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subclinical rheumatic heart disease

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https://www.readbyqxmd.com/read/29142027/underestimation-of-risk-of-carotid-subclinical-atherosclerosis-by-cardiovascular-risk-scores-in-patients-with-psoriatic-arthritis
#1
Jiayun Shen, Steven H Lam, Qing Shang, Chun-Kwok Wong, Edmund K Li, Priscilla Wong, Emily W Kun, Isaac T Cheng, Martin Li, Tena K Li, Tracy Y Zhu, Jack Jock-Wai Lee, Mimi Chang, Alex Pui-Wai Lee, Lai-Shan Tam
OBJECTIVE: To test the performances of established cardiovascular (CV) risk scores in discriminating subclinical atherosclerosis (SCA) in patients with psoriatic arthritis. METHODS: These scores were calculated: Framingham risk score (FRS), QRISK2, Systematic COronary Risk Evaluation (SCORE), 10-year atherosclerotic cardiovascular disease risk algorithm (ASCVD) from the American College of Cardiology and the American Heart Association, and the European League Against Rheumatism (EULAR)-recommended modified versions (by 1...
November 15, 2017: Journal of Rheumatology
https://www.readbyqxmd.com/read/29079928/calcification-of-coronary-arteries-in-early-rheumatoid-arthritis-prior-to-anti-rheumatic-therapy
#2
Helen V Udachkina, Diana S Novikova, Tatiana V Popkova, Irina G Kirillova, Evgenia I Markelova, Elena L Luchikhina, Galina V Lukina, Valentin E Sinitsyn, Dmitry E Karateev, Eugeniy L Nasonov
Accelerated coronary atherosclerosis is common in patients with rheumatoid arthritis (RA). To examine coronary artery calcification (CAC) frequency and severity, its correlation with traditional risk factors (TRF) of cardiovascular diseases (CVD) and inflammatory markers in patients with early RA prior to anti-rheumatic therapy. RA adult patients (ACR/EULAR criteria, 2010, duration ≤ 12 months, without prior administration of disease-modifying anti-rheumatic drugs, glucocorticoids) underwent 32-row scanning for CAC scoring...
October 27, 2017: Rheumatology International
https://www.readbyqxmd.com/read/29067722/ventricular-dyssynchrony-as-a-marker-of-latent-carditis-in-children-with-acute-rheumatic-fever-a-tissue-doppler-imaging
#3
Ragab A Mahfouz, Waleed S Alawady, Abdelhakeem Salem
OBJECTIVE: We aimed to investigate the hypothesis that the presence of left ventricular (LV) dyssynchrony in children with acute rheumatic fever (ARF) children may be a predictor of latent rheumatic carditis. METHODS: Eighty-nine children with ARF and 45 healthy control children were included the study. LV dyssynchrony was investigated by color-coded tissue Doppler imaging. RESULTS: LV dyssynchrony parameters including Ts-SD-12, Ts-12, Ts-SD-6, and Ts-6 were found to be prolonged in children with ARF than in controls (P < ...
October 25, 2017: Echocardiography
https://www.readbyqxmd.com/read/29049200/subclinical-atherosclerosis-and-history-of-cardiovascular-events-in-italian-patients-with-rheumatoid-arthritis-results-from-a-cross-sectional-multicenter-girrcs-gruppo-italiano-di-ricerca-in-reumatologia-clinica-e-sperimentale-study
#4
MULTICENTER STUDY
Piero Ruscitti, Domenico Paolo Emanuele Margiotta, Federica Macaluso, Daniela Iacono, Francesca D'Onofrio, Giacomo Emmi, Fabiola Atzeni, Marcella Prete, Federico Perosa, Piercarlo Sarzi-Puttini, Lorenzo Emmi, Francesco Paolo Cantatore, Giovanni Triolo, Antonella Afeltra, Roberto Giacomelli, Gabriele Valentini
Several studies have pointed out a significant association between rheumatoid arthritis (RA) and accelerated atherosclerosis. At the best of our knowledge, no such study has been carried out in a large Italian series and, in this study, we aimed to investigate the prevalence of both subclinical atherosclerosis and history of cardiovascular events (CVEs), in patients consecutively admitted from January 1, 2015 to December 31, 2015 to Rheumatology Units throughout the whole Italy.Centers members of GIRRCS (Gruppo Italiano di Ricerca in Reumatologia Clinica e Sperimentale) were invited to enrol patients consecutively admitted from January 1, 2015 to December 31, 2015 and satisfying American College of Rheumatology/ European League Against Rheumatism criteria for RA and to investigate each of them for: traditional cardiovascular risk factors: sex, age, smoking habit, total cholesterol, triglycerides, glycaemia, high blood pressure, metabolic syndrome (MS), type 2 diabetes (T2D); RA features: disease duration as assessed from the first symptom, disease activity as evaluated by DAS28, radiographic damage as assessed by hands and feet x-ray, and previous joint surgery; prevalence of both subclinical atherosclerosis and history of CVEs...
