[Silent enemy in @entity4789 : subclinical XXXX ].

@entity4789 @entity1 @entity627 @entity625 @entity4790 @entity299 @entity2401
OBJECTIVES: Routine use of Doppler echocardiography for the initial diagnosis of @entity4789 ( @entity4789 ) might allow early detection and, hence, prevention of @entity627 . This study sought to determine the incidence of subclinical @entity2401 in @entity4789 @entity1 . STUDY DESIGN: The study included 80 @entity1 (64 @entity625 , 16 @entity4790 ) who were diagnosed with @entity4789 according to the Jones criteria, 1992 update. @entity627 was defined as the presence of the following findings on Doppler echocardiography: mitral and aortic regurgitant jets in at least two planes, the length of the jets >1 cm, and peak flow velocities of >2.5 m/sec for both mitral and aortic regurgitations persisting throughout systole and diastole, respectively. The @entity1 diagnosed with subclinical @entity2401 were re-evaluated at 1, 3, 6, and 12 months. RESULTS: Echocardiography revealed subclinical @entity2401 in 25 @entity1 (31.3%; 13 @entity1 , 12 @entity1 ; mean age 11.4  2.5 years) with @entity4789 . Of 64 @entity1 with @entity625 , 34 (53.1%) had clinical @entity2401 and 17 (26.6%) had subclinical @entity2401 . The incidences of clinical and subclinical @entity2401 among 16 @entity1 with @entity4790 were 31.3% (n=5) and 50% (n=8), respectively. Of 20 @entity1 who completed one-year follow-up, persistence of subclinical @entity2401 was observed in 11 cases (55%). CONCLUSION: Clinicians should be attentive to the presence of @entity299 among @entity1 with suspected @entity4789 . Considering the high incidence of subclinical @entity2401 , echocardiographic evidence of @entity2401 should be used as a diagnostic criterion.
