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screening rheumatic heart disease

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https://www.readbyqxmd.com/read/28889812/a-focussed-single-view-hand-held-echocardiography-protocol-for-the-detection-of-rheumatic-heart-disease
#1
Adriana Diamantino, Andrea Beaton, Twalib Aliku, Kaciane Oliveira, Cassio Oliveira, Luciana Xavier, Lindsay Perlman, Emmy Okello, Bruno Nascimento, Antonio R P Ribeiro, Maria C P Nunes, Craig Sable
BACKGROUND: Echocardiographic screening represents an opportunity for reduction in the global burden of rheumatic heart disease. A focussed single-view screening protocol could allow for the rapid training of healthcare providers and screening of patients. OBJECTIVE: The aim of this study was to determine the sensitivity and specificity of a focussed single-view hand-held echocardiographic protocol for the diagnosis of rheumatic heart disease in children. METHODS: A total of nine readers were divided into three reading groups; each interpreted 200 hand-held echocardiography studies retrospectively as screen-positive, if mitral regurgitation ⩾1...
September 11, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/28864463/screening-for-rheumatic-heart-disease-is-a-paradigm-shift-required
#2
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/28857729/a-rapid-echocardiographic-screening-protocol-for-rheumatic-heart-disease-in-samoa-a-high-prevalence-of-advanced-disease
#3
Marvin Allen, John Allen, Take Naseri, Rebecca Gardner, Dennis Tolley, Lori Allen
BACKGROUND: Echocardiography 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. METHODS: We performed echocardiogram screening in schoolchildren in Samoa between 2013 and 2015. A brief screening echocardiogram was performed on all students...
October 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/28718586/-adverse-events-of-biologic-therapies
#4
Gregory Fleury, Cem Gabay
Biological therapies have revolutionized the management and the outcome of patients with inflammatory rheumatic diseases. The prescription and the number of patients under biotherapies have greatly increased. Unfortunately, these treatments are occasionally accompanied by side effects usually reversible upon treatment discontinuation. Some are preventable or can be reduced, including through the screening and prevention (tuberculosis screening, vaccination…). It is important to be aware of these different side effects to adapt the prescription of biologics according to the patient's profile (history of infection, malignancy, heart failure…)...
March 8, 2017: Revue Médicale Suisse
https://www.readbyqxmd.com/read/28716486/the-impact-of-a-peer-support-group-for-children-with-rheumatic-heart-disease-in-uganda
#5
Amy Scheel, Andrea Beaton, Emmy Okello, Chris T Longenecker, Isaac Omara Otim, Peter Lwabi, Craig Sable, Allison R Webel, Twalib Aliku
OBJECTIVE: To assess the impact of a peer-support group on knowledge, quality of life, and social support for children with rheumatic heart disease (RHD). METHODS: Children diagnosed with RHD and receiving 4-weekly injectable penicillin were invited to participate in a monthly support group for 6 months. Pre- and post-intervention assessments included a baseline RHD knowledge assessment, a measure of health related quality of life (HRQOL) (PedsQLTM4.0), and a measure of social support (Hawthorne Friendship Scale)...
July 11, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28683722/epidemiology-of-pharyngitis-as-reported-by-zambian-school-children-and-their-families-implications-for-demand-side-interventions-to-prevent-rheumatic-heart-disease
#6
John Musuku, Joyce C Lungu, Elizabeth Machila, Catherine Jones, Laurence Colin, Sherri Schwaninger, Patrick Musonda, Brigitta Tadmor, Jonathan M Spector, Mark E Engel, Liesl J Zühlke
BACKGROUND: Prompt and appropriate treatment of streptococcal pharyngitis decreases the risk of acute rheumatic fever and rheumatic heart disease (RHD). Understanding public perceptions and behaviors related to sore throat is fundamental to inform health programs aimed at eliminating new cases of RHD in endemic regions. We sought to describe the epidemiology of pediatric pharyngitis and its treatment, as reported by children and their parents or guardians in Lusaka, Zambia. METHODS: This was a cross-sectional investigation using interviews and written surveys, nested in a school-based RHD prevalence study...
July 6, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/28673022/secondary-prevention-for-screening-detected-rheumatic-heart-disease-opportunities-to-improve-adherence
#7
Daniel Engelman, Maureen Ah Kee, Reapi L Mataika, Joseph H Kado, Samantha M Colquhoun, Jim Tulloch, Andrew C Steer
Background: Secondary prevention is an effective treatment for rheumatic heart disease (RHD), but ensuring high adherence to prophylaxis over many years is challenging and requires understanding of local factors. Methods: Participants were young people diagnosed with RHD through echocardiographic screening in Fiji. We used a structured interview to evaluate the following: health seeking behaviours; attitudes, practice, barriers and potential improvement strategies for adherence to antibiotic prophylaxis; and adolescent-friendly qualities of the health service...
