Prevalence of Rheumatic Heart Disease in a Public School of Belo Horizonte

Background: Previous studies indicate that compared with physical examination, Doppler echocardiography identifies a larger number of cases of rheumatic heart disease in apparently healthy individuals. Objectives: To determine the prevalence of rheumatic heart disease among students in a public school of Belo Horizonte by clinical evaluation and Doppler echocardiography. Methods: This was a cross-sectional study conducted with 267 randomly selected school students aged between 6 and 16 years. students underwent anamnesis and physical examination with the purpose of establishing criteria for the diagnosis of rheumatic fever. They were all subjected to Doppler echocardiography using a portable machine. Those who exhibited nonphysiological mitral regurgitation (MR) and/or aortic regurgitation (AR) were referred to the Doppler echocardiography laboratory of the Hospital das Clínicas of the Universidade Federal of Minas Gerais (HC-UFMG) to undergo a second Doppler echocardiography examination. According to the findings, the cases of rheumatic heart disease were classified as definitive, probable, or possible. Results: Of the 267 students, 1 (0.37%) had a clinical history compatible with the diagnosis of acute rheumatic fever (ARF) and portable Doppler echocardiography indicated nonphysiological MR and/or AR in 25 (9.4%). Of these, 16 (6%) underwent Doppler echocardiography at HC-UFMG. The results showed definitive rheumatic heart disease in 1 student, probable rheumatic heart disease in 3 students, and possible rheumatic heart disease in 1 student. Conclusion: In the population under study, the prevalence of cases compatible with rheumatic involvement was 5 times higher on Doppler echocardiography (18.7/1000; 95% CI 6.9/1000-41.0/1000) than on clinical evaluation (3.7/1000-95% CI).

Motor and cognitive development of selected Egyptian and German primary school aged children : a cross-cultural study

Magdeburg, Univ., Fak. für Humanwiss., Diss., 2013

Revision of the Hawaiian members of the genus Tetraplasandra A. Gray.

v.29:no.2(1955)

Notices of the Proceedings at the meetings of the members of the Royal Institution.

Vol 2 (1854-58)

Notices of the Proceedings at the meetings of the members of the Royal Institution.

Vol 3 (1858-62)

Report of the Director to the Board of Trustees for the year ... / Chicago Natural History Museum.

1958

Report of the Director to the Board of Trustees for the year ... / Chicago Natural History Museum.

1959

Annual report of the Director to the Board of Trustees for the year ... / Field Museum of Natural History

12, no. 1

Annual report of the Director to the Board of Trustees for the year ... / Field Museum of Natural History

12, no. 3

Annual report of the National Science Board.

7th ed.

Annual report of the National Science Board.

5th ed.

Annual report of the National Science Board.

8th ed.