scholarly journals Pattern and Prevalence of Rheumatic Heart Disease by Echocardiographic Evaluation

2003 ◽  
Vol 2 (2) ◽  
pp. 13-19
Author(s):  
R.K. Shah ◽  
A.B. Upadhayaya ◽  
L.P. Tibrewala ◽  
P.R. Regmi ◽  
K.P. Acharya ◽  
...  
Keyword(s):  
Heart Disease ◽  
Natural History ◽  
Rheumatic Heart Disease ◽  
Cardiac Disease ◽  
Large Study ◽  
Echocardiographic Evaluation ◽  
The World ◽  
Rheumatic Heart

The pattern of cardiac disease differs from one region of the world to that of another. Rheumatic heart disease Is still widely prevalent in Nepal. The patterns and natural history is considerably different from what is seen in developed countries3, Few studies had been done in Nepal to address pattern of heart diseases4. Need of a large study to fill the gap and to show the profile of heart disease is there. This paper aims at providing the profile of heart disease as seen in Bir Hospital.

scholarly journals Pattern And Prevalence Of Rheumatic Heart Disease By Echocardiographic Evaluation

2004 ◽  
Vol 3 (3) ◽  
pp. 45-46
Author(s):  
RK Shah ◽  
AB Upadhayaya ◽  
LP Tibrewala ◽  
PR Regmi ◽  
KP Acharya ◽  
...  
Keyword(s):  
Heart Disease ◽  
Natural History ◽  
Rheumatic Heart Disease ◽  
Cardiac Disease ◽  
Large Study ◽  
Heart Diseases ◽  
Developed Countries ◽  
Echocardiographic Evaluation ◽  
The World ◽  
Rheumatic Heart

The pattern of cardiac disease differs from one region of the world to that of another. Rheumatic heart disease is still widely prevalent in Nepal. The patterns and natural history is considerably different from what is seen in developed countries. Few studies had been done in Nepal to address pattern of heart diseases. Need of a large study to fill the gap and to show the profile of heart disease is there. This paper aims at providing the profile of heart disease as seen in Bir Hospital.

The World Heart Federation criteria raise the threshold of diagnosis for mild rheumatic heart disease: Three reviewers are better than one

2019 ◽  
Vol 291 ◽  
pp. 112-118 ◽  
Author(s):  
Nicola Culliford-Semmens ◽  
Ross Nicholson ◽  
Elizabeth Tilton ◽  
John Stirling ◽  
Karishma Sidhu ◽  
...  
Keyword(s):  
Heart Disease ◽  
Rheumatic Heart Disease ◽  
The World ◽  
Rheumatic Heart ◽  
Better Than

scholarly journals Maternal outcomes of rheumatic heart disease in pregnancy

2017 ◽  
Vol 6 (3) ◽  
pp. 802
Author(s):  
Hema Priya L. ◽  
Ambarish Bhandiwad ◽  
Nagaraj Desai ◽  
Triveni Kondareddy
Keyword(s):  
Heart Disease ◽  
Birth Weight ◽  
Functional Status ◽  
Rheumatic Heart Disease ◽  
Cardiac Disease ◽  
Heart Diseases ◽  
Tertiary Care ◽  
Heart Disease In Pregnancy ◽  
Rheumatic Heart ◽  
In Pregnancy

Background: Preexisting cardiac disease is seen in 1-3% of pregnancies. In developing countries, sequelae of rheumatic fever often constitute the majority of women with heart disease; whereas in developed countries, it is the congenital heart diseases. The aim of this study was to examine the changing trends and mode of care of women with Rheumatic heart disease in pregnancy over a period of five years in a tertiary care centre.Methods: Patient records over five years were retrieved and maternal and perinatal outcomes were documented. The present study reports the outcomes of 72 women with rheumatic heart disease.Results: The prevalence of heart disease in pregnancy in our study was 1.72%. The prevalence was higher among the rural population, and in lower socio economic strata. 30% of patients were diagnosed during pregnancy. The risk of complications co - related with their functional status at the onset of pregnancy. The mode of termination of pregnancy and indications for LSCS did not vary. However, the risk of complications was greatest during labour and post-partum period. The mean birth weight was 2.7 kg, however, 30% of term neonates were of low birth weight (<2.5 kg).Conclusions: Rheumatic heart disease continues to be a major cause of cardiac disease complicating pregnancy. However, early diagnosis, appropriate management prior to pregnancy, and good functional status at the time of entering pregnancy allowed for a good maternal and neonatal outcome.

scholarly journals Fetomaternal Outcome in Pregnancy With Cardiac Disease

2012 ◽  
Vol 23 (1) ◽  
pp. 31-35
Author(s):  
Shahanaj Sharmin ◽  
Shahanara Chowdhury ◽  
Didarul Alam ◽  
Mohiuddin Ahmed ◽  
Fahamida Rashid ◽  
...  
Keyword(s):  
Heart Disease ◽  
Birth Weight ◽  
Pregnant Women ◽  
Rheumatic Heart Disease ◽  
Cardiac Disease ◽  
Cross Sectional Study ◽  
Normal Vaginal Delivery ◽  
College Hospital ◽  
Cross Sectional ◽  
Rheumatic Heart

