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Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/54844
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dc.creatorBruno R.nascimentopt_BR
dc.creatorEduardo L.v. Lopespt_BR
dc.creatorIara m. Castropt_BR
dc.creatorVitória M.l.r. Rezendept_BR
dc.creatorGraziela Chequerpt_BR
dc.creatorTaylor Landaypt_BR
dc.creatorAllison Tompsettpt_BR
dc.creatorAntônio Luiz p. Ribeiropt_BR
dc.creatorCraig Sablept_BR
dc.creatorAndrea z. Beatonpt_BR
dc.creatorMaria Carmo p. Nunespt_BR
dc.creatorAdriana c. Diamantinopt_BR
dc.creatorGabriel A.l. Carmopt_BR
dc.creatorKaciane K.b. Oliveirapt_BR
dc.creatorCassio m. Oliveirapt_BR
dc.creatorZilda Maria a. Meirapt_BR
dc.creatorSandra Regina t. Castilhopt_BR
dc.date.accessioned2023-06-12T20:45:10Z-
dc.date.available2023-06-12T20:45:10Z-
dc.date.issued2016-06-23-
dc.citation.volume219pt_BR
dc.citation.spage439pt_BR
dc.citation.epage445pt_BR
dc.identifier.doi10.1016/j.ijcard.2016.06.088pt_BR
dc.identifier.issn01675273pt_BR
dc.identifier.urihttp://hdl.handle.net/1843/54844-
dc.description.resumoBackground: 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.pt_BR
dc.format.mimetypepdfpt_BR
dc.languageengpt_BR
dc.publisherUniversidade Federal de Minas Geraispt_BR
dc.publisher.countryBrasilpt_BR
dc.publisher.departmentMED - DEPARTAMENTO DE CLÍNICA MÉDICApt_BR
dc.publisher.initialsUFMGpt_BR
dc.relation.ispartofInternational Journal of Cardiology-
dc.rightsAcesso Abertopt_BR
dc.subjectRheumatic heart diseasept_BR
dc.subjectEchocardiographypt_BR
dc.subjectScreeningpt_BR
dc.subjectTelemedicinept_BR
dc.subject.otherCardiopatia Reumáticapt_BR
dc.subject.otherEcocardiografiapt_BR
dc.subject.otherProgramas de Triagem Diagnósticapt_BR
dc.subject.otherTelemedicinapt_BR
dc.titleEchocardiographic prevalence of rheumatic heart disease in brazilian schoolchildren: data from the provar studypt_BR
dc.typeArtigo de Periódicopt_BR
dc.url.externahttps://www.sciencedirect.com/science/article/pii/S0167527316310907?via%3Dihubpt_BR
dc.identifier.orcidhttps://orcid.org/0000-0002-7539-4994pt_BR
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