Rheumatic Heart Disease in Kerala: A Vanishing Entity? An Echo Doppler Study in 5-15-Years-Old School Children.

IF 2.3 Q2 RHEUMATOLOGY
International Journal of Rheumatology Pub Date : 2015-01-01 Epub Date: 2015-09-14 DOI:10.1155/2015/930790
Bigesh Nair, Sunitha Viswanathan, A George Koshy, Prabha Nini Gupta, Namita Nair, Ashok Thakkar
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引用次数: 16

Abstract

Background. Early detection of subclinical rheumatic heart disease by use of echocardiography warrants timely implementation of secondary antibiotic prophylaxis and thereby prevents or retards its related complications. Objectives. The objective of this epidemiological study was to determine prevalence of RHD by echocardiography using World Heart Federation criteria in randomly selected school children of Trivandrum. Methods. This was a population-based cross-sectional screening study carried out in Trivandrum. A total of 2060 school children, 5-15 years, were randomly selected from five government and two private (aided) schools. All enrolled children were screened for RHD according to standard clinical and WHF criteria of echocardiography. Results. Echocardiographic examinations confirmed RHD in 5 children out of 146 clinically suspected cases. Thus, clinical prevalence was found to be 2.4 per 1000. According to WHF criteria of echocardiography, 12 children (12/2060) were diagnosed with RHD corresponding to echocardiographic prevalence of 5.83 cases per 1000. As per criteria, 6 children were diagnosed with definite RHD and 6 with borderline RHD. Conclusions. The results of the current study demonstrate that echocardiography is more sensitive and feasible in detecting clinically silent RHD. Our study, the largest school survey of south India till date, points towards declining prevalence of RHD (5.83/1000 cases) using WHF criteria in Kerala.

喀拉拉邦的风湿性心脏病:一个正在消失的实体?5-15岁学龄儿童的回声多普勒研究
背景。通过超声心动图早期发现亚临床风湿性心脏病,保证及时实施二级抗生素预防,从而预防或延缓其相关并发症。目标。本流行病学研究的目的是根据世界心脏联合会的标准,在随机选择的特里凡得琅学龄儿童中通过超声心动图确定RHD的患病率。方法。这是一项在特里凡得琅进行的基于人群的横断面筛查研究。从五所政府学校和两所私立(资助)学校随机抽取了2060名5-15岁的学生。所有入组儿童均根据超声心动图的标准临床和WHF标准进行RHD筛查。结果。在146例临床疑似病例中,超声心动图检查证实5例RHD。因此,临床患病率为2.4 / 1000。根据超声心动图WHF标准,12例儿童(12/2060)诊断为RHD,对应超声心动图患病率为5.83 / 1000。根据诊断标准,6例患儿被诊断为明确RHD, 6例患儿被诊断为边缘性RHD。结论。本研究结果表明超声心动图检测临床无症状RHD更为灵敏和可行。我们的研究是迄今为止印度南部最大的学校调查,指出喀拉拉邦使用WHF标准的RHD患病率下降(5.83/1000例)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.40
自引率
0.00%
发文量
9
审稿时长
24 weeks
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