Echocardiographic prevalence of rheumatic heart disease in brazilian schoolchildren: data from the provar study

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dc.creatorBruno R.nascimento
dc.creatorEduardo L.v. Lopes
dc.creatorIara m. Castro
dc.creatorVitória M.l.r. Rezende
dc.creatorGraziela Chequer
dc.creatorTaylor Landay
dc.creatorAllison Tompsett
dc.creatorAntônio Luiz p. Ribeiro
dc.creatorCraig Sable
dc.creatorAndrea z. Beaton
dc.creatorMaria Carmo p. Nunes
dc.creatorAdriana c. Diamantino
dc.creatorGabriel A.l. Carmo
dc.creatorKaciane K.b. Oliveira
dc.creatorCassio m. Oliveira
dc.creatorZilda Maria a. Meira
dc.creatorSandra Regina t. Castilho
dc.date.accessioned2023-06-12T20:45:10Z
dc.date.accessioned2025-09-08T23:36:47Z
dc.date.available2023-06-12T20:45:10Z
dc.date.issued2016-06-23
dc.format.mimetypepdf
dc.identifier.doi10.1016/j.ijcard.2016.06.088
dc.identifier.issn01675273
dc.identifier.urihttps://hdl.handle.net/1843/54844
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofInternational Journal of Cardiology
dc.rightsAcesso Aberto
dc.subjectCardiopatia Reumática
dc.subjectEcocardiografia
dc.subjectProgramas de Triagem Diagnóstica
dc.subjectTelemedicina
dc.subject.otherRheumatic heart disease
dc.subject.otherEchocardiography
dc.subject.otherScreening
dc.subject.otherTelemedicine
dc.titleEchocardiographic prevalence of rheumatic heart disease in brazilian schoolchildren: data from the provar study
dc.typeArtigo de periódico
local.citation.epage445
local.citation.spage439
local.citation.volume219
local.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.
local.identifier.orcidhttps://orcid.org/0000-0002-7539-4994
local.publisher.countryBrasil
local.publisher.departmentMED - DEPARTAMENTO DE CLÍNICA MÉDICA
local.publisher.initialsUFMG
local.url.externahttps://www.sciencedirect.com/science/article/pii/S0167527316310907?via%3Dihub

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