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http://hdl.handle.net/1843/54844| Tipo: | Artigo de Periódico |
| Título: | Echocardiographic prevalence of rheumatic heart disease in brazilian schoolchildren: data from the provar study |
| Autor(es): | Bruno R.nascimento Eduardo L.v. Lopes Iara m. Castro Vitória M.l.r. Rezende Graziela Chequer Taylor Landay Allison Tompsett Antônio Luiz p. Ribeiro Craig Sable Andrea z. Beaton Maria Carmo p. Nunes Adriana c. Diamantino Gabriel A.l. Carmo Kaciane K.b. Oliveira Cassio m. Oliveira Zilda Maria a. Meira Sandra Regina t. Castilho |
| Resumo: | Background: Accurate estimates of Rheumatic Heart Disease (RHD) burden are needed to justify improved integration of RHD prevention and screening into the public health systems, but data from Latin America are still sparse. Objective: To determine the prevalence of RHD among socioeconomically disadvantaged youth (5–18 years) in Brazil and examine risk factors for the disease. Methods: The PROVAR program utilizes non-expert screeners, telemedicine, and handheld and standard portable echocardiography to conduct echocardiographic screening in socioeconomically disadvantaged schools in Minas Gerais, Brazil. Cardiologists in the US and Brazil provide expert interpretation according to the 2012 World Heart Federation Guidelines. Here we report prevalence data from the first 14 months of screening, and examine risk factors for RHD. Results: 5996 students were screened across 21 schools. Median age was 11.9 [9.0/15.0] years, 59% females. RHD prevalence was 42/1000 (n = 251): 37/1000 borderline (n = 221) and 5/1000 definite (n = 30). Pathologic mitral regurgitation was observed in 203 (80.9%), pathologic aortic regurgitation in 38 (15.1%), and mixed mitral/aortic valve disease in 10 (4.0%) children. Older children had higher prevalence (50/1000 vs. 28/1000, p b 0.001), but no difference was observed between northern (lower resourced) and central areas (34/1000 vs. 44/1000, p = 0.31). Females had higher prevalence (48/1000 vs. 35/1000, p = 0.016). Age (OR = 1.15, 95% CI:1.10–1.21, p b 0.001) was the only variable independently associated with RHD findings. Conclusions: RHD continues to be an important and under recognized condition among socioeconomically disadvantaged Brazilian schoolchildren. Our data adds to the compelling case for renewed investment in RHD prevention and early detection in Latin America. |
| Assunto: | Cardiopatia Reumática Ecocardiografia Programas de Triagem Diagnóstica Telemedicina |
| Idioma: | eng |
| País: | Brasil |
| Editor: | Universidade Federal de Minas Gerais |
| Sigla da Instituição: | UFMG |
| Departamento: | MED - DEPARTAMENTO DE CLÍNICA MÉDICA |
| Tipo de Acesso: | Acesso Aberto |
| Identificador DOI: | 10.1016/j.ijcard.2016.06.088 |
| URI: | http://hdl.handle.net/1843/54844 |
| Data do documento: | 23-Jun-2016 |
| metadata.dc.url.externa: | https://www.sciencedirect.com/science/article/pii/S0167527316310907?via%3Dihub |
| metadata.dc.relation.ispartof: | International Journal of Cardiology |
| Aparece nas coleções: | Artigo de Periódico |
Arquivos associados a este item:
| Arquivo | Descrição | Tamanho | Formato | |
|---|---|---|---|---|
| Echocardiography prevalence of rheumatic heart disease in Brazilian schoolchildren DATA from the PROVAR study pdfa.pdf | 758.3 kB | Adobe PDF | Visualizar/Abrir |
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