Rheumatic heart disease in India

Agarwal, Arjun; Yunus, Mohammad; Ahmad, Jamal; Khan, Adnan Umar

doi:10.1177/146642409511500509

Cited by 30 publications

(23 citation statements)

References 5 publications

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“…42 In our study, only 1.3% of tricuspid stenosis were found and all were associated with MS similar to the study by Roberts and Virmani (2%). 4 In the present study, peak age of valvular heart diseases were [16][17][18][19][20][21][22][23][24][25][26][27][28][29][30] …”

Section: : Comparison Of Rhd With Other Studiesmentioning

confidence: 99%

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Distribution and Pattern of Valvular Heart Diseases by Echocardiography: A Tertiary Care Center Study

Bhalavi¹,

Yadav²

2016

jemds

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Section: : Comparison Of Rhd With Other Studiesmentioning

confidence: 99%

“…11,12,13,14,15,16,17,18 19 , when compared to industrialized nations the incidence of rheumatic fever is 0.5 per 100,000 population and the prevalence less than 0.05 per 1000 (Michaud C et al) 20 , Prevalence of RHD in population survey ( Table 2). 24 All ages 3760 6.4 Table 2: Prevalence of RHD in Population Survey…”

Section: Introductionmentioning

confidence: 99%

Distribution and Pattern of Valvular Heart Diseases by Echocardiography: A Tertiary Care Center Study

Bhalavi¹,

Yadav²

2016

jemds

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“…A number of studies have attempted to document incidence of Rheumatic Fever (RF) and prevalence of Rheumatic Heart Disease (RHD) in India through a variety of methods. [5][6][7][8] In India, the prevalence of RF/RHD among school children is 2-11 per 1000 with a mean of 6 per 1000. 5 Determining the severity of mitral stenosis is important for both prognostic and therapeutic reasons.…”

Section: Introductionmentioning

confidence: 99%

Study of a Novel Index Mitral Leaflet Separation Index by 2-Dimensional Echocardiography to Assess the Severity of Mitral Stenosis

Garg¹,

Agarwal²,

Shoaib³

et al. 2017

jebmh

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BACKGROUNDMitral stenosis results due to structural abnormality of the mitral valve apparatus, which prevents proper opening of mitral valve during diastole. The Mitral Valve Area (MVA) can be measured by planimetry, pressure half time, continuity equation and proximal isovelocity surface area methods. Direct measurement of MVA by planimetry is accurate, but highly operator dependent and laborious. The novel index proposed by Seow in 2006. This is a mitral leaflet separation index, henceforth referred as MLS index, which is independent measure assessment of severity of mitral stenosis.

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“…5 Similarly, a population survey done in the year 2000 in northern India reported a high prevalence of RHD (6.4/ 1000). 6 The surveys conducted by the Indian Council of Medical Research (ICMR) from 2002 to 2005 indicate a decline in the prevalence of RHD (0.43e1.47/1000). 7 The incidence of RF was 0.4/ 1000 among a population >15 years of age.…”

Section: Introductionmentioning

confidence: 99%

Rheumatic heart disease in rural south India: A clinico-observational study

Sriharibabu¹,

Himabindu²,

Kabir³

2013

Journal of Cardiovascular Disease Research

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a b s t r a c tBackground: Rheumatic heart disease (RHD) is still a public health issue in many countries in the world, and particularly in Southeast Asia. India, for example, contributes 25%e50% of the global burden of RHD. Clinic-based and epidemiological studies on RHD in India have used different methodologies and clinical criteria to estimate RHD burden in India. The present study employs strict clinical criteria, including echocardiography, to estimate RHD prevalence and associated clinical complications in a large unique rural population in southern India covered through a governmental health insurance scheme. Materials and methods: Total 44,164 eligible patients were screened from 238 primary care health centers in rural southern India between October 2007 and March 2012 using strict clinical criteria and objective ascertainment. A total of 403 patients aged 15 years or above were finally analyzed based on both the inclusion and exclusion criteria. Detailed information on both demographic and clinical characteristics was obtained through personal interviews and clinical examinations. Descriptive analyses were performed, including age standardization. Results: The age-standardized RHD prevalence rate was 9.7/1000 populationsdmore common in younger age groups (<44 years) and relatively high among females. Pulmonary hypertension was the most common clinical complication followed by CHF, tricuspid regurgitation, as well as infective endocarditis. More than two-thirds had no past history of RHD or penicillin prophylaxis. Conclusions: RHD rates are still high in rural India among populations covered through governmental health insurance scheme. Both primary and secondary preventive measures, including widespread coverage of penicillin prophylaxis, must be considered mainstay tools to both prevent and reduce RHD burden in endemic populations, including rural India.

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Rheumatic heart disease in India

Cited by 30 publications

References 5 publications

Distribution and Pattern of Valvular Heart Diseases by Echocardiography: A Tertiary Care Center Study

Distribution and Pattern of Valvular Heart Diseases by Echocardiography: A Tertiary Care Center Study

Study of a Novel Index Mitral Leaflet Separation Index by 2-Dimensional Echocardiography to Assess the Severity of Mitral Stenosis

Rheumatic heart disease in rural south India: A clinico-observational study

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