October 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28966041/echocardiographic-prevalence-of-rheumatic-heart-disease-in-indian-school-children-using-world-heart-federation-criteria-a-multi-site-extension-of-rheumatic-study-the-e-rheumatic-study
#5
Anita Saxena, Ankush Desai, Kedareshwar Narvencar, Sivasubramanian Ramakrishnan, Rajendra Singh Thangjam, Snehal Kulkarni, Ana Karina Jacques' E Costa, Kalaivani Mani, Amit Dias, Ritesh Sukharamwala
OBJECTIVES: Rheumatic heart disease (RHD) continues to be major public health burden in developing world. Echocardiographic screening in school children has shown that subclinical RHD cases are several times more than clinical cases. Recent reports have used World Heart Federation (WHF) criteria. Objective of present study was to determine RHD prevalence using WHF criteria in Indian children. METHODS: Children (5-15years) from randomly selected schools across four sites were included...
December 15, 2017: International Journal of Cardiology
https://www.readbyqxmd.com/read/28864463/screening-for-rheumatic-heart-disease-is-a-paradigm-shift-required
#6
REVIEW
L D Hunter, M Monaghan, G Lloyd, A J K Pecoraro, A F Doubell, P G Herbst
This focused review presents a critical appraisal of the World Heart Federation criteria for the echocardiographic diagnosis of rheumatic heart disease (RHD) and its performance in African RHD screening programs. It identifies various logistical and methodological problems that negatively impact on the current guideline's performance. The authors explore novel RHD screening methodology that could address some of these shortcomings and if proven to be of merit, would require a paradigm shift in the approach to the echocardiographic diagnosis of subclinical RHD...
September 1, 2017: Echo Research and Practice
https://www.readbyqxmd.com/read/28163427/rheumatic-heart-disease-screening-current-concepts-and-challenges
#7
REVIEW
Scott Dougherty, Maziar Khorsandi, Philip Herbst
Rheumatic heart disease (RHD) is a disease of poverty, is almost entirely preventable, and is the most common cardiovascular disease worldwide in those under 25 years. RHD is caused by acute rheumatic fever (ARF) which typically results in cumulative valvular lesions that may present clinically after a number of years of subclinical disease. Therapeutic interventions, therefore, typically focus on preventing subsequent ARF episodes (with penicillin prophylaxis). However, not all patients with ARF develop symptoms and not all symptomatic cases present to a physician or are correctly diagnosed...
January 2017: Annals of Pediatric Cardiology
https://www.readbyqxmd.com/read/27942046/measuring-and-reporting-disease-progression-in-subclinical-rheumatic-heart-disease
#8
EDITORIAL
Ganesan Karthikeyan
No abstract text is available yet for this article.
2016: Heart Asia
https://www.readbyqxmd.com/read/27886692/cardiovascular-disease-risk-in-patients-with-rheumatic-diseases
#9
REVIEW
Rachel H Mackey, Lewis H Kuller, Larry W Moreland
Evidence suggests the greater than 1.5 increased risk of cardiovascular disease (CVD) in rheumatoid arthritis (RA) is related to an accelerated burden of subclinical atherosclerosis that develops before the diagnosis of RA. Dyslipidemia in RA is better quantified by lipoproteins and apolipoproteins than cholesterol levels. Current risk factors likely underestimate CVD risk partly by underestimating prior risk factor levels. To reduce CVD risk in RA, control disease activity and aggressively treat CVD risk factors...
