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Diagnostic Value of Pain Chest Roentgenogram in Rheumatic Mitral Valvular Disease

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Rheumatic fever and rheumatic heart disease are still important community health problem in developing countries. The aim of this diagnostic test was to determine the diagnostic role of plain chest roentgenogram in patients with rheumatic mitral valvular disease. Subjects were patients with rheumatic mitral disease without other vular lesions, congenital heart disease, or anemia, who visited the out-patient clinic, Department of Child Health, Cipto Mangunkusumo Hospital, Jakarta, between June and August 1995. There were 52 subjects enrolled to this study. Determination of type valve lesions, the presence of left atrial dilatation, and cardio-thoracic ratio (CTR) were performed from plain chest film by 2 pediatric radiologists using a semiquantitative table. The results were compared with echocardiographic findings used as gold standard. The chest plain roentgenogram accurancy in determining valvular lesion was 77 percent (CI90 percent, 67.4 percent-86.6 percent). Chest plain roentgenogram diagnostic index in discovering left atrial dilatation gave excellent result (more than 80 percent). The correlation between CTR and left ventricular mass (LVM) was 0.63 (p less than 0.001) in all rheumatic mitral valvular lesions. We conclude that plain chest roentgenogram still has its place in determining type of rheumatic mitral valvular lesion, and it has some help in the management of patients with rheumatic mitral valve disease.

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Paediatrica Indonesiana,36(5-6)1996:102-108

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: ., 1996

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radiography
rheumatic heart disease

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