Prevalence, risk determinants and consequences of atrial fibrillation in rheumatic heart disease: 6 years hospital based-Himachal Pradesh- Rheumatic Fever/Rheumatic Heart Disease (HP-RF/RHD) Registry

Negi, Prakash Chand; Sondhi, Sachin; Rana, Vivek; Rathoure, Sanjay; Kumar, Ravi; Kolte, Nirmal; Kumar, Ritesh; Rao, Shivani; Diman, Ashish; Mahajan, Kunal; Dev, Munish; Kandoria, Arvind; Ganju, Neeraj; Bhardwaj, Ramakant; Merwaha, Rajeev; Sharma, Rajesh; Asotra, Sanjeev

doi:10.1016/j.ihj.2018.05.013

Cited by 36 publications

(23 citation statements)

References 17 publications

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“…Similar results are also reported from a study in India which showed that mitral stenosis patients were dominated with those of severe degree. 9 However, this study contradicts a study in Pakistan which showed patients with mitral stenosis were dominated with those of moderate severity (37.6%), and a study in Nepal which was dominated by those of mild severity (40%). 10,11 Disease severity of mitral stenosis is affected by several factors including educational background, recurrent beta-hemolytic streptococcal infection, genetics, and income per capita.…”

Section: Discussioncontrasting

confidence: 78%

Profile of Patients with Mitral Stenosis in Dr. Soetomo General Hospital, Surabaya in January 2015 – December 2017

Gunawan

Budiarto

Andriati

2021

Universitas Airlangga

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Introduction: The most common valvular heart disease is mitral stenosis. Mitral stenosis is an abnormality of the heart valve which causes reduced blood flow from the left atria to the left ventricle due to narrowing of mitral valve orifice during its opening motion. If the condition continues, it will result in complications. The most common complications are pulmonary hypertension, atrial fibrillation, heart failure, and stroke. Appropriate treatment for mitral stenosis may produce more favorable prognosis in these patients. Therefore, the aim of this study was to describe the profile of patients with mitral stenosis in Department of Cardiology and Vascular Medicine, Dr. Soetomo General Hospital, Surabaya from January 2015 to December 2017. It is expected that mitral stenosis can be detected earlier, thus the appropriate treatment can be administered promptly and further complications can be prevented. Methods: This study was a descriptive retrospective study with cross-sectional approach and accidental sampling method obtained from the inpatients medical records of patients diagnosed with mitral stenosis from echocardiography in Department of Cardiology and Vascular Medicine Dr. Soetomo General Hospital, Surabaya from January 2015 to December 2017. The variables were age, gender, disease severity, and the patient’s educational background. The data was processed using Microsoft Excel and IBM SPSS version 20. Results: This study obtained 41 patients who met the inclusion criteria, then the patients were categorized according to their age, gender, disease severity, and educational background. The results of the study showed that the subjects were dominated by those of productive age at 30-39 years old (39%), the most prevalent gender was female (85.4%), severe disease severity (85.4%), and educational level was from high school (85.4%). Conclusion: The majority of the patients with mitral stenosis were from productive age, female, with severe disease severity, and educational background from middle educational level (high school).

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Section: Discussioncontrasting

confidence: 78%

Profile of Patients with Mitral Stenosis in Dr. Soetomo General Hospital, Surabaya in January 2015 – December 2017

Gunawan

Budiarto

Andriati

2021

Universitas Airlangga

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“…RHD is one of the common causes of AF and associated with significant morbidity and mortality [3] . Thus, the estimation of the burden of AF and factors associated with AF is important for its prevention and control.…”

Section: Discussionmentioning

confidence: 99%

“…Thus, the estimation of the burden of AF and factors associated with AF is important for its prevention and control. Various studies have reported the prevalence of AF in patients with RHD which ranges from 13.9% to 43 % [3,4,5,6] . In our study, we observed a significant burden of AF (36.3%) in patients with RHD.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Factors Associated with Atrial Fibrillation Among Patients with Rheumatic Heart Disease

Dhungana¹,

Nepal²,

Ghimire³

2019

Journal of Atrial Fibrillation

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Transthoracic echocardiogram (GE, Vivid E95, and Chicago, USA) was performed with use of 2D, M-mode, doppler modalities. Images were taken from the parasternal long axis, parasternal short axis, apical four chambers, and apical five-chamber views. The mitral valve area (MVA) was quantified based on planimetry and pressure half time (PHT) methods. Mitral stenosis (MS) was classified as mild for valve area between 1.6-2.0 cm2, moderate for 1.1-1.5 cm2, and severe for ≤1.0 cm2. Mitral and aortic regurgitation were evaluated

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“…The details of the methodology and data collection as a part of the HP-RHD registry have been published previously. 11 , 12 In brief, the data of socio-demographics, clinical characteristics, treatment practices were recorded systematically. The history of complications in the past and/or at registry was recorded using predefined criteria.…”

Section: Methodsmentioning

confidence: 99%

Gender differences in the epidemiology of Rheumatic Fever/Rheumatic heart disease (RF/RHD) patient population of hill state of northern India; 9 years prospective hospital based, HP-RHD registry

Negi

Kandoria

Asotra

et al. 2020

Indian Heart Journal

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Objectives We report the gender-based differences in the prevalence, severity, pattern of valvular involvement, and complications in patients with Rheumatic Fever/Rheumatic heart disease (RF/RHD). Methods The 2475 consecutive patients with RF/RHD diagnosed using clinical and echocardiographic criteria were registered prospectively from January 2011 till December 2019. The association of gender with the pattern of valvular involvement, nature, and severity of valvular dysfunction and cardiovascular complications was analyzed using a logistic regression model, and odds ratios with 95% CI were estimated. Results The mitral and tricuspid valve involvement was significantly lower in the male gender, odds ratio with 95% CI of 0.55 (0.44–0.61), and 0.69 (0.58–0.83) respectively, while the aortic valve was affected more frequently than females, odds ratio 1.36 (1.14–1.62). The severity of valvular disease had no significant association with gender, 0.99 (0.82–1.20). The association between gender and cardiovascular complications, heart failure, stroke, and atrial fibrillations were not statistically significant. The prevalence of RF/RHD was more than two-fold higher in female gender than male (71.4% vs. 29.6%, p < 0.0001). Conclusions RF/RHD is more prevalent in females. Gender has a significant association with the pattern of valvular involvement. The severity of valvular dysfunction and cardiovascular complications had no significant association with gender.

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Prevalence, risk determinants and consequences of atrial fibrillation in rheumatic heart disease: 6 years hospital based-Himachal Pradesh- Rheumatic Fever/Rheumatic Heart Disease (HP-RF/RHD) Registry

Cited by 36 publications

References 17 publications

Profile of Patients with Mitral Stenosis in Dr. Soetomo General Hospital, Surabaya in January 2015 – December 2017

Profile of Patients with Mitral Stenosis in Dr. Soetomo General Hospital, Surabaya in January 2015 – December 2017

Prevalence and Factors Associated with Atrial Fibrillation Among Patients with Rheumatic Heart Disease

Gender differences in the epidemiology of Rheumatic Fever/Rheumatic heart disease (RF/RHD) patient population of hill state of northern India; 9 years prospective hospital based, HP-RHD registry

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