Aim of our study was to see the maternal and fetal outcomes in women presenting with heart disease during pregnancy and labout. This cross sectional study was carried out in 48 pregnant women with cardiac disease from July 2005 to Dec 2006, in the department of Gynae and Obst at Chittagong Medical College Hospital Chittagong. The Mewan age was 25.40 ±4.46 years. 31(64.6%) patients were from middle class. 27 (56.3%) patients belonged to mulliparous group. 33(68.8%) patients received regular antenatal care, of the 43 (89.7%) patients had rheumatic heart disease and 5(10.5%) had congenital heart disease. Among the rheumatic heart disease, 50% had mitral stenosis. 35(72.9%) patients had in grade-1, 12(25%) had in grade-II, and 1(2.1%) had in grade-III. (64.5%) had normal vaginal delivery, 7(14.5%) had LSCS. 4(8.3%) had heard failure and 1 patient (2.1%) expired due to heart failure, 40(83.3%) were delivered at term, 7(14.6%) had preterm labour and 1(2.1%) had still birth. Regarding birth weight, 17(35.4%) had LBW (Low birth weight), 31(64.6%) had normal birth weight. Rheumatic heart disease is the commonest cardiac lesion among Pregnant women. Fetomaternal morbidity and mortality are strongly correlated with maternal cardiac functional classification. The management of these cases should be multidisciplinary to optimize care of these patients. JCMCTA 2012; 23(1): 31-35

scholarly journals Examining the Ugandan health system’s readiness to deliver rheumatic heart disease-related services

2021 ◽  
Vol 15 (2) ◽  
pp. e0009164
Author(s):  
Emma Ndagire ◽  
Yoshito Kawakatsu ◽  
Hadija Nalubwama ◽  
Jenifer Atala ◽  
Rachel Sarnacki ◽  
...  
Keyword(s):  
Heart Disease ◽  
Rheumatic Heart Disease ◽  
Diagnostic Tests ◽  
Health Workers ◽  
District Level ◽  
Essential Medicines ◽  
World Health ◽  
World Health Assembly ◽  
The World ◽  
Rheumatic Heart

Background In 2018, the World Health Assembly mandated Member States to take action on rheumatic heart disease (RHD), which persists in countries with weak health systems. We conducted an assessment of the current state of RHD-related healthcare in Uganda. Methodology/Principal findings This was a mixed-methods, deductive simultaneous design study conducted in four districts of Uganda. Using census sampling, we surveyed health facilities in each district using an RHD survey instrument that was modeled after the WHO SARA tool. We interviewed health workers with experience managing RHD, purposively sampling to ensure a range of qualification and geographic variation. Our final sample included 402 facilities and 36 health workers. We found major gaps in knowledge of clinical guidelines and availability of diagnostic tests. Antibiotics used in RHD prevention were widely available, but cardiovascular medications were scarce. Higher levels of service readiness were found among facilities in the western region (Mbarara district) and private facilities. Level III health centers were the most prepared for delivering secondary prevention. Health worker interviews revealed that limited awareness of RHD at the district level, lack of diagnostic tests and case management registries, and absence of clearly articulated RHD policies and budget prioritization were the main barriers to providing RHD-related healthcare. Conclusions/Significance Uganda’s readiness to implement the World Health Assembly RHD Resolution is low. The forthcoming national RHD strategy must focus on decentralizing RHD diagnosis and prevention to the district level, emphasizing specialized training of the primary healthcare workforce and strengthening supply chains of diagnostics and essential medicines.

A rapid echocardiographic screening protocol for rheumatic heart disease in Samoa: a high prevalence of advanced disease

2017 ◽  
Vol 27 (8) ◽  
pp. 1599-1605 ◽  
Author(s):  
Marvin Allen ◽  
John Allen ◽  
Take Naseri ◽  
Rebecca Gardner ◽  
Dennis Tolley ◽  
...  
Keyword(s):  
Heart Disease ◽  
Rheumatic Heart Disease ◽  
Advanced Disease ◽  
Valve Disease ◽  
Severe Aortic Regurgitation ◽  
Time Period ◽  
High Prevalence ◽  
The World ◽  
Screening Protocol ◽  
Rheumatic Heart

AbstractBackgroundEchocardiography has been proposed as a method to screen children for rheumatic heart disease. The World Heart Federation has established guidelines for echocardiographic screening. In this study, we describe a rapid echocardiogram screening protocol according to the World Heart Federation guidelines in Samoa, endemic for rheumatic heart disease.MethodsWe performed echocardiogram screening in schoolchildren in Samoa between 2013 and 2015. A brief screening echocardiogram was performed on all students. Children with predefined criteria suspicious for rheumatic hear diseases were referred for a more comprehensive echocardiogram. Complete echocardiograms were classified according to the World Heart Federation guidelines and severity of valve disease.ResultsEchocardiographic screening was performed on 11,434 children, with a mean age of 10.2 years; 51% of them were females. A total of 558 (4.8%) children underwent comprehensive echocardiography, including 49 students who were randomly selected as controls. Definite rheumatic heart disease was observed in 115 students (10.0 per 1000): 92 students were classified as borderline (8.0 per 1000) and 23 with CHD. Advanced disease was identified in 50 students (4.4 per 1000): 15 with severe mitral regurgitation, five with severe aortic regurgitation, 11 with mitral stenoses, and 19 with mitral and aortic valve disease.ConclusionsWe successfully applied a rapid echocardiographic screening protocol to a large number of students over a short time period – 28 days of screening over a 3-year time period – to identify a high prevalence of rheumatic heart disease. We also reported a significantly higher rate of advanced disease compared with previously published echocardiographic screening programmes.

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