April 1, 2017: Transactions of the Royal Society of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/28617789/adequate-adherence-to-benzathine-penicillin-secondary-prophylaxis-following-the-diagnosis-of-rheumatic-heart-disease-by-echocardiographic-screening
#8
COMPARATIVE STUDY
Nicola Culliford-Semmens, Elizabeth Tilton, Rachel Webb, Diana Lennon, Belinda Paku, John Malcolm, Sandi French, Nikki Blair, Nigel Wilson
AIMS: The primary aim of this study was to determine adherence to benzathine penicillin (BPG) for individuals diagnosed with rheumatic heart disease (RHD) by echocardiographic screening between 2007-2012. METHODS: BPG records were obtained for 57 patients, median age 12 at time of diagnosis. A 'days at risk' analysis was undertaken. Annual adherence was calculated for each individual. A comparison with the Wellington region's Rheumatic Fever 2013 adherence data was undertaken...
June 16, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28538764/challenges-for-the-implementation-of-the-first-large-scale-rheumatic-heart-disease-screening-program-in-brazil-the-provar-study-experience
#9
Julia Pereira Afonso Dos Santos, Gabriel Assis Lopes do Carmo, Andrea Zawacki Beaton, Tainá Vitti Lourenço, Adriana Costa Diamantino, Maria do Carmo Pereira Nunes, Craig Sable, Bruno Ramos Nascimento
No abstract text is available yet for this article.
April 2017: Arquivos Brasileiros de Cardiologia
https://www.readbyqxmd.com/read/28405228/normal-echocardiographic-mitral-and-aortic-valve-thickness-in-children
#10
Rachel H Webb, Nicola Culliford-Semmens, Karishma Sidhu, Nigel J Wilson
OBJECTIVE: We aimed to define the normal range of aortic and mitral valve thickness in healthy schoolchildren from a high prevalence rheumatic heart disease (RHD) region, using a standardised protocol for imaging and measurement. METHODS: Measurements were performed in 288 children without RHD. Anterior mitral valve leaflet (AMVL) thickness measurements were performed at the midpoint and tip of the leaflet in the parasternal long axis (PSLA) in diastole, when the AMVL was approximately parallel to the ventricular septum...
2017: Heart Asia
https://www.readbyqxmd.com/read/28400121/clinical-outcomes-for-young-people-with-screening-detected-and-clinically-diagnosed-rheumatic-heart-disease-in-fiji
#11
Daniel Engelman, Reapi L Mataika, Maureen Ah Kee, Susan Donath, Tom Parks, Samantha M Colquhoun, Jonathan R Carapetis, Joseph H Kado, Andrew C Steer
BACKGROUND: Echocardiographic screening is under consideration as a disease control strategy for rheumatic heart disease (RHD). However, clinical outcomes of young people with screening-detected RHD are unknown. We aimed to describe the outcomes for a cohort with screening-detected RHD, in comparison to patients with clinically-diagnosed RHD. METHODS: A retrospective cohort study included all young people with screening-detected RHD in the Central Division of Fiji in the primary cohort...
April 6, 2017: International Journal of Cardiology
https://www.readbyqxmd.com/read/28255081/clinical-impact-and-costs-of-echocardiographic-screening-for-rheumatic-heart-disease
#12
EDITORIAL
James N Kirkpatrick, Catherine M Otto
No abstract text is available yet for this article.
March 2, 2017: Journal of the American Heart Association
https://www.readbyqxmd.com/read/28255077/echocardiographic-screening-for-rheumatic-heart-disease-in-indigenous-australian-children-a-cost-utility-analysis
#13
Kathryn Roberts, Jeffrey Cannon, David Atkinson, Alex Brown, Graeme Maguire, Bo Remenyi, Gavin Wheaton, Elizabeth Geelhoed, Jonathan R Carapetis
BACKGROUND: Rheumatic heart disease (RHD) remains a leading cause of cardiovascular morbidity and mortality in children and young adults in disadvantaged populations. The emergence of echocardiographic screening provides the opportunity for early disease detection and intervention. Using our own multistate model of RHD progression derived from Australian RHD register data, we performed a cost-utility analysis of echocardiographic screening in indigenous Australian children, with the dual aims of informing policy decisions in Australia and providing a model that could be adapted in other countries...
March 2, 2017: Journal of the American Heart Association
https://www.readbyqxmd.com/read/28242246/the-value-of-the-score-for-the-targeting-of-atrial-fibrillation-staf-screening-in-acute-stroke-patients
#14
Xiao-Yan Liu, Yong-Xin Li, Yao-Gao Fu, Ye-Yan Cai, Yu-Sheng Zhang, Jiang-Yong Min, An-Ding Xu
BACKGROUND AND PURPOSE: Recently, the score for the targeting of atrial fibrillation (STAF) was introduced to identify the risk of atrial fibrillation (AF) in stroke patients. In this study, we aim to evaluate the usefulness of the STAF score for AF screening in acute stroke patients. METHODS: Patients with acute ischemic stroke who were admitted to our stroke unit were prospectively enrolled from March 2011 to March 2013. Baseline National Institutes of Health Stroke Scale (NIHSS), left atrial dilatation, and vascular etiology were assessed to calculate the STAF score...
