DIAGNOSTIC VALUE OF CARDIOMETRY IN THE DETECTION OF SUBCLINICAL CARDITIS IN CHILDREN WITH ACUTE RHEUMATIC FEVER
Keywords:
acute rheumatic fever, subclinical carditis, children, cardiometry, Cardiocod, lactate, oxygen, RV1, echocardiographyAbstract
Acute rheumatic fever (ARF) in children is a pressing issue due to its high incidence of cardiac damage and the risk of developing chronic rheumatic heart defects. Diagnosing subclinical carditis without obvious clinical or auscultatory manifestations is particularly challenging. The aim of this study was to evaluate the effectiveness of cardiometry in diagnosing subclinical carditis in patients with ARF. A comprehensive patient examination was conducted using echocardiography and cardiometry with a Cardiocod digital hemodynamic analyzer . Metabolic (lactate, oxygen) and functional (RV1) cardiometry parameters were found to vary significantly depending on the presence of valvular pathology as determined by echocardiography, while traditional hemodynamic parameters have limited diagnostic value. ROC analysis confirmed the prognostic value of individual cardiometric parameters. Cardiometry can be recommended as an accessible, non-invasive and informative method for early detection of subclinical heart damage in children with ARF