Follow Up Study of Acquired Valvular Heart Disease : THE 10th CONFERENCE ON THE 10th CONFERENCE ON PREVENTION FOR RHEUMATIC FEVER AND RHEUMATIC HEART DISEASE
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概要
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In patients with acquired valvular heart disease detected by group cardiac examinations at school, we analyzed follow-up data obtained during school days as well as after graduation from senior high school. 1) Of the 343 patients followed up after graduation from senior high school up to an age range of 20-38 years (mean : 29.3 years), 18 (5.2%) died, 16 (4.7%) deteriorated, 159 (46.4%) remained unchanged, 40 (11.7%) improved, 18 (5.2%) spontaneously recovered and 30 (9.7%) were treated surgically. 2) Of patients who showed spontaneous recovery after graduation from senior high school, 16 cases (8.4%) had mitral regurgitation and 2 (3.6%) had mitral stenosis-regurgitation. 3) In some patients, the disease type changed many years after graduation from senior high school. In particular, the appearance of stenosal lesions in the mitral or aortic valve was often delayed. 4) The mean annual death rate for patients with acquired valvular heart disease (age range : 6-38 years) between April 1962 and March 1983 was 0.65%. The rate peaked at the 15-17 years age range. In recent years, the fatality rate has been falling and no deaths are seen in younger patients. 5) In the past, the leading cause of death in juvenile patients with acquired valvular heart disease was the recurrence of rheumatic fever. For the past ten years, however, no death attributable to the recurrence of rheumatic fever has been registered.
- 社団法人日本循環器学会の論文
- 1986-12-20
著者
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Kitada Mitsuo
Department Of Epidemiology And Mass Examination For Cardiovascular Diseases The Center For Adult Dis
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Nakagawa Tadashi
Division Of Cardiology Children's Medical Center Of Osaka
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YAMAGUCHI YUKIMASA
Division of Cardiology, Children's Medical Center of Osaka
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KITADA MITSUO
The Center for Adult Disease, Osaka
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UHEDA KINICHI
Division of Cardiology, Children 's Medical Center of Osaka City
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Uheda Kinichi
Division Of Cardiology Children 's Medical Center Of Osaka City
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Kitada Mitsuo
The Department Of Field Research The Center For Adults Diseases
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Yamaguchi Yukimasa
Division Of Cardiology Children's Medical Center Of Osaka
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Ueda Kin-ichi
The Division Of Cardiology The Children's Medical Center Of Osaka City
関連論文
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- Follow Up Study of Acquired Valvular Heart Disease : THE 10th CONFERENCE ON THE 10th CONFERENCE ON PREVENTION FOR RHEUMATIC FEVER AND RHEUMATIC HEART DISEASE
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- Studies on Sudden Unexpected Death among School Children and High School Students in Osaka Prefecture : Proceedings of the IV Conference on Prevention for Rheumatic Fever and Rheumatic Heart Disease, January 1979, Kyoto
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- The Results of the Mass Screening for Heart Diseases among the First Graders of Primary and Junior High School Students in Osaka City : Proceedings of the II. Conference on Prevention for Rheumatic Fever and Rheumatic Heart Disease
- "Potential" Rheumatic Heart Disease Found at Screening : PROCEEDINGS OF THE I. CONFERENCE ON PREVENTION FOR RHEUMATIC FEVER AND RHEUMATIC HEART DISEASE
- EPIDEMIOLOGICAL FEATURES OF RHEUMATIC FEVER AND RHEUMATIC HEART DISEASE AMONG SCHOOL CHILDREN IN OSAKA : EPIDEMIOLOGY OF RHEUMATIC FEVER AND RHEUMATIC HEART DISEASE : THE FIRST SOUTH-EAST ASIA RHEUMATIC FEVER AND RHEUMATIC HEART DISEASE PREVENTION CONFERE
- The QT Interval in Normal Children and Students : Proceedings of the II. Conference on Prevention for Rheumatic Fever and Rheumatic Heart Disease