February 24, 2017: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://www.readbyqxmd.com/read/28202021/-i-passed-the-test-evidence-of-diagnostic-misconception-in-the-recruitment-of-population-controls-for-an-h3africa-genomic-study-in-cape-town-south-africa
#15
Francis Masiye, Bongani Mayosi, Jantina de Vries
BACKGROUND: Advances in genetic and genomic research have introduced challenges in obtaining informed consent for research in low and middle-income settings. However, there are only few studies that have explored challenges in obtaining informed consent in genetic and genomic research in Africa and none in South Africa. To start filling this gap, we conducted an empirical study to investigate the efficacy of informed consent procedures for an H3Africa genomic study on Rheumatic Heart Disease (RHDGen) at the University of Cape Town in South Africa...
February 15, 2017: BMC Medical Ethics
https://www.readbyqxmd.com/read/28163427/rheumatic-heart-disease-screening-current-concepts-and-challenges
#16
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/28148989/nano-au-cmwcnt-modified-speb-gene-specific-amperometric-sensor-for-rapidly-detecting-streptococcus-pyogenes-causing-rheumatic-heart-disease
#17
Ankur Kaushal, Swati Singh, Ashok Kumar, Dinesh Kumar
A specific 5' NH2 labeled DNA probe of speB gene was immobilized onto the gold nanoparticles/carboxylated multi walled carbon nanotubes (Nano-Au/cMWCNT) screen printed electrode using EDC/NHS cross linking chemistry. This was followed by hybridization with 0.5-50 ng/6 µl of single stranded genomic DNA Streptococcus pyogenes infected patient throat swab samples. Electrochemical amperometric assay was deciphered by using cyclic voltammetry (CV) with methylene blue a redox indicator. The sensor had a sensitivity of 104...
March 2017: Indian Journal of Microbiology
https://www.readbyqxmd.com/read/28148987/gene-specific-impedimetric-bacterial-dna-sensor-for-rheumatic-heart-disease
#18
Swati Singh, Ankur Kaushal, Sunil Gupta, Ashok Kumar
An impedimetric mga gene specific DNA sensor was developed by immobilization of single stranded DNA probe onto the screen printed modified gold-dendrimer nanohybrid composite electrode for early and rapid detection of S. pyogenes in human throat swab samples causing rheumatic heart disease. Electrochemical impedance response was measured after hybridization with bacterial single stranded genomic DNA (ssG-DNA) with probe. The sensor was found highly specific to S. pyogenes and can detect as low as 0.01 ng ssDNA in 6 µL sample only in 30 min...
March 2017: Indian Journal of Microbiology
https://www.readbyqxmd.com/read/28117248/characteristics-aetiological-spectrum-and-management-of-valvular-heart-disease-in-a-tunisian-cardiovascular-centre
#19
Faten Triki, Jihen Jdidi, Dorra Abid, Nada Tabbabi, Selma Charfeddine, Sahar Ben Kahla, Mourad Hentati, Leila Abid, Samir Kammoun
BACKGROUND: Valvular heart diseases occur frequently in Tunisia, but no precise statistics are available. AIM: To analyse the characteristics of patients with abnormal valvular structure and function, and to identify the aetiological spectrum, treatment and outcomes of valvular heart disease in a single cardiovascular centre in Tunisia. METHODS: This retrospective study included patients with abnormal valvular structure and function, who were screened by transthoracic echocardiography at a single cardiology department between January 2010 and December 2013...
August 2017: Archives of Cardiovascular Diseases
https://www.readbyqxmd.com/read/28088920/cardiac-strain-findings-in-children-with-latent-rheumatic-heart-disease-detected-by-echocardiographic-screening
#20
Andrea Beaton, Hedda Richards, Michelle Ploutz, Lasya Gaur, Twalib Aliku, Peter Lwabi, Greg Ensing, Craig Sable
BACKGROUND: Identification of patients with latent rheumatic heart disease by echocardiography presents a unique opportunity to prevent disease progression. Myocardial strain is a more sensitive indicator of cardiac performance than traditional measures of systolic function. OBJECTIVE: The objective of this study was to test the hypothesis that abnormalities in myocardial strain may be present in children with latent rheumatic heart disease. METHODS: Standard echocardiography images with electrocardiogram gating were obtained from Ugandan children found to have latent rheumatic heart disease as well as control subjects...
January 16, 2017: Cardiology in the Young
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