The role of the heart muscle in the hemodynamic problems caused by rheumatic fever

Ruth Caldwell

» doi: https://jcdponline.org/.2015.v06.i01.pp01-5

Abstract

Purpose and Background: In many underdeveloped nations, rheumatic fever is a leading cause of acquired cardiac disease in children and young adults. Using cardiac troponin test and echocardiography, the purpose was to study the impact of myocardial involvement on hemodynamic alterations in individuals with acute rheumatic fever. The research was planned as a prospective cohort. Subjects and Procedures: Twenty-two children had cardiac issues, fourteen did not, and thirty-four had severe rheumatic fever. The primary outcome measure was the level of cardiac troponin T (cTnT), which is a marker of left ventricular function measured by echocardiography. The amount of cardiac troponin in children suffering from carditis was 0.051 ± 0.01 ng/dL, whereas in those unafflicted, it was 0.039 ± 0.02 ng/dL. We can't say that the difference is meaningful. Furthermore, when it came to left ventricular ejection and shortening fractions, there was no significant difference between the ch