Author + information
- Madhab Ray,
- Ranga Raj Dhungana,
- Bipasha Ray,
- Rishi Shah,
- Haroon Zubair,
- Meghna Ray,
- Paushaly Sau,
- Santanu Guha,
- Robert Joel Goldberg,
- Harry P. Selker and
- Deepak L. Bhatt
Rheumatic Heart Disease (RHD) still remains a public health concern in different parts of the developing world. Early detection is the key to prevent its long-term complications and to reduce the morbidity and mortality related to this disease.
We conducted a cross-sectional survey in 13 schools in the Dhading district of Nepal in August, 2018 with an objective to find the prevalence of RHD in students who had complaints of both recurrent sore throat and joint pain and compare with those who had either or none of these symptoms.
A total of 3,000 students participated in the survey with a mean age of 13.3 (44% boys). Nearly half of the students denied symptoms of recurrent sore throat or joint pain while 14% had both of these symptoms. Echocardiogram was performed on 25.5% of the participants and 8 had RHD as per WHO criteria. Students with both joint pain and sore throat had three times higher prevalence (10.6 vs. 3.28 per thousand) than the group with joint pain alone (Chi square p value <0.01). Around 90% of the cases were detected by scanning 14% of the students with both recurrent joint pain and sore throat.
The estimated prevalence of RHD in the school children in the study population was high at 32 per thousand. Our study offers a potentially powerful screening tool for easy identification of students with RHD in this population. In resource limited environment this may facilitate an effective use of secondary prophylaxis to prevent the complications and progress of the disease.
Prevalence of RHD according to symptoms in Dhading district of Nepal
|Prevalence of RHD according to symptoms in Dhading district of Nepal|
|Group||Total (N=3,000)||Echo done (n=764) 25.5%||RHD present||Estimated number of cases in the study subgroup||Prevalence* (in the study subgroup)||Estimated prevalence* in the study population|
|Symptomatic (sore throat & joint pain)||407 (14%)||269 (66.1%)||7||10.6||26.02||32|
|Joint pain||548 (18%)||167 (30.5%)||1||3.28||5.99|
|Sore throat||701 (23%)||178 (25.4%)||0||0||0|
|None||1,344 (45%)||150 (11.2%)||0||0||0|
↵* Prevalence per thousand students
Posters Hall_Hall A
Saturday, March 28, 2020, 12:30 p.m.-1:15 p.m.
Session Title: Spotlight on Special Topics: Global Cardiovascular Health 2
Abstract Category: 43. Spotlight on Special Topics: Global Cardiovascular Health
Presentation Number: 1173-269
- 2020 American College of Cardiology Foundation