Volume No. :   3

Issue No. :  3

Year :  2013

ISSN Print :  2231-1149

ISSN Online :  2349-2996


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A Study on Rheumatic Heart Disease Prevalence and Cardiovascular outcomes among Children

Address:   B.V.V.S. Surya Kiran1*, L.K. Kanthal1, Bishnupada Biswal2
1Koringa College of Pharmacy, Korangi-533 461, E.G. Dt., Andhra Pradesh, India.
2KLR College of Pharmacy, Paloncha, Khammam, Andhra Pradesh, India.
*Corresponding Author

Rheumatic heart disease (RHD) remains a major contributor to morbidity and mortality in developing countries. In the present study, cross-sectional survey is designed to determine the prevalence of RHD in children from private and public schools between the age of 5 and 15 years in urban and rural areas of East Godavari District of Andhra Pradesh using both cardiac auscultation and echocardiographic evaluation. This study describes a comprehensive approach to implement echocardiographic screening in a high prevalence region as recommended by the WHO and outlines a robust analysis plan to investigate clinical outcome with secondary prevention for subclinical RHD. Even though the population attributable risk of RHD is expected to be high, false-positive screening results may occur. In order to reduce false-positive findings, all echocardiographic clips with borderline or definite RHD will be assessed from two independent cardiologists. Moreover, screening in a large population of schoolchildren might yield in exceptional cases important incidental clinical findings unrelated to RHD but yet relevant for future prognosis (i.e., bicuspid aortic valve, atrial-septal defect).Prospective clinical studies investigating the impact of secondary prevention for subclinical RHD on long-term clinical outcome will be of central relevance for future health resource utilization in developing countries.
Rheumatic heart disease, cross-sectional survey, echocardiographic evaluation, WHO, school children.
B.V.V.S. Surya Kiran, L.K. Kanthal, Bishnupada Biswal.A Study on Rheumatic Heart Disease Prevalence and Cardiovascular outcomes among Children. Asian J. Nur. Edu. and Research 3(3): July-Sept., 2013; Page 139-141
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