Echocardiographic screening for rheumatic heart disease in Turkish schoolchildren

Atalay, Semra; Tutar, Ercan; Uçar, Tayfun; Topçu, Seda; Köse, Serdal Kenan; Doğan, Melih T

doi:10.1017/s1047951119002075

Cited by 8 publications

(9 citation statements)

References 35 publications

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“…Recently, Atalay et al screened 2550 healthy students in the capital city of Turkey by portable echocardiography as a result of this study, the frequency of rheumatic heart disease was 15per 1000. 7 Our study retrospectively aims to evaluate clinical and epidemiological features of rheumatic fever using the data of last 25 years in our hospital in south-east of Turkey to investigate incidence and seasonal prevalence and to detect changes over time in clinical and epidemiological features by comparing three periods.…”

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confidence: 99%

Acute rheumatic fever in south-east of Turkey: clinical features and epidemiological evaluation of the patients over the last 25 years

et al. 2020

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Abstract This study evaluates clinical and epidemiological features of acute rheumatic fever using the data of last 25 years in our hospital in south-east of Turkey. The medical records of 377 patients with acute rheumatic fever admitted to Pediatric Cardiology Department of Çukurova University during 1993–2017 were retrospectively analysed. Two hundred and six patients were admitted between 1993 and 2000, 91 between 2001 and 2008, and 80 between 2009 and 2017. The largest age group (52%) were between 9 to 12 years of age and approximately two-thirds of the patients presented in the spring and winter seasons (62.8%). Among the major findings, the most common included carditis 83.6% (n = 315), arthritis at 74% (n = 279), Sydenham’s chorea at 13.5% (n = 51), and only two patients (0.5%) had erythema marginatum and two patients (0.5%) had subcutaneous nodule. Carditis was the most common manifestation observed in 315 patients (83.6%). The most commonly affected valve was the mitral valve alone (54.9%), followed by a combined mitral and aortic valves (34%) and aortic valve alone (5.7%). Of the patients with carditis, 48.6% (n = 153) had mild carditis, of which 45 had a subclinical. Sixty-two patients (19.7%) had moderate and 100 patients (31.7%) had severe carditis. At the follow-up, 2 patients died and 16 patients underwent valve surgery. Twenty-eight (7.4%) patients’ valve lesions were completely resolved. Conclusion: Although the incidence of acute rheumatic fever decreased, it still is an important disease that can cause serious increases in morbidity and mortality rates in our country.

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confidence: 99%

Acute rheumatic fever in south-east of Turkey: clinical features and epidemiological evaluation of the patients over the last 25 years

et al. 2020

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“…Our patient initially presented with carditis, oligoarthralgia and elevated acute phase reactants with a high‐ASO titre; since Turkey is a high‐risk area, 5,6 our patient met the diagnostic criteria for ARF 1 . During follow‐up, she represented with a significant difference of blood pressure between the extremities, murmur and raised acute phase reactants; the diagnosis of TA was made in accordance with the 2010 EULAR/PRINTO/PRES criteria, this diagnosis was confirmed on MRA, with involvement of the aorta and its main branches 4 …”

Section: Discussionmentioning

confidence: 97%

Takayasu arteritis in a patient diagnosed with acute rheumatic fever presenting with carditis: Is it a coincidental association or an aetiological relationship?

Uçar

Keskin

Yağcı

et al. 2020

J Paediatrics Child Health

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A 14-year-old girl was admitted to our department with fatigue and arthralgia 3 weeks after an upper respiratory tract infection. Pain appeared first in the right knee followed by the left elbow 2-3 days later; at the time of presentation, pain had been ongoing for 2 weeks.The body temperature at presentation was 36.6 C, pulse rate 96 beats/min, respiratory rate 24/min and blood pressure measured from the right arm 110/60 mmHg. Cardiac auscultation revealed cardiac murmurs included a grade 4/6 pan-systolic component and a grade 2/6 early diastolic component at the apex, with radiation to the left axilla. Echocardiography revealed moderate mitral and aortic insufficiency; the left atria and ventricle were dilated. Haemoglobin level was 101 g/L, leukocyte count 8700/mm 3 (neutrophil predominance), erythrocyte sedimentation rate (ESR) 68 mm/h, C-reactive protein level 92.2 mg/L and antistreptolysin O (ASO) titre 1126 IU/L. The patient was diagnosed with acute rheumatic fever (ARF) based on the revised

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“…ARF is still one of the most important health problems in developing countries 7 . Our country is also among the countries that reported moderate-high on incidence and prevalence of ARF [7][8][9][10] . In this study, we aimed to investigate the changes in the frequency and clinical features of ARF during the COVID-19 pandemic and determine the possible effect of the measures taken against the COVID-19 pandemic on this change.…”

Section: Introductionmentioning

confidence: 99%

Changes in the frequency and clinical features of acute rheumatic fever in the COVID-19 era: a retrospective analysis from a single center

Laloğlu

Ceviz

2022

Rev. Assoc. Med. Bras.

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OBJECTIVE: Coronavirus disease 2019 (COVID-19) pandemic resulted in significant changes in the frequency of many diseases. In this study, we aimed to investigate the changes in the frequency and clinical features of acute rheumatic fever (ARF) in this period and determine the effect of health measures taken against COVID-19 on this change. METHODS: The cases with initial attack of ARF between January 2016 and March 2022 in Ataturk University, Division of Pediatric Cardiology, were determined from the clinic's database, and case per month ratios were calculated for each period, retrospectively. Also the frequency of the clinical manifestations was compared among patients before and during the outbreak. RESULTS: Frequency of the major clinical manifestations among patients before and during the outbreak was similar. On average, the number of cases reported per month in the

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Echocardiographic screening for rheumatic heart disease in Turkish schoolchildren

Cited by 8 publications

References 35 publications

Acute rheumatic fever in south-east of Turkey: clinical features and epidemiological evaluation of the patients over the last 25 years

Acute rheumatic fever in south-east of Turkey: clinical features and epidemiological evaluation of the patients over the last 25 years

Takayasu arteritis in a patient diagnosed with acute rheumatic fever presenting with carditis: Is it a coincidental association or an aetiological relationship?

Changes in the frequency and clinical features of acute rheumatic fever in the COVID-19 era: a retrospective analysis from a single center

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