UNFAVORABLE OUTCOMES OF RHEUMATIC-FEVER - RISK-FACTORS

A prospective study was made of environmental meters effects on unfavo rable cardial and cerebral outcomes of rheumatic; fever (RF) assessed functionally, biochemically and psychologically. Some of RF predisposi ng meters (female sex, frequent nasopharyngeal infections, poor housin g and occupational conditions) negatively affect outcomes of primary R F and, contribute to emergence of valvular disease. The initial attack of activity I or III degree, pronounced carditis, active rheumatic pr ocess at discharge, recurrences, absence of year-round prophylaxis all ow prognostication of valvular heart disease. The majority of the fact ors promoting valvular and circulatory disorders also contribute to th e onset of psychic abnormalities, astheno-organic syndrome, in particu lar.