Guidelines for Heart Disease Screening in Schools (JCS 2016/JSPCCS 2016)　― Digest Version ―

Sumitomo, Naokata; Baba, Reizo; S, Doi; Hatori, Takashi; Horigome, Hitoshi; Ichida, Fukiko; Ishikawa, Harunori; Iwamoto, Mari; Izumida, Naomi; Kasamaki, Yuji; Kuga, Keisuke; Mitani, Yoshihide; Musha, Haruki; Nakanishi, Toshio; Yoshinaga, Masao; Abe, Katsumi; Ayusawa, Mamoru; Hokosaki, Tatsunori; Kato, Taichi; Kato, Yoshiaki; Ohta, Kunio; Sawada, Hirofumi; Ushinohama, Hiroya; Yoshiba, Shigeki; Atarashi, Hirotsugu; Hirayama, Atsushi; Horie, Minoru; Nagashima, Masami; Niwa, Koichiro; Ogawa, Shingo; Okumura, Ken; Tsutsui, Hiroyuki

doi:10.1253/circj.cj-66-0153

Cited by 24 publications

(21 citation statements)

References 71 publications

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“…This study is similar to a study by Yilgwan et al (2014) who conducted clinical screening of 408 primary school children in Nigeria with the study subjects who were also dominant 6-12 years with a mean (9.0 ± 1.95) years and the majority of women as much as 55.5%. 10,14 In this study, pediatric resident in junior stages found murmurs in 24 study subjects (9.6%), while pediatric resident for Middle and Senior stages found murmurs in 39 study subjects respectively (15.6%).…”

Section: Discussionmentioning

confidence: 53%

Accuracy of Heart Auscultation Examination by General Practitioners From Various Levels of Competency in Detection of Heart Abnormality in Basic School Children

et al. 2022

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Background. Most of heart defects in children do not show typical clinical symptoms. Ten percent of the cases are late detected. Echocardiography is an examination with high sensitivity and specificity in detecting heart defects in children, but it cannot be performed by all health workers, expensive and not always available in hospitals. Auscultation is an important part of a physical examination that inexpensive, easy examination, and becomes a competency of all doctors. The aim of this study to determine the accuracy of the screening method by listening to murmurs on heart auscultation by various levels of physician competence. Methods. This is a diagnostic test of 250 elementary school children held in the pediatric ward of dr. Mohammad Hoesin Palembang from September to November 2019. The auscultation examination was performed by three pediatrics resident from three stages (i.e. junior, middle and senior), followed by echocardiography examinations by a pediatric cardiologist. Results. The highest sensitivity of auscultation was found in senior resident, 42.4%, while the lowest was found in junior resident, 12.1%. The results of the kappa analysis of the cardiac auscultation examination on the three examiners showed a poor level of agreement on junior stage compared to senior resident (k = 0.189; CI = 0.033-0.346) and the level of agreement was sufficient in junior stage compared to middle stage resident (k = 0.297; CI = 0.134 -0.461) and middle stage compared to senior resident (k = 0.301; CI = 0.147-0.456). Conclusion. Experience and length of learning will affect the accuracy of the auscultation examination in detecting heart defects in children.

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Section: Discussionmentioning

confidence: 53%

Accuracy of Heart Auscultation Examination by General Practitioners From Various Levels of Competency in Detection of Heart Abnormality in Basic School Children

et al. 2022

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“…In high-income countries, many methods of heart disease screening have been established which are conducted during various stages of children's growth, with the direction towards the earliest screening programme in prenatal and infancy periods. 2,[20][21][22][23] In low-to-middle-income countries, the CHD screening had taken place mostly in the later life during childhood and adolescence. After 2010, the CHD screening in school children was mostly performed in middle-income and low-income countries which was carried out in conjunction with screening for rheumatic heart disease which was prevalent in these countries.…”

Section: Discussionmentioning

confidence: 99%

“…In Japan, the success of this screening in stages could drastically decrease the number of CHD incidence in adulthood. 2 Several methods have been developed in the screening programme such as cardiac auscultation examination with stethoscope, 12-lead electrocardiogram, peripheral oxygen saturation examination using pulse oximetry while resting and after activities, heart exercise examination, and portable echocardiography. 2 We adopted two simple examinations for this screening, namely cardiac auscultation and 12-lead electrocardiogram.…”

