Mehmet Halil Ertug1, Gokben Gorsel Yilmaz2, Gayaz Akçurin1, Firat Kardelen1, Abdullah Kocabas1, Saadet Gumuslu3, Sibel Kuloglu Genç3
1 Department of Pediatric Cardiology, Akdeniz University School of Medicine, Arapsuyu, Antalya, Turkey
2 Department of Pediatrics, Akdeniz University School of Medicine, Arapsuyu, Antalya, Turkey
3 Department of Biochemistry, Akdeniz University School of Medicine, Arapsuyu, Antalya, Turkey
Objective: Acute rheumatic fever (ARF) is an endemic disease observed in children of developing countries. The purpose of this study was to test if it was possible to identify myocardial involvement in cases with rheumatic carditis by the measurement of serum cardiac TnT.
Methods: 30 patients diagnosed as ARF underwent echocardiography and their cardiac troponin T (cTnT) serum levels were measured. Patients were divided into group 1: Arthritis alone, group 2: carditis, and group 3 carditis with congestive heart failure (CHF).
Results: cTnT serum levels were normal in all except one patient with in group 3. Two patients in carditis (group 2) and three patients in CHF (group 3) had dilation in left ventricular end diastolic diameter.
Conclusions: Normal cTnT levels in our patient group suggests that inflammation rather than myocardial necrosis is predominant in ARF carditis.
Department of Pediatric Cardiologys, Akdeniz University School of Medicine, 07070, Arapsuyu, Antalya
Source of Support: None, Conflict of Interest: None
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