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 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.

Comparison of the newer proposed diagnostic score with the World Heart Federation criteria for echocardiographic detection of rheumatic heart disease

2019 ◽  
Vol 36 (12) ◽  
pp. 2259-2264
Author(s):  
Maneesha Bhaya ◽  
Sadik Panwar ◽  
Arvind Sharma ◽  
Dinesh Chaudhary ◽  
Shatakashi Singh ◽  
...  
Keyword(s):  
Heart Disease ◽  
Rheumatic Heart Disease ◽  
Diagnostic Score ◽  
The World ◽  
Rheumatic Heart

PW362 Rheumatic Rescue:The use of Z scores to evaluate the World Heart Federation classification of echo screening of rheumatic heart disease

Global Heart ◽  
2014 ◽  
Vol 9 (1) ◽  
pp. e333-e334
Author(s):  
Marvin Allen ◽  
John W. Allen ◽  
Lori B. Allen ◽  
Andrew Jo ◽  
Kyle Dawson ◽  
...  
Keyword(s):  
Heart Disease ◽  
Rheumatic Heart Disease ◽  
The World ◽  
Z Scores ◽  
Rheumatic Heart

scholarly journals CURRENT STA TUS OF RHEUMA TIC FEVER AND RHEUMA TIC HEART DISEASE IN NEPAL

2003 ◽  
Vol 41 (144) ◽  
pp. 514-517 ◽  
Author(s):  
Yuba Raj Limbu ◽  
A Maskey
Keyword(s):  
Heart Disease ◽  
Rheumatic Fever ◽  
Rheumatic Heart Disease ◽  
Age Groups ◽  
Developed Countries ◽  
Preventable Disease ◽  
National Heart ◽  
The World ◽  
Rheumatic Heart

Rheumatic fever (RF) and rheumatic heart disease (RHD) are common inunderdeveloped, deprived and depressed areas of the world. The progression of RHDis rapid in deprived communuties. Prevalence of RF and RHD has sharply declinedin affluent and developed countries, especially after the introduction of antibiotcs.RHD is a preventable disease. RHD is a leading cause of cardiovascular deaths indeveloping countries. The prevalence of RF and RHD varies from place to place. Indeveloping countries, young productive age groups are suffering from this diseasewhile in developed countries it is becoming geriatric disease due to the betterment ofliving standards and prompt awareness upon this disease. Studies and documentationof the current ststus of RF and RHD in Nepal is the present concern.1. Shahid Gangalal National Heart Centre.Address for correspondence : Dr. Yuba Raj Limbu, CardiologyShahid Gangalal National Heart CentreP.O.Box: 11360, Kathmandu, NepalEmail: [email protected] Words: Rheumatic fever, Rheumatic Heart Disease.

scholarly journals Problems of chronic rheumatic heart disease diagnosis at the present stage

2021 ◽  
Vol 99 (4) ◽  
pp. 259-265
Author(s):  
G. V. Santalova ◽  
P. A. Lebedev ◽  
A. A. Garanin ◽  
M. E. Kuzin
Keyword(s):  
Heart Disease ◽  
Rheumatic Fever ◽  
Rheumatic Heart Disease ◽  
Acute Rheumatic Fever ◽  
Disease Diagnosis ◽  
Present Stage ◽  
Screening Programs ◽  
Ultrasound Diagnostics ◽  
The World ◽  
Rheumatic Heart

The review refl ects modern data on the epidemiology of acute rheumatic fever and chronic rheumatic heart disease in Russia and the world at present, as well as the dynamics of the prevalence of these diseases over the past decades. Much attention is paid to the issues of modern diagnostics of these conditions by physical, laboratory and instrumental methods. The focus is on the Jones criteria in the diagnosis of acute rheumatic fever in accordance with their revision by the American Heart Association experts in 2015. Taking into account the fact that damage to the valvular apparatus of the heart in acute rheumatic fever is the main disabling outcome of carditis at the present stage, a special place in the article is devoted to the discussion of echocardiographic criteria for valvulitis. The recommendations of the International Expert Council of the World Heart Federation aimed at detecting chronic rheumatic heart disease in patients without a history of acute rheumatic fever diagnosed by ultrasound imaging are also given. Criteria for pathological aortic and mitral regurgitation are presented. The authors believe that extrapolation of modern principles of ultrasound diagnostics of chronic rheumatic heart disease in Russia and their use as screening programs in young people and adolescents will contribute to its early detection and timely selection of patients for secondary prevention of benzathine with benzylpenicillin.

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.

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