Handheld echocardiographic screening for rheumatic heart disease by non-experts

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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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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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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 echocardiography versus auscultation for detection of rheumatic heart disease.

BACKGROUND Rheumatic heart disease (RHD) remains a major public health concern in developing countries, and routine screening has the potential to improve outcomes. Standard portable echocardiography (STAND) is far more sensitive than auscultation for the detection of RHD but remains cost-prohibitive in resource-limited settings. Handheld echocardiography (HAND) is a lower-cost alternative. The...

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Prevalence and prognostic value of echocardiographic screening for rheumatic heart disease

Objective Rheumatic heart disease (RHD) remains a major health problem in many low-income and middle-income countries. The use of echocardiographic imaging suggests that subclinical disease is far more widespread than previously appreciated, but little is known as to how these mild forms of RHD progress. We have determined the prevalence of subclinical RHD in a large group of schoolchildren in ...

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ژورنال

عنوان ژورنال: Heart

سال: 2015

ISSN: 1355-6037,1468-201X

DOI: 10.1136/heartjnl-2015-308236