THE PREVALENCE OF RHEUMATIC HEART DISEASE AMONG SCHOOL CHILDREN IN URBAN AREAS OF HAMADAN PROVINCE

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MAHMOUDI M.J.; REZAEI N.; MAHMOUDI M.

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Journal: Annals of Military and Health Sciences Research Year:2003 | Volume:1 | Issue:2 (Serial Number 2) Page(s): 105-110

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Title

THE PREVALENCE OF RHEUMATIC HEART DISEASE AMONG SCHOOL CHILDREN IN URBAN AREAS OF HAMADAN PROVINCE

Author(s)

MAHMOUDI M.J. | REZAEI N. | MAHMOUDI M. | Issue Writer Certificate

Keywords

PREVALENCEQ4

RHEUMATIC HEART DISEASEQ4

VALVULAR REGURGITATIONQ3

VALVULAR STENOSISQ4

Abstract

Background: RHEUMATIC HEART DISEASE (RHD) continues to be a common health problem in the developing world, causing morbidity and mortality among both children and adults. There are only a few population surveys available in Iran to determine the PREVALENCE of RHD. In order to estimate its PREVALENCE among schoolchildren in urban areas of Hamadan province, this survey was undertaken.Materials and Methods: The study was a cross-sectional survey, carried out by a specially trained medical team headed by a cardiologist. The study involved all of the schoolchildren (7-18 years of age) from 7 cities of Hamadan province, situated in the west of Iran during 1993.Diagnosis of RHEUMATIC HEART DISEASE was confirmed only after Doppler echocardiography in suspected cases.Results: A total of 167,786 children on the school register (104, 242 boys and 63,544 girls) were examined generally and specifically for evidence of RHD. Out of the 167,786 children screened, 714 were suspected cases and 23 were confirmed cases of RHD (14 boys and 9 girls), giving an overall PREVALENCE rate of 1.37 per 10000 children with no significant difference among the age groups of 7-11, 12-14 and 15-18 years. Only sixteen of the 23 patients were aware of their disease (69.6%). The mitral valve was affected in all of the cases. Out of 23 cases of RHD, isolated mitral regurgitation (MR) was present in six (26%), combined MR and mitral stenosis (MS) in nine (39.1%), combined MS and aortic insufficiency (Al) in one, and combined MR and MS and AI in four patients (17.3%). Also one patient had acute rheumatic carditis. The tricuspid valve and pulmonary valve involvement were not seen in any cases.Conclusion: This study revealed a lower PREVALENCE of RHD than that reported in earlier studies from developing countries. The lack of patient's awareness about their disease, noted among the patients revealed that public health education is necessary. Also, regular studies are needed to identify new cases and to ensure secondary prophylaxis; thereby preventing the progression and the severity of the valvular lesion.

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APA: Copy

MAHMOUDI, M.J., REZAEI, N., & MAHMOUDI, M.. (2003). THE PREVALENCE OF RHEUMATIC HEART DISEASE AMONG SCHOOL CHILDREN IN URBAN AREAS OF HAMADAN PROVINCE. ANNALS OF MILITARY AND HEALTH SCIENCES RESEARCH, 1(2 (Serial Number 2)), 105-110. SID. https://sid.ir/paper/96618/en

Vancouver: Copy

MAHMOUDI M.J., REZAEI N., MAHMOUDI M.. THE PREVALENCE OF RHEUMATIC HEART DISEASE AMONG SCHOOL CHILDREN IN URBAN AREAS OF HAMADAN PROVINCE. ANNALS OF MILITARY AND HEALTH SCIENCES RESEARCH[Internet]. 2003;1(2 (Serial Number 2)):105-110. Available from: https://sid.ir/paper/96618/en

IEEE: Copy

M.J. MAHMOUDI, N. REZAEI, and M. MAHMOUDI, “THE PREVALENCE OF RHEUMATIC HEART DISEASE AMONG SCHOOL CHILDREN IN URBAN AREAS OF HAMADAN PROVINCE,” ANNALS OF MILITARY AND HEALTH SCIENCES RESEARCH, vol. 1, no. 2 (Serial Number 2), pp. 105–110, 2003, [Online]. Available: https://sid.ir/paper/96618/en

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