It is ironic that the field most important to a clinician, treatment, is the one that can boast the least progress. To be sure, surgery has provided relief for the most disabling end-results of carditis but the outcomes are often imperfect, the operative mortality rate not negligible, and, whenever prostheses are used, the postoperative risk of infective endocarditis is significant, and the need for perennial anticoagulation is bothersome. Most important perhaps from a worldwide standpoint, cardiac surgery is often not available or difficult to get to, or rudimentary in many parts of the world — the very parts, in fact, where the need is greatest. Nevertheless, surgical therapy of rheumatic heart disease has been a blessing to many, and should be considered in severe cases even when “rheumatic activity” seems to linger on. For such surgical therapy, as for the medical therapy of established rheumatic heart disease, the reader is referred to standard textbooks. We will deal here with the medical management of the acute attack.


Infective Endocarditis Septic Arthritis Rheumatic Fever Juvenile Rheumatoid Arthritis Rheumatic Heart Disease 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© A. Taranta and M. Markowitz 1981

Authors and Affiliations

  1. 1.Cabrini Medical CenterNew York Medical CollegeNew YorkUSA
  2. 2.Department of PediatricsThe University of Connecticut School of MedicineFarmingtonUSA

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