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风湿热:根据美国心脏协会2015年综述对琼斯标准的更新

Rheumatic fever: update on the Jones criteria according to the American Heart Association review - 2015.

作者信息

Pereira Breno Álvares de Faria, Belo Alinne Rodrigues, Silva Nilzio Antônio da

机构信息

Universidade Federal de Goiás (UFG), Faculdade de Medicina, Departamento de Pediatria, Goiânia, GO, Brazil.

Universidade Federal de Goiás (UFG), Faculdade de Medicina, Departamento de Pediatria, Goiânia, GO, Brazil.

出版信息

Rev Bras Reumatol Engl Ed. 2017 Jul-Aug;57(4):364-368. doi: 10.1016/j.rbre.2017.03.001. Epub 2017 Apr 10.

Abstract

Rheumatic fever is still currently a prevalent disease, especially in developing countries. Triggered by a Group A β-hemolytic Streptococcus infection, the disease may affect genetically predisposed patients. Rheumatic carditis is the most important of its clinical manifestations, which can generate incapacitating sequelae of great impact for the individual and for society. Currently, its diagnosis is made based on the Jones criteria, established in 1992 by the American Heart Association. In 2015, the AHA carried out a significant review of these criteria, with new diagnostic parameters and recommendations. In the present study, the authors perform a critical analysis of this new review, emphasizing the most relevant points for clinical practice.

摘要

风湿热目前仍然是一种常见疾病,尤其是在发展中国家。该疾病由A组β溶血性链球菌感染引发,可能会影响具有遗传易感性的患者。风湿性心脏病是其最重要的临床表现,会给个人和社会带来严重影响且导致丧失劳动能力的后遗症。目前,其诊断基于美国心脏协会1992年制定的琼斯标准。2015年,美国心脏协会对这些标准进行了重大修订,提出了新的诊断参数和建议。在本研究中,作者对这一最新修订进行了批判性分析,着重强调了对临床实践最具相关性的要点。

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