Echocardiographic Detection of Latent Rheumatic Heart Disease

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Echocardiographic screening for rheumatic heart disease.

doi:10.2471/BLT.07.046680 For a disease to be suitable for screening as a tool of preventive medicine, it must satisfy the following criteria: (1) the evidence of an obvious burden of the disease, (2) an initial latent stage of the condition, (3) which can be detected by appropriate tests, (4) and treated by adequate therapy, and finally (5) to prove that intervention at an early stage can impr...

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Comparing the incomparable: studies of echocardiographic rheumatic heart disease prevalence.

Authors’ reply We acknowledge the large heterogeneity in reported prevalence of rheumatic heart disease documented in our systematic review, and concur with Peter Murray and Caroline Shaw that the statistical combination of heterogeneous studies might have drawbacks. The exploration of potential sources of heterogeneity is therefore important and could provide more insight than the mechanistic ...

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Prevalence of rheumatic heart disease detected by echocardiographic screening.

BACKGROUND Epidemiologic studies of the prevalence of rheumatic heart disease have used clinical screening with echocardiographic confirmation of suspected cases. We hypothesized that echocardiographic screening of all surveyed children would show a significantly higher prevalence of rheumatic heart disease. METHODS Randomly selected schoolchildren from 6 through 17 years of age in Cambodia a...

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Handheld echocardiographic screening for rheumatic heart disease by non-experts.

OBJECTIVES Handheld echocardiography (HAND) has good sensitivity and specificity for rheumatic heart disease (RHD) when performed by cardiologists. However, physician shortages in RHD-endemic areas demand less-skilled users to make RHD screening practical. We examine nurse performance and interpretation of HAND using a simplified approach for RHD screening. METHODS Two nurses received trainin...

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Targeted Echocardiographic Screening for Latent Rheumatic Heart Disease in Northern Uganda: Evaluating Familial Risk Following Identification of an Index Case

BACKGROUND Echocardiographic screening for detection of latent RHD has shown potential as a strategy to decrease the burden of disease. However, further research is needed to determine optimal implementation strategies. RHD results from a complex interplay between environment and host susceptibility. Family members share both and relatives of children with latent RHD may represent a high-risk g...

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ژورنال

عنوان ژورنال: Circulation

سال: 2017

ISSN: 0009-7322,1524-4539

DOI: 10.1161/circulationaha.117.030642