IT IS GENERALLY conceded that in the many cardiac clinics rheumatic heart disease is frequently overdiagnosed and underdiagnosed. The fact that this situation obtains is evidence of the inadequacy of the present diagnostic criteria used in most clinics. It is evident that the clinical manifestations of rheumatic fever have undergone a vast change of character. The magnitude of the shift is perhaps not generally appreciated and is not reflected in the textbook descriptions of rheumatic fever.1 These continue to describe classic attacks of rheumatic fever in terms of polyarthritis, fever, elevated sedimentation rate, arthralgias, and prolonged P-R intervals. In our experience and in the experience of most students of rheumatic fever, these cases are now rarely encountered. Major and minor criteria,2 when present, are of utmost diagnostic importance, but these are absent in the great majority of cases seen in the clinic. The "typical" case, in our experience,
American journal of diseases of children – American Medical Association
Published: Oct 1, 1954
It’s your single place to instantly
discover and read the research
that matters to you.
Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.
All for just $49/month
Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly
Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.
Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.
Read from thousands of the leading scholarly journals from SpringerNature, Wiley-Blackwell, Oxford University Press and more.
All the latest content is available, no embargo periods.
“Hi guys, I cannot tell you how much I love this resource. Incredible. I really believe you've hit the nail on the head with this site in regards to solving the research-purchase issue.”Daniel C.
“Whoa! It’s like Spotify but for academic articles.”@Phil_Robichaud
“I must say, @deepdyve is a fabulous solution to the independent researcher's problem of #access to #information.”@deepthiw
“My last article couldn't be possible without the platform @deepdyve that makes journal papers cheaper.”@JoseServera