Echocardiographic screening for rheumatic heart disease in Turkish schoolchildren
The aim of this study is to investigate the prevalence of subclinical rheumatic heart disease in schoolchildren aged 5-18 by using portable echocardiography in Ankara, Turkey. The portable echocardiography screening was performed by a paediatric cardiologist for all of the cases. The mean age of 255...
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| Veröffentlicht in: | Cardiology in the young 2019-10, Vol.29 (10), p.1272-1277 |
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| creator | Atalay, Semra Tutar, Ercan Uçar, Tayfun Topçu, Seda Köse, Serdal K Doğan, Melih T |
| description | The aim of this study is to investigate the prevalence of subclinical rheumatic heart disease in schoolchildren aged 5-18 by using portable echocardiography in Ankara, Turkey.
The portable echocardiography screening was performed by a paediatric cardiologist for all of the cases. The mean age of 2550 healthy students was 11.09 ± 2.91 years (1339 females, 1211 males) in three private and three public schools. Echocardiographic studies were assessed according to 2012 World Heart Federation criteria for rheumatic heart disease.
After reviewing the echocardiographic images, 73 students were reevaluated by an advanced echocardiography device in the university hospital. Evidence of definite subclinical rheumatic heart disease was found in 39 students (15/1000) and borderline rheumatic heart disease in 20 students (8/1000). No children had any clinical symptoms. The mean age of children diagnosed with rheumatic heart disease and borderline rheumatic heart disease is 12.4 and 11.4 years, respectively. The risk of rheumatic heart disease was found to be increased sevenfold in girls between 14 and 18 years. We surprisingly observed that the prevalence of definite rheumatic heart disease in private schools located in high-income areas of Ankara was higher than that in public schools.
This is the first and largest single-centred echocardiographic screening study for subclinical rheumatic heart disease in Turkish schoolchildren. The frequency of rheumatic heart disease has been found to be 15/1000. This finding is similar to those of recent echocardiographic screening studies performed in middle and high-risk populations. We conclude that to decrease the burden of rheumatic heart disease, echocardiographic screening studies are necessary, and long-term follow-up of children with echocardiographically diagnosed subclinical rheumatic heart disease is needed. |
| doi_str_mv | 10.1017/S1047951119002075 |
| format | Article |
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The portable echocardiography screening was performed by a paediatric cardiologist for all of the cases. The mean age of 2550 healthy students was 11.09 ± 2.91 years (1339 females, 1211 males) in three private and three public schools. Echocardiographic studies were assessed according to 2012 World Heart Federation criteria for rheumatic heart disease.
After reviewing the echocardiographic images, 73 students were reevaluated by an advanced echocardiography device in the university hospital. Evidence of definite subclinical rheumatic heart disease was found in 39 students (15/1000) and borderline rheumatic heart disease in 20 students (8/1000). No children had any clinical symptoms. The mean age of children diagnosed with rheumatic heart disease and borderline rheumatic heart disease is 12.4 and 11.4 years, respectively. The risk of rheumatic heart disease was found to be increased sevenfold in girls between 14 and 18 years. We surprisingly observed that the prevalence of definite rheumatic heart disease in private schools located in high-income areas of Ankara was higher than that in public schools.
This is the first and largest single-centred echocardiographic screening study for subclinical rheumatic heart disease in Turkish schoolchildren. The frequency of rheumatic heart disease has been found to be 15/1000. This finding is similar to those of recent echocardiographic screening studies performed in middle and high-risk populations. We conclude that to decrease the burden of rheumatic heart disease, echocardiographic screening studies are necessary, and long-term follow-up of children with echocardiographically diagnosed subclinical rheumatic heart disease is needed.</description><identifier>ISSN: 1047-9511</identifier><identifier>EISSN: 1467-1107</identifier><identifier>DOI: 10.1017/S1047951119002075</identifier><identifier>PMID: 31475650</identifier><language>eng</language><publisher>England: Cambridge University Press</publisher><subject>Adolescent ; Cardiovascular disease ; Cardiovascular diseases ; Child ; Child, Preschool ; Children ; Coronary artery disease ; Echocardiography ; Echocardiography - methods ; Electrocardiography ; Female ; Females ; Health risks ; Heart ; Heart diseases ; Heart Ventricles - diagnostic imaging ; Humans ; Male ; Males ; Mass Screening - methods ; Pediatrics ; Prevalence ; Rheumatic diseases ; Rheumatic fever ; Rheumatic heart disease ; Rheumatic Heart Disease - diagnosis ; Rheumatic Heart Disease - epidemiology ; Schools ; Screening ; Signs and symptoms ; Students ; Turkey - epidemiology ; Ultrasonic imaging</subject><ispartof>Cardiology in the young, 2019-10, Vol.29 (10), p.1272-1277</ispartof><rights>Cambridge University Press 2019</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c329t-9ab12f58d016599d8c2b8b3032ff1827d4111b84f350385764e8ffe525fd06bb3</citedby><cites>FETCH-LOGICAL-c329t-9ab12f58d016599d8c2b8b3032ff1827d4111b84f350385764e8ffe525fd06bb3</cites><orcidid>0000-0002-2047-5850</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31475650$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Atalay, Semra</creatorcontrib><creatorcontrib>Tutar, Ercan</creatorcontrib><creatorcontrib>Uçar, Tayfun</creatorcontrib><creatorcontrib>Topçu, Seda</creatorcontrib><creatorcontrib>Köse, Serdal K</creatorcontrib><creatorcontrib>Doğan, Melih T</creatorcontrib><title>Echocardiographic screening for rheumatic heart disease in Turkish schoolchildren</title><title>Cardiology in the young</title><addtitle>Cardiol Young</addtitle><description>The aim of this study is to investigate the prevalence of subclinical rheumatic heart disease in schoolchildren aged 5-18 by using portable echocardiography in Ankara, Turkey.
