Status of rheumatic heart disease in rural Pakistan.
نویسندگان
چکیده
OBJECTIVES To determine the community based prevalence of rheumatic heart disease (RHD) in the rural population of the district of Rahim Yaar Khan in Pakistan. SUBJECTS AND METHODS A representative sample of the rural population of Rahim Yaar Khan district was selected. RHD was screened for by physical examination and the diagnosis was confirmed with echocardiographic Doppler studies. Sociodemographic data on each screened person were collected. RESULTS 54 cases of RHD were found among the 9430 people screened (prevalence of 5.7 in 1000, 95% confidence interval 4.2 to 7.2). Females were significantly more likely to be affected. There was no significant relation with other factors studied (education, crowding, and socioeconomic status). Less than 20% of those found to have RHD were aware of their diagnosis before participation in this study and only three affected people (8%) were taking rheumatic prophylaxis. CONCLUSIONS There is a high prevalence of RHD among the rural population of Pakistan. The prevalence has not declined over the past three decades. Nearly all people with RHD, including most of those who know their diagnosis, do not receive the benefit of potentially life saving secondary prevention measures.
منابع مشابه
CARDIOVASCULAR MEDICINE Status of rheumatic heart disease in rural Pakistan
Objectives: To determine the community based prevalence of rheumatic heart disease (RHD) in the rural population of the district of Rahim Yaar Khan in Pakistan. Subjects and methods: A representative sample of the rural population of Rahim Yaar Khan district was selected. RHD was screened for by physical examination and the diagnosis was confirmed with echocardiographic Doppler studies. Sociode...
متن کاملRheumatic heart disease in rural Pakistan.
In the developing countries of the world, rheumatic fever and rheumatic heart disease remain significant medical and public health problems
متن کاملبررسی میزان شیوع بیماری روماتیسم قلبی در دانش‌آموزان چهار منطقه استان گیلان
ABSTRACT: Acute rheumatic fever and rheumatic heart disease are the common health problems of developing countries.Prevention and Control of Rheumatic heart disease is an important task of cardiovascular health program under World Health organisation. During 3 years 422,000 School children in four areas of Guilan province were screened (371400 urban and 50600 rural area children ). 166 cases ...
متن کاملPrevalence of Congenital Heart Disease in Rural Communities of Pakistan.
BACKGROUND Prevalence of Congenital Heart Disease (CHD) is well established in most of the developed countries, where childbirth is obligatory in hospitals and allied facilities. In rural Pakistan the situation is reverse, where most of deliveries take place in homes by traditional birth attendants' therefore true prevalence of CHD in our population is unknown. In rural Pakistan almost 80% chil...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Heart
دوره 90 4 شماره
صفحات -
تاریخ انتشار 2004