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Title: Prevalence of rheumatic valvular heart disease in Rwandan school children: echocardiographic evaluation using the World Heart Federation criteria
Authors: Mucumbitsi, J.
Bulwer, Bernard E.
Mutesa, L.
Ndahindwa, V.
Semakula, M.
Rusingiza, E.
Arya, P.
Breakey, S.
Patton-Bolman, C.
Kaplan, Ed L.
Issue Date: 2017
Citation: CARDIOVASCULAR JOURNAL OF AFRICA, 28(5), p. 285-292
Abstract: Background: Rheumatic fever (RF) and rheumatic valvular heart disease (RHD) remain important medical, surgical and public health concerns in many parts of the world, especially in sub-Saharan Africa. However, there are no published data from Rwanda. We performed a RHD prevalence study in a randomly selected sample of Rwandan school children using the 2012 World Heart Federation (WHF) criteria. Methods: Echocardiographic assessment of 2 501 Rwandan school children from 10 schools in the Gasabo district near Kigali was carried out. Resulting data were evaluated by four experienced echocardiographers Statistical analyses were carried out by statisticians. Results: RHM prevalence was 6.8/1 000 children examined (95% CI: 4.2/1 000-10.9/ 1 000). Seventeen met WHF criteria for RHD, 13 fulfilled criteria for 'borderline' RHD and four were 'definite' RHD None of these 17 had been previously identified. Conclusion: These data indicate a significant burden of RHD in Rwanda and support a need for defined public health RF control programmes in children there.
Notes: [Mucumbitsi, J.] King Faisal Hosp, Rwandan Heart Fdn, Kigali, Rwanda. [Mucumbitsi, J.] King Faisal Hosp, Dept Pediat, Kigali, Rwanda. [Bulwer, B.] Brigham & Womens Hosp, Cardiovasc Div, Noninvas Cardiovasc Res, Boston, MA USA. [Mutesa, L.] Univ Rwanda, Coll Med & Hlth Sci, Kigali, Rwanda. [Ndahindwa, V.] Univ Rwanda, Coll Med & Hlth Sci, Sch Publ Hlth, Kigali, Rwanda. [Semakula, M.] Rwanda Biomed Ctr, Kigali, Rwanda. [Semakula, M.] Univ Hasselt, Interuniv Inst Biostat & Stat Bioinformat, Hasselt, Belgium. [Rusingiza, E.] Univ Rwanda, Sch Med & Pharm, Kigali, Rwanda. [Arya, P.] Massachusetts Gen Hosp, Dept Pediat Cardiol, Boston, MA USA. [Breakey, S.] Massachusetts Gen Hosp, Inst Hlth Profess, Boston, MA USA. [Patton-Bolman, C.] Team Heart Inc, Boston, MA USA. [Kaplan, E. L.] Univ Minnesota, Dept Pediat, Med Sch, Minneapolis, MN 55455 USA.
URI: http://hdl.handle.net/1942/26367
Link to publication: http://cvja.co.za/onlinejournal/vol28/vol28_issue5/files/assets/basic-html/page-11.html
DOI: 10.5830/CVJA-2017-007
ISI #: 000418296400003
ISSN: 1995-1892
Category: A1
Type: Journal Contribution
Appears in Collections: Research publications

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