The portable echocardiography screening was performed by a paediatric cardiologist for all of the cases. The mean age of 2550 healthy students was 11.09 ± 2.91 years (1339 females, 1211 males) in three private and three public schools. Echocardiographic studies were assessed according to 2012 World Heart Federation criteria for rheumatic heart disease.
After reviewing the echocardiographic images, 73 students were reevaluated by an advanced echocardiography device in the university hospital. Evidence of definite subclinical rheumatic heart disease was found in 39 students (15/1000) and borderline rheumatic heart disease in 20 students (8/1000). No children had any clinical symptoms. The mean age of children diagnosed with rheumatic heart disease and borderline rheumatic heart disease is 12.4 and 11.4 years, respectively. The risk of rheumatic heart disease was found to be increased sevenfold in girls between 14 and 18 years. We surprisingly observed that the prevalence of definite rheumatic heart disease in private schools located in high-income areas of Ankara was higher than that in public schools.
This is the first and largest single-centred echocardiographic screening study for subclinical rheumatic heart disease in Turkish schoolchildren. The frequency of rheumatic heart disease has been found to be 15/1000. This finding is similar to those of recent echocardiographic screening studies performed in middle and high-risk populations. We conclude that to decrease the burden of rheumatic heart disease, echocardiographic screening studies are necessary, and long-term follow-up of children with echocardiographically diagnosed subclinical rheumatic heart disease is needed.</description><subject>Adolescent</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular diseases</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Coronary artery disease</subject><subject>Echocardiography</subject><subject>Echocardiography - methods</subject><subject>Electrocardiography</subject><subject>Female</subject><subject>Females</subject><subject>Health risks</subject><subject>Heart</subject><subject>Heart diseases</subject><subject>Heart Ventricles - diagnostic imaging</subject><subject>Humans</subject><subject>Male</subject><subject>Males</subject><subject>Mass Screening - methods</subject><subject>Pediatrics</subject><subject>Prevalence</subject><subject>Rheumatic diseases</subject><subject>Rheumatic fever</subject><subject>Rheumatic heart disease</subject><subject>Rheumatic Heart Disease - diagnosis</subject><subject>Rheumatic Heart Disease - epidemiology</subject><subject>Schools</subject><subject>Screening</subject><subject>Signs and symptoms</subject><subject>Students</subject><subject>Turkey - epidemiology</subject><subject>Ultrasonic imaging</subject><issn>1047-9511</issn><issn>1467-1107</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNplkMtOwzAQRS0E4v0BbFAkNmwCM3YcO0tU8ZIqIURZR45jNy5pXOxmwd_jqoUFrGY0c-48LiEXCDcIKG7fEApRcUSsACgIvkeOsShFjghiP-WpnW_6R-QkxgUAMoZwSI4YFoKXHI7J673uvFahdX4e1KpzOos6GDO4YZ5ZH7LQmXGp1qneGRXWWeuiUdFkbshmY_hwsUuCzvted65vgxnOyIFVfTTnu3hK3h_uZ5OnfPry-Dy5m-aa0WqdV6pBarlsAUteVa3UtJENA0atRUlFW6S3GllYxoFJLsrCSGsNp9y2UDYNOyXX27mr4D9HE9f10kVt-l4Nxo-xplSmRSBFkdCrP-jCj2FI1yWqYqKs0sZE4ZbSwccYjK1XwS1V-KoR6o3f9T-_k-ZyN3lslqb9VfwYzL4BWiB5vQ</recordid><startdate>201910</startdate><enddate>201910</enddate><creator>Atalay, Semra</creator><creator>Tutar, Ercan</creator><creator>Uçar, Tayfun</creator><creator>Topçu, Seda</creator><creator>Köse, Serdal K</creator><creator>Doğan, Melih T</creator><general>Cambridge University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7Z</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2047-5850</orcidid></search><sort><creationdate>201910</creationdate><title>Echocardiographic screening for rheumatic heart disease in Turkish schoolchildren</title><author>Atalay, Semra ; Tutar, Ercan ; Uçar, Tayfun ; Topçu, Seda ; Köse, Serdal K ; Doğan, Melih T</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c329t-9ab12f58d016599d8c2b8b3032ff1827d4111b84f350385764e8ffe525fd06bb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adolescent</topic><topic>Cardiovascular disease</topic><topic>Cardiovascular diseases</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Coronary artery disease</topic><topic>Echocardiography</topic><topic>Echocardiography - methods</topic><topic>Electrocardiography</topic><topic>Female</topic><topic>Females</topic><topic>Health risks</topic><topic>Heart</topic><topic>Heart