Screening for rheumatic heart disease: quality and agreement of focused cardiac ultrasound by briefly trained health workers

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Screening for rheumatic heart disease: quality and agreement of focused cardiac ultrasound by briefly trained health workers

BACKGROUND Echocardiographic screening for rheumatic heart disease (RHD) has the potential to detect subclinical cases for secondary prevention, but is constrained by inadequate human resources in most settings. Training non-expert health workers to perform focused cardiac ultrasound (FoCUS) may enable screening at a population-level. We aimed to evaluate the quality and agreement of FoCUS for ...

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Screening for rheumatic heart disease: evaluation of a focused cardiac ultrasound approach.

BACKGROUND Rheumatic heart disease (RHD) remains a major public health problem worldwide. Although early diagnosis by echocardiography may potentially play a key role in developing active surveillance, systematic evaluation of simple approaches in resource poor settings are needed. METHODS AND RESULTS We prospectively compared focused cardiac ultrasound (FCU) to a reference approach for RHD s...

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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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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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ژورنال

عنوان ژورنال: BMC Cardiovascular Disorders

سال: 2016

ISSN: 1471-2261

DOI: 10.1186/s12872-016-0205-7