February 2017: Clinics in Geriatric Medicine
https://www.readbyqxmd.com/read/27801390/a-review-of-acute-rheumatic-fever-and-rheumatic-heart-disease-research-in-malaysia
#10
L C Hung, R Nadia
A total of 39 titles related to rheumatic fever or rheumatic heart disease in Malaysia were found with online literature search dating back to their inceptions and through 2014. Additional publications from conference journals were included. Nine papers were selected based on clinical relevance and future research implications. There were no population-based studies on the incidence or prevalence of ARF or RHD. In the 1980s, the incidence of admission due to ARF ranged from 2 to 21.1 per 100 000 paediatric admission per year...
June 2016: Medical Journal of Malaysia
https://www.readbyqxmd.com/read/27730711/adherence-to-secondary-antibiotic-prophylaxis-for-patients-with-rheumatic-heart-disease-diagnosed-through-screening-in-fiji
#11
Daniel Engelman, Reapi L Mataika, Joseph H Kado, Maureen Ah Kee, Susan Donath, Tom Parks, Andrew C Steer
OBJECTIVES: Echocardiographic screening for rheumatic heart disease (RHD) can detect subclinical cases; however, adequate adherence to secondary antibiotic prophylaxis (SAP) is required to alter disease outcomes. We aimed to investigate the adherence to SAP among young people with RHD diagnosed through echocardiographic screening in Fiji and to investigate factors associated with adherence. METHODS: Patients diagnosed with RHD through echocardiographic screening in Fiji from 2006 to 2014 were included...
December 2016: Tropical Medicine & International Health: TM & IH
https://www.readbyqxmd.com/read/27619043/prevalence-of-rheumatic-heart-disease-in-patients-with-recurrent-tonsillitis-and-elevated-anti-streptolysin-o-titers
#12
M S Sahin, M U Yalcin, D Kocyigit
INTRODUCTION: Patients with elevated anti-streptolysin O (ASO) titers (ASOT) and recurrent tonsillitis episodes are known to be at higher risk for rheumatic heart disease (RHD). However, there is no data regarding prevalence of RHD in this high risk population. In this study, we aimed to screen ambulatory patients with elevated ASOT and recurrent tonsillitis episodes using echocardiography for identification of RHD. We hypothesized that prevalence of RHD is higher in this patient group compared to general population...
October 2016: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/27437661/prevalence-of-subclinical-rheumatic-heart-disease-in-eastern-nepal-a-school-based-cross-sectional-study
#13
Nikesh R Shrestha, Prahlad Karki, Rajan Mahto, Keshar Gurung, Naveen Pandey, Krishna Agrawal, Martina Rothenbühler, Philip Urban, Peter Jüni, Thomas Pilgrim
IMPORTANCE: Although rheumatic heart disease has been nearly eradicated in high-income countries, 3 in 4 children grow up in parts of the world where it is still endemic. OBJECTIVES: To determine the prevalence of clinically silent and manifest rheumatic heart disease as a function of age, sex, and socioeconomic status and to estimate age-specific incidence. DESIGN, SETTING, AND PARTICIPANTS: In this school-based cross-sectional study with cluster sampling, 26 schools in the Sunsari district in Eastern Nepal with 5467 eligible children 5 to 15 years of age were randomly selected from 595 registered schools...
April 1, 2016: JAMA Cardiology
https://www.readbyqxmd.com/read/27198843/focused-cardiac-ultrasound-screening-for-rheumatic-heart-disease-by-briefly-trained-health-workers-a-study-of-diagnostic-accuracy
#14
Daniel Engelman, Joseph H Kado, Bo Reményi, Samantha M Colquhoun, Jonathan R Carapetis, Susan Donath, Nigel J Wilson, Andrew C Steer
BACKGROUND: Echocardiographic screening for rheumatic heart disease (RHD) can identify individuals with subclinical disease who could benefit from antibiotic prophylaxis. However, most settings have inadequate resources to implement conventional echocardiography and require a feasible, accurate screening method. We aimed to investigate the accuracy of screening by non-expert operators using focused cardiac ultrasound (FoCUS). METHODS: In this prospective study of diagnostic accuracy, we recruited schoolchildren aged 5 to 15 years in Fiji to undergo two blinded tests...
