Mori C, Okuda R, Nishioka K, Ueda C, Phornphvtkul C
Jpn Circ J. 1979 May;43(5):487-9. doi: 10.1253/jcj.43.487.
This report showed the comparative study of the rheumatic fever and rheumatic heart disease in Japan and Thailand. At first, there is remarkable difference about the incidence of the rheumatic heart disease. The incidence of the rheumatic heart disease in Thailand was one hundred times that in Japan. Secondly, there is particular difference about the course of mitral stenosis in childhood. In Japan common pattern of rheumatic heart disease was slight mitral insufficiency and mitral stenosis was seldom. In Thailand mitral stenosis was observed in 5% on rheumatic heart disease, and mitral stenosis developed early following an attack of rheumatic fever. These differences were supposed due to the socio-economic state in each country.
本报告展示了日本和泰国风湿热及风湿性心脏病的对比研究。首先，风湿性心脏病的发病率存在显著差异。泰国风湿性心脏病的发病率是日本的一百倍。其次，儿童二尖瓣狭窄的病程存在特殊差异。在日本，风湿性心脏病的常见模式是轻度二尖瓣关闭不全，二尖瓣狭窄很少见。在泰国，风湿性心脏病患者中5%观察到二尖瓣狭窄，且二尖瓣狭窄在风湿热发作后早期就会出现。这些差异被认为是由于每个国家的社会经济状况所致。
