Revision of the Jones Criteria for the Diagnosis of Acute Rheumatic Fever in the Era of Doppler Echocardiography: A Scientific Statement From the American Heart Association

@article{Gewitz2015RevisionOT,
  title={Revision of the Jones Criteria for the Diagnosis of Acute Rheumatic Fever in the Era of Doppler Echocardiography: A Scientific Statement From the American Heart Association},
  author={Michael H. Gewitz and Robert S. Baltimore and Lloyd Y. Tani and Craig Sable and Stanford T. Shulman and Jonathan R Carapetis and Bo Remenyi and Kathryn A. Taubert and Ann F. Bolger and Lee B. Beerman and Bongani M. Mayosi and Andrea Zawacki Beaton and Natesa G. Pandian and Edward L. Kaplan},
  journal={Circulation},
  year={2015},
  volume={131},
  pages={1806–1818}
}
Background— Acute rheumatic fever remains a serious healthcare concern for the majority of the world’s population despite its decline in incidence in Europe and North America. The goal of this statement was to review the historic Jones criteria used to diagnose acute rheumatic fever in the context of the current epidemiology of the disease and to update those criteria to also take into account recent evidence supporting the use of Doppler echocardiography in the diagnosis of carditis as a major… Expand
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References

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Guidelines for the Diagnosis of Rheumatic Fever: Jones Criteria, Updated 1992 Special Writing Group of the Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease of the Council on Cardiovascular Disease in the Young, American Heart Association
TLDR
The Jones criteria for guidance in the diagnosis of acute rheumatic fever were first published by T. Duckett Jones, MD, in 1944 are updated and clarify the available antibody tests for detecting antecedent group A streptococcal infection. Expand
Guidelines for the diagnosis of rheumatic fever. Jones Criteria, 1992 update. Special Writing Group of the Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease of the Council on Cardiovascular Disease in the Young of the American Heart Association.
TLDR
These updated guidelines expand on the available tools to diagnose streptococcal pharyngitis and clarify the available antibody tests for detecting antecedent group A strePTococcal infection and address overdiagnosis of rheumatic fever. Expand
Proceedings of the Jones Criteria workshop.
TLDR
The purpose of the workshop was to review the adequacy of the existing guidelines for the diagnosis of first attacks of rheumatic fever and to assess whether contemporary diagnostic techniques, specifically two-dimensional and Doppler echocardiography, could be added to the criteria for the Diagnosis of Rheumatic carditis/valvulitis. Expand
Doppler echocardiography and the early diagnosis of carditis in acute rheumatic fever.
TLDR
Doppler echocardiography is more sensitive than clinical assessment in the detection of carditis in acute rheumatic fever, and can contribute to earlier diagnosis. Expand
[Contribution of doppler echocardiography to the diagnosis of the first attack of acute rheumatic fever].
TLDR
The number of cases of carditis increased from 50 without the Doppler mode to over 80 with this mode, and doppler echocardiography validated the Jones criteria in 16 children. Expand
New Zealand guidelines for the diagnosis of acute rheumatic fever: small increase in the incidence of definite cases compared to the American Heart Association Jones criteria.
TLDR
Utilisation of New Zealand guidelines for the diagnosis of ARF result in a modest increase in cases classified as definite ARF compared to the 1992 Jones criteria. Expand
What is the True Frequency of Carditis in Acute Rheumatic Fever? A Prospective Clinical and Doppler Blind Study of 56 Children with up to 60 Months of Follow-Up Evaluation
TLDR
Patients who had acute rheumatic fever without clinical signs of carditis showed acute and late follow-up echocardiographic abnormalities suggestive of cardiac involvement, and Clinicians should be attentive for the presence of heart involvement among patients with chorea. Expand
Consensus guidelines on pediatric acute rheumatic fever and rheumatic heart disease.
TLDR
These guidelines were formulated for the management of streptococcal pharyngitis, acute rheumatic fever and its cardiac complication as well as secondary prophylaxis for recurrent episodes. Expand
Echocardiographic evaluation of patients with acute rheumatic fever and rheumatic carditis.
TLDR
In patients with rheumatic carditis, the mitral valve is most often involved and mitral regurgitation is the most common finding on color flow imaging, and the study failed to reveal any incremental diagnostic utility of echocardiography and Doppler color flow Imaging in rhematic fever without clinical evidence of carditis. Expand
The role of echocardiography in diagnosing carditis in the setting of acute rheumatic fever
TLDR
Echocardiography, when carried out in patients with acute rheumatic fever diagnosed strictly according to the Jones criterion, can avoid both overdiagnosis and underdiagnosis of carditis. Expand
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