June 2016: Lancet Global Health
https://www.readbyqxmd.com/read/27103858/update-on-diagnosis-of-acute-rheumatic-fever-2015-jones-criteria
#15
REVIEW
Ayşe Güler Eroğlu
In the final Jones criteria, different diagnostic criteria were established for the diagnosis of acute rheumatic fever for low risk and moderate-high risk populations. Turkey was found to be compatible with moderate-high risk populations as a result of regional screenings performed in terms of acute rheumatic fever and rheumatic heart disease. The changes in the diagnostic criteria for low-risk populations include subclinical carditis found on echocardiogram as a major criterion in addition to carditis found clinically and a body temperature of 38...
March 2016: Türk Pediatri Arşivi
https://www.readbyqxmd.com/read/26835377/rheumatic-heart-disease-screening-by-point-of-care-echocardiography-an-acceptable-alternative-in-resource-limited-settings
#16
Anita Saxena
Rheumatic heart disease (RHD) is estimated to affect over 20 million people worldwide, the vast majority being in developing countries. Screening for RHD has been recommended by World Health Organization (WHO) since 2004. Conventionally, auscultation has been used for diagnosing RHD. Auscultation has its limitations and may not detect mild cases. With the evolution of portable echocardiographic systems, mass screening for subclinical RHD has become possible. Portable echo has the advantage of rapid access and hence screening in schools or communities is possible...
July 2015: Translational Pediatrics
https://www.readbyqxmd.com/read/26830341/screening-for-rheumatic-heart-disease-quality-and-agreement-of-focused-cardiac-ultrasound-by-briefly-trained-health-workers
#17
Daniel Engelman, Joseph H Kado, Bo Reményi, Samantha M Colquhoun, Jonathan R Carapetis, Nigel J Wilson, Susan Donath, Andrew C Steer
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 valvular regurgitation by briefly trained health workers. METHODS: Seven nurses participated in an eight week training program in Fiji...
February 1, 2016: BMC Cardiovascular Disorders
https://www.readbyqxmd.com/read/26821402/false-and-true-acute-rheumatic-fever-a-lebanese-experience
#18
Najwa Jawhar, Imad Chami, Zakhia Saliba, Ghassan Chehab
OBJECTIVES: The main aim of this study is to evaluate the significance of several clinical and laboratory findings presented by a large number of pediatric patients who were suspected to have acute rheumatic fever (ARF) by physicians who ordered echocardiogram for confirmation and for avoiding overuse of unnecessary antibiotics. These suspecting reasons include elevated ASO titers and recurrent tonsillitis. Another aim is to stress the role of Doppler echocardiogram in confirming the diagnosis of ARF by detecting rheumatic heart disease (RHD) in suspected cases...
October 2015: Le Journal Médical Libanais. the Lebanese Medical Journal
https://www.readbyqxmd.com/read/26451146/rheumatic-heart-disease-in-kerala-a-vanishing-entity-an-echo-doppler-study-in-5-15-years-old-school-children
#19
Bigesh Nair, Sunitha Viswanathan, A George Koshy, Prabha Nini Gupta, Namita Nair, Ashok Thakkar
Background. Early detection of subclinical rheumatic heart disease by use of echocardiography warrants timely implementation of secondary antibiotic prophylaxis and thereby prevents or retards its related complications. Objectives. The objective of this epidemiological study was to determine prevalence of RHD by echocardiography using World Heart Federation criteria in randomly selected school children of Trivandrum. Methods. This was a population-based cross-sectional screening study carried out in Trivandrum...
2015: International Journal of Rheumatology
https://www.readbyqxmd.com/read/26409719/predictors-of-ischemic-stroke-in-rheumatic-heart-disease
#20
Anirban Gupta, Rohit Bhatia, Gautam Sharma, Kameshwar Prasad, Mamta Bhushan Singh, Deepti Vibha
BACKGROUND: Studies on predictors of ischemic strokes caused by rheumatic heart disease (RHD) are sparse and extremely important for identifying high-risk cases to direct future therapeutic trials for prevention of ischemic stroke in this population. OBJECTIVE: The aim of the present study was to study the predictors of ischemic stroke in patients with RHD and to observe outcome of patients with ischemic stroke at 3 months' follow-up using modified Rankin scale...
December 2015: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
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