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This long axis parasternal images demonstrates the progression of valvular disease in the period between ARF and RHD. It is important to remember that timeous diagnosis, treatment and secondary prevention may in cases prevent this progression.
The efficacy of echocardiographic criterions for the diagnosis of carditis in acute rheumatic fever. Vijayalakshmi IB, Vishnuprabhu RO, Chitra N, Rajasri R, Anuradha TV. Cardiol Young. 2008 Dec;18(6):586-92. Epub 2008 Oct 10
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