Column A | Column B | Column C | |
Category of rheumatic heart disease | Presence or history of proven acute rheumatic fever AND/OR Finding on clinical cardiac auscultation (ie, presence of pathological murmur of MR, MS, AR, and/or AS) AND/OR Echocardiographic structural and functional changes of MS without murmur (ie, silent MS) | Echocardiographic valvular structural abnormality (ie, typical rheumatic valve morphology according to the World Heart Federation criteria for echocardiographic diagnosis of rheumatic heart disease) | Echocardiographic functional abnormality (ie, presence of significant valve regurgitation according to the World Heart Federation criteria for echocardiographic diagnosis of rheumatic heart disease) |
Definite (presence of at least two of the abnormalities described in columns A, B, and C) | + | + | + |
Borderline (presence of abnormalities described in either column B or C) | – | + | + |
Normal (none of the abnormalities described in columns A, B, and C) | – | – | – |
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