Subclinical rheumatic heart disease: A single center experience
INTRODUCTION[|]Rheumatic heart disease (RHD) is still a major cause of morbidity and mortality in developing countries. The aim of the present study was to investigate asymptomatic RHD cases diagnosed by echocardiography without any acute rheumatic fever (ARF) history and to present the follow-up re...
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| Format: | Article |
| Language: | English |
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KARE Publishing
2018-12-01
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| Series: | İstanbul Kuzey Klinikleri |
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| Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=nci&un=NCI-73384 |
| _version_ | 1797920674006695936 |
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| author | Seyma Kayali Nuran Belder |
| author_facet | Seyma Kayali Nuran Belder |
| author_sort | Seyma Kayali |
| collection | DOAJ |
| description | INTRODUCTION[|]Rheumatic heart disease (RHD) is still a major cause of morbidity and mortality in developing countries. The aim of the present study was to investigate asymptomatic RHD cases diagnosed by echocardiography without any acute rheumatic fever (ARF) history and to present the follow-up results.[¤]METHODS[|]Children who had been admitted to the pediatric cardiology department between 2011 and 2017 for various reasons (e.g., sport participation and palpitation) and diagnosed with RHD by echocardiography without a history of ARF were included the study. Echocardiographic findings of the patients were evaluated retrospectively.[¤]RESULTS[|]A total of 75 (55 girls and 20 boys) patients were included in the study. The median age of the cases was 13.6 (minimum 5 and maximum 18) years. The median follow-up period was 19.2 months, whereas the longest follow-up period was 66 months. At the time of admission, pathological valvular insufficiency was present only in the mitral valve in 69 (89.3%) cases, only in the aortic valve in 2 (2.7%) cases, and in both aortic and mitral valve in 6 (8%) cases. Of the cases, 40 (60%) were diagnosed as borderline RHD at the time of admission, and 30 (40%) as definite RHD according to the World Heart Federation criteria. Of these cases, 88% remained the same as borderline RHD, and the findings of two patients improved from definite to borderline RHD. RHD of four patients deteriorated from borderline to definite RHD, and in two patients, valvular insufficiency completely resolved during the follow-up period. None of the cases needed valvular replacement.[¤]DISCUSSION AND CONCLUSION[|]RHD is still a serious health problem in Turkey. The sensitivity of echocardiography in detecting subclinical mild or asymptomatic cases is well known. For this reason, although it is not yet applied as a routine study, it is important to start the nationwide echocardiographic screening program.[¤] |
| first_indexed | 2024-04-10T14:04:46Z |
| format | Article |
| id | doaj.art-d9f53f7df1c74820aab08f4da23b86af |
| institution | Directory Open Access Journal |
| issn | 2148-4902 |
| language | English |
| last_indexed | 2024-04-10T14:04:46Z |
| publishDate | 2018-12-01 |
| publisher | KARE Publishing |
| record_format | Article |
| series | İstanbul Kuzey Klinikleri |
| spelling | doaj.art-d9f53f7df1c74820aab08f4da23b86af2023-02-15T16:10:05ZengKARE Publishingİstanbul Kuzey Klinikleri2148-49022018-12-015432933310.14744/nci.2017.73384NCI-73384Subclinical rheumatic heart disease: A single center experienceSeyma Kayali0Nuran Belder1Department of Pediatric Cardiology, Kecioren Training and Research Hospital, Ankara, TurkeyDepartment of Pediatrics, Kecioren Training and Research Hospital, Ankara, TurkeyINTRODUCTION[|]Rheumatic heart disease (RHD) is still a major cause of morbidity and mortality in developing countries. The aim of the present study was to investigate asymptomatic RHD cases diagnosed by echocardiography without any acute rheumatic fever (ARF) history and to present the follow-up results.[¤]METHODS[|]Children who had been admitted to the pediatric cardiology department between 2011 and 2017 for various reasons (e.g., sport participation and palpitation) and diagnosed with RHD by echocardiography without a history of ARF were included the study. Echocardiographic findings of the patients were evaluated retrospectively.[¤]RESULTS[|]A total of 75 (55 girls and 20 boys) patients were included in the study. The median age of the cases was 13.6 (minimum 5 and maximum 18) years. The median follow-up period was 19.2 months, whereas the longest follow-up period was 66 months. At the time of admission, pathological valvular insufficiency was present only in the mitral valve in 69 (89.3%) cases, only in the aortic valve in 2 (2.7%) cases, and in both aortic and mitral valve in 6 (8%) cases. Of the cases, 40 (60%) were diagnosed as borderline RHD at the time of admission, and 30 (40%) as definite RHD according to the World Heart Federation criteria. Of these cases, 88% remained the same as borderline RHD, and the findings of two patients improved from definite to borderline RHD. RHD of four patients deteriorated from borderline to definite RHD, and in two patients, valvular insufficiency completely resolved during the follow-up period. None of the cases needed valvular replacement.[¤]DISCUSSION AND CONCLUSION[|]RHD is still a serious health problem in Turkey. The sensitivity of echocardiography in detecting subclinical mild or asymptomatic cases is well known. For this reason, although it is not yet applied as a routine study, it is important to start the nationwide echocardiographic screening program.[¤]https://jag.journalagent.com/z4/download_fulltext.asp?pdir=nci&un=NCI-73384asymptomaticchildren; echocardiography; rheumatic heart disease. |
| spellingShingle | Seyma Kayali Nuran Belder Subclinical rheumatic heart disease: A single center experience İstanbul Kuzey Klinikleri asymptomatic children; echocardiography; rheumatic heart disease. |
| title | Subclinical rheumatic heart disease: A single center experience |
| title_full | Subclinical rheumatic heart disease: A single center experience |
| title_fullStr | Subclinical rheumatic heart disease: A single center experience |
| title_full_unstemmed | Subclinical rheumatic heart disease: A single center experience |
| title_short | Subclinical rheumatic heart disease: A single center experience |
| title_sort | subclinical rheumatic heart disease a single center experience |
| topic | asymptomatic children; echocardiography; rheumatic heart disease. |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=nci&un=NCI-73384 |
| work_keys_str_mv | AT seymakayali subclinicalrheumaticheartdiseaseasinglecenterexperience AT nuranbelder subclinicalrheumaticheartdiseaseasinglecenterexperience |