自己患过风湿热但没有可证实心脏病的人，重要的是不要给他们贴上风湿性心脏病的标签。除非明确符合风湿热的诊断标准，或者确实存在风湿性心脏受累，否则不建议进行长期青霉素预防或其他针对风湿热的长期预防措施。
