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Two of the 310 children were diagnosed as having rheumatic heart disease based on auscultatory findings and echocardiography .
If such patients have clinical auscultatory findings of MVP, echocardiography usually confirms the diagnosis.
Moreover, patients identified by simple tests as likely to have heart failure need echocardiography to confirm the diagnosis and establish its probable cause.
Other screening methods could be simplified echocardiography , computerised heart auscultation, or new biochemical markers.
This phenomenon has been reported for exercise ECG, exercise echocardiography , and nuclear imaging.
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