What is the clinical evidence from this study?

Study design: Observational. Population: Cardiac valve disease. Intervention: Planigraphy.

What question did this study set out to answer?

Assess the clinical necessity of identifying valve calcification and multivalvular involvement using planigraphic imaging prior to surgical intervention for acquired heart valve disease.

February 1, 1955Archives of Internal Medicine

Use of Planigraphy in Demonstration of Calcification of Heart Valves and Its Significance

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Key result

Anatomic studies highlight the frequency of overlooked multivalvular lesions in rheumatic heart disease, emphasizing the limitations of relying solely on murmurs for precise diagnosis.

Why the study?

Does planigraphy improve the demonstration of calcification of heart valves in patients with cardiac valve disease?

Population

Patients with cardiac valve disease of acquired origin, particularly rheumatic heart disease

Design

Other

Authors

LSLouis A. SoloffUniversity of Guelph-Humber

Discussion

Member takes

Implication

May warrant imaging beyond murmurs in rheumatic heart disease; leaves open planigraphy's role in confirming multivalvular calcification.

Key Points

Assess the clinical necessity of identifying valve calcification and multivalvular involvement using planigraphic imaging prior to surgical intervention for acquired heart valve disease.
Evaluated anatomic specimens to identify the prevalence of co-occurring, overlooked valvular lesions in cardiac disease.
Correlated pathological valve findings and calcification with clinical auscultatory signs, including murmur variation and heart failure outcomes.
Associated valve lesions are frequently overlooked clinically when primary mitral valve disease is identified.
Multivalvular involvement occurs frequently in rheumatic heart disease fatalities, particularly in cases with fatal congestive heart failure.
Auscultatory murmurs frequently mask multivalvular pathology due to auditory fusion or changes driven by fluctuating cardiac function.

Study Design

Type

Observational

Structured PICO

Does planigraphy improve the demonstration of calcification of heart valves in patients with cardiac valve disease?

Population

Patients with cardiac valve disease of acquired origin, particularly rheumatic heart disease

Exposure

Planigraphy

Outcome

Demonstration of calcification of heart valvessurrogate

Planigraphy may aid in the precise diagnosis of valve calcification and multivalvular lesions in patients with rheumatic heart disease, where clinical murmurs can be misleading.

Cite This Study

Louis A. Soloff (1955) conducted an observational in Cardiac valve disease. Planigraphy was evaluated. Anatomic studies highlight the frequency of overlooked multivalvular lesions in rheumatic heart disease, emphasizing the limitations of relying solely on murmurs for precise diagnosis.

synapsesocial.com/papers/6a9bb7220b0288a0688fec85 https://doi.org/10.1001/archinte.1955.00250080041005

Topics

Valvular heart disease

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Use of Planigraphy in Demonstration of Calcification of Heart Valves and Its Significance

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Cite This Study

Topics

Use of Planigraphy in Demonstration of Calcification of Heart Valves and Its Significance

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Cite This Study

Also Consider

Topics

Also Consider