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The burden of rheumatic heart disease among children in Lagos: how are we fairing?
INTRODUCTION: Rheumatic heart disease still remains a cause of morbidity and mortality in low and middle income countries, despite its eradication in developed societies. The study aimed to document the features of children with rheumatic heart disease using clinical evaluation and echocardiography...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The African Field Epidemiology Network
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6057576/ https://www.ncbi.nlm.nih.gov/pubmed/30050614 http://dx.doi.org/10.11604/pamj.2018.29.150.12603 |
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author | Animasahun, Barakat Adeola Madise Wobo, Akpoembele Deborah Itiola, Adejumoke Yemisi Adekunle, Motunrayo Oluwabukola Kusimo, Olusola Yejide Thomas, Fidelia Bode |
author_facet | Animasahun, Barakat Adeola Madise Wobo, Akpoembele Deborah Itiola, Adejumoke Yemisi Adekunle, Motunrayo Oluwabukola Kusimo, Olusola Yejide Thomas, Fidelia Bode |
author_sort | Animasahun, Barakat Adeola |
collection | PubMed |
description | INTRODUCTION: Rheumatic heart disease still remains a cause of morbidity and mortality in low and middle income countries, despite its eradication in developed societies. The study aimed to document the features of children with rheumatic heart disease using clinical evaluation and echocardiography and compare it with reports from other part of the country. METHODS: A review of a prospectively collected data of patients with rheumatic heart disease who had echocardiography done from April 2007-Dec 2016. Information obtained from patients include age, sex, clinical indication for echocardiography, echocardiographic characterization of the valvular lesions and associated complications. RESULTS: A total of 324,676 patients were seen at the Paediatric unit of LASUTH from 2007 to 2016, out of which 36 had Rheumatic heart disease. This translates to a prevalence of 1.1 per 10,000 patients who presented at the study site during the study period. The prevalence of RHD amongst all the patients with structural heart disease was 2.6%. The mean age of patients was 9.12 ± 2.75 years with a male to female ratio of 1.6: 1. The most common valve affected was mitral valve. Heart failure was the most common mode of presentation found in 91.6%. Other complications were pulmonary hypertension and pericardial effusion. CONCLUSION: Rheumatic heart disease is still prevalent among children in Lagos although the prevalence is reducing. Heartfailure is the commonest mode of presentation and complication in them. |
format | Online Article Text |
id | pubmed-6057576 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | The African Field Epidemiology Network |
record_format | MEDLINE/PubMed |
spelling | pubmed-60575762018-07-26 The burden of rheumatic heart disease among children in Lagos: how are we fairing? Animasahun, Barakat Adeola Madise Wobo, Akpoembele Deborah Itiola, Adejumoke Yemisi Adekunle, Motunrayo Oluwabukola Kusimo, Olusola Yejide Thomas, Fidelia Bode Pan Afr Med J Research INTRODUCTION: Rheumatic heart disease still remains a cause of morbidity and mortality in low and middle income countries, despite its eradication in developed societies. The study aimed to document the features of children with rheumatic heart disease using clinical evaluation and echocardiography and compare it with reports from other part of the country. METHODS: A review of a prospectively collected data of patients with rheumatic heart disease who had echocardiography done from April 2007-Dec 2016. Information obtained from patients include age, sex, clinical indication for echocardiography, echocardiographic characterization of the valvular lesions and associated complications. RESULTS: A total of 324,676 patients were seen at the Paediatric unit of LASUTH from 2007 to 2016, out of which 36 had Rheumatic heart disease. This translates to a prevalence of 1.1 per 10,000 patients who presented at the study site during the study period. The prevalence of RHD amongst all the patients with structural heart disease was 2.6%. The mean age of patients was 9.12 ± 2.75 years with a male to female ratio of 1.6: 1. The most common valve affected was mitral valve. Heart failure was the most common mode of presentation found in 91.6%. Other complications were pulmonary hypertension and pericardial effusion. CONCLUSION: Rheumatic heart disease is still prevalent among children in Lagos although the prevalence is reducing. Heartfailure is the commonest mode of presentation and complication in them. The African Field Epidemiology Network 2018-03-14 /pmc/articles/PMC6057576/ /pubmed/30050614 http://dx.doi.org/10.11604/pamj.2018.29.150.12603 Text en © Barakat Adeola Animasahun et al. http://creativecommons.org/licenses/by/2.0/ The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Animasahun, Barakat Adeola Madise Wobo, Akpoembele Deborah Itiola, Adejumoke Yemisi Adekunle, Motunrayo Oluwabukola Kusimo, Olusola Yejide Thomas, Fidelia Bode The burden of rheumatic heart disease among children in Lagos: how are we fairing? |
title | The burden of rheumatic heart disease among children in Lagos: how are we fairing? |
title_full | The burden of rheumatic heart disease among children in Lagos: how are we fairing? |
title_fullStr | The burden of rheumatic heart disease among children in Lagos: how are we fairing? |
title_full_unstemmed | The burden of rheumatic heart disease among children in Lagos: how are we fairing? |
title_short | The burden of rheumatic heart disease among children in Lagos: how are we fairing? |
title_sort | burden of rheumatic heart disease among children in lagos: how are we fairing? |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6057576/ https://www.ncbi.nlm.nih.gov/pubmed/30050614 http://dx.doi.org/10.11604/pamj.2018.29.150.12603 |
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