diseases</topic><topic>Heart Ventricles - diagnostic imaging</topic><topic>Humans</topic><topic>Male</topic><topic>Males</topic><topic>Mass Screening - methods</topic><topic>Pediatrics</topic><topic>Prevalence</topic><topic>Rheumatic diseases</topic><topic>Rheumatic fever</topic><topic>Rheumatic heart disease</topic><topic>Rheumatic Heart Disease - diagnosis</topic><topic>Rheumatic Heart Disease - epidemiology</topic><topic>Schools</topic><topic>Screening</topic><topic>Signs and symptoms</topic><topic>Students</topic><topic>Turkey - epidemiology</topic><topic>Ultrasonic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Atalay, Semra</creatorcontrib><creatorcontrib>Tutar, Ercan</creatorcontrib><creatorcontrib>Uçar, Tayfun</creatorcontrib><creatorcontrib>Topçu, Seda</creatorcontrib><creatorcontrib>Köse, Serdal K</creatorcontrib><creatorcontrib>Doğan, Melih T</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Physical Education Index</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Cardiology in the young</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Atalay, Semra</au><au>Tutar, Ercan</au><au>Uçar, Tayfun</au><au>Topçu, Seda</au><au>Köse, Serdal K</au><au>Doğan, Melih T</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Echocardiographic screening for rheumatic heart disease in Turkish schoolchildren</atitle><jtitle>Cardiology in the young</jtitle><addtitle>Cardiol Young</addtitle><date>2019-10</date><risdate>2019</risdate><volume>29</volume><issue>10</issue><spage>1272</spage><epage>1277</epage><pages>1272-1277</pages><issn>1047-9511</issn><eissn>1467-1107</eissn><abstract>The aim of this study is to investigate the prevalence of subclinical rheumatic heart disease in schoolchildren aged 5-18 by using portable echocardiography in Ankara, Turkey.
The portable echocardiography screening was performed by a paediatric cardiologist for all of the cases. The mean age of 2550 healthy students was 11.09 ± 2.91 years (1339 females, 1211 males) in three private and three public schools. Echocardiographic studies were assessed according to 2012 World Heart Federation criteria for rheumatic heart disease.
After reviewing the echocardiographic images, 73 students were reevaluated by an advanced echocardiography device in the university hospital. Evidence of definite subclinical rheumatic heart disease was found in 39 students (15/1000) and borderline rheumatic heart disease in 20 students (8/1000). No children had any clinical symptoms. The mean age of children diagnosed with rheumatic heart disease and borderline rheumatic heart disease is 12.4 and 11.4 years, respectively. The risk of rheumatic heart disease was found to be increased sevenfold in girls between 14 and 18 years. We surprisingly observed that the prevalence of definite rheumatic heart disease in private schools located in high-income areas of Ankara was higher than that in public schools.
This is the first and largest single-centred echocardiographic screening study for subclinical rheumatic heart disease in Turkish schoolchildren. The frequency of rheumatic heart disease has been found to be 15/1000. This finding is similar to those of recent echocardiographic screening studies performed in middle and high-risk populations. We conclude that to decrease the burden of rheumatic heart disease, echocardiographic screening studies are necessary, and long-term follow-up of children with echocardiographically diagnosed subclinical rheumatic heart disease is needed.</abstract><cop>England</cop><pub>Cambridge University Press</pub><pmid>31475650</pmid><doi>10.1017/S1047951119002075</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-2047-5850</orcidid></addata></record> |
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| source | 01/01/2006; MEDLINE |
| subjects | Adolescent Cardiovascular disease Cardiovascular diseases Child Child, Preschool Children Coronary artery disease Echocardiography Echocardiography - methods Electrocardiography Female Females Health risks Heart Heart diseases Heart Ventricles - diagnostic imaging Humans Male Males Mass Screening - methods Pediatrics Prevalence Rheumatic diseases Rheumatic fever Rheumatic heart disease Rheumatic Heart Disease - diagnosis Rheumatic Heart Disease - epidemiology Schools Screening Signs and symptoms Students Turkey - epidemiology Ultrasonic imaging |
| title | Echocardiographic screening for rheumatic heart disease in Turkish schoolchildren |
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