Section: Discussionmentioning

confidence: 99%

The screening of congenital heart disease by cardiac auscultation and 12-lead electrocardiogram among Indonesian elementary school students

et al. 2020

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Background: Screening for congenital heart disease (CHD) in school students is well-established in high-income countries; however, data from low-to-middle-income countries including Indonesia are limited. Aim: This study aimed to evaluate CHD screening methods by cardiac auscultation and 12-lead electrocardiogram to obtain the prevalence of CHD, confirmed by transthoracic echocardiography, among Indonesian school students. Methods: We conducted a screening programme in elementary school students in the Province of Special Region of Yogyakarta, Indonesia. The CHD screening was integrated into the annual health screening. The trained general practitioners and nurses participated in the screening. The primary screening was by cardiac auscultation and 12-lead electrocardiogram. The secondary screening was by transthoracic echocardiography performed on school students with abnormal findings in the primary screening. Results: A total of 6116 school students were screened within a 2-year period. As many as 329 (5.38%) school students were detected with abnormalities. Of those, 278 students (84.49%) had an abnormal electrocardiogram, 45 students (13.68%) had heart murmurs, and 6 students (1.82%) had both abnormalities. The primary screening programme was successfully implemented. The secondary screening was accomplished for 260 school students, and 18 students (6.9%) had heart abnormalities with 7 (2.7%) who were confirmed with septal defects and 11 (4.2%) had valve abnormalities. The overall prevalence was 0.29% (18 out of 6116). Conclusions: The primary screening by cardiac auscultation and 12-lead electrocardiogram was feasible and yielded 5.38% of elementary school students who were suspected with CHD. The secondary screening resulted in 6.9% confirmed cardiac abnormalities. The cardiac abnormality prevalence was 0.29%.

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“…Preparticipation cardiovascular screening, including ECG, for athletes has been proposed by scientific organizations and sports governing bodies such as the Japanese Circulation Society [11], European Society of Cardiology [12], the American Heart Association [13], the Fédération Internationale de Football [14], and the International Olympic Committee [15]. ECG parameters that should be monitored during cardiac screening are as follows: HR trend during physical activity, frequency of arrhythmias such as premature ventricular or supraventricular contractions, QT-segment prolongation, ST-segment elevation or depression, T-wave abnormalities, and conduction block [16].…”

Section: Benefits Of the Ecg Sensor-embedded Sfw Technologymentioning

confidence: 99%

Initial evaluation of a novel electrocardiography sensor-embedded fabric wear during a full marathon

et al. 2021

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Sudden cardiac accident (SCA) during a marathon is a concern due to the popularity of the sport. Preventive strategies, such as cardiac screening and deployment of automated external defibrillators have controversial cost-effectiveness. We investigated the feasibility of use of a new electrocardiography (ECG) sensor-embedded fabric wear (SFW) during a marathon as a novel preventive strategy against SCA. Twenty healthy volunteers participated in a full marathon race. They were equipped with a SFW hitoe® with a transmitter connected via Bluetooth to a standard smartphone for continuous ECG recording. All data were stored in a smartphone and used to analyze the data acquisition rate. The adequate data acquisition rate was > 90% in 13, 30–90% in 3, and < 10% in 4 runners. All of 4 runners with poorly recorded data were female. Inadequate data acquisition was significantly associated with the early phase of the race compared with the mid phase ( P = 0.007). Except for 3 runners with poor heart rate data, automated software calculation was significantly associated with manual analysis for both the mean ( P < 0.001) and maximum ( P = 0.014) heart rate. We tested the feasibility of continuously recording cardiac data during a marathon using a new ECG sensor-embedded wearable device. Although data from 65% of runners were adequately recorded, female runners and the early phase of the race tended to have poor data acquisition. Further improvements in device ergonomics and software are necessary to improve ability to detect abnormal ECGs that may precede SCA. Supplementary Information The online version contains supplementary material available at 10.1007/s00380-021-01939-3.

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Guidelines for Heart Disease Screening in Schools (JCS 2016/JSPCCS 2016)　― Digest Version ―

Cited by 24 publications

References 71 publications

Accuracy of Heart Auscultation Examination by General Practitioners From Various Levels of Competency in Detection of Heart Abnormality in Basic School Children

Accuracy of Heart Auscultation Examination by General Practitioners From Various Levels of Competency in Detection of Heart Abnormality in Basic School Children

The screening of congenital heart disease by cardiac auscultation and 12-lead electrocardiogram among Indonesian elementary school students

Initial evaluation of a novel electrocardiography sensor-embedded fabric wear during a full marathon

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Guidelines for Heart Disease Screening in Schools (JCS 2016/JSPCCS 2016) ― Digest Version ―

Cited by 24 publications

References 71 publications

Accuracy of Heart Auscultation Examination by General Practitioners From Various Levels of Competency in Detection of Heart Abnormality in Basic School Children

Accuracy of Heart Auscultation Examination by General Practitioners From Various Levels of Competency in Detection of Heart Abnormality in Basic School Children

The screening of congenital heart disease by cardiac auscultation and 12-lead electrocardiogram among Indonesian elementary school students

Initial evaluation of a novel electrocardiography sensor-embedded fabric wear during a full marathon

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Product

Resources

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Guidelines for Heart Disease Screening in Schools (JCS 2016/JSPCCS 2016)　― Digest Version ―