Literature DB >> 33592020

Prevalence of rheumatic heart disease in a major referral cardiology clinic in Ethiopia: A retrospective cross-sectional study.

Melkamu H Asmare1,2,3, Frehiwot Woldehanna2, Samuel Hunegnaw4, Luc Janssens1,3, Bart Vanrumste1,3.   

Abstract

BACKGROUND: Rheumatic Heart Disease (RHD) remains one of the major causes of death and disability in developing countries. This preventable, treatable but not curable form of cardiovascular disease is needlessly killing scores of children and youth mainly due to the misunderstanding of the burden of the disease in these countries. We sought to describe the prevalence of RHD at one of the major referral cardiology clinics in Ethiopia.
METHODS: This was a retrospective cross-sectional chart review of all patients referred for a cardiopathy at the Tikur Anbessa Referral Cardiac Clinic from June 2015 to August 2018. We excluded records of patients with a non-cardiac diagnosis and those without a clear diagnosis. A predesigned and tested EXCEL form was used to collect the data. The data was encoded directly from the patient record files. MATLAB's statistics toolbox (MATLAB2019b) was used for statistical analysis.
RESULTS: Among the total 7576 records analyzed 59.5% of the patients were women. 83.1% of the data belonged to adult patients with the largest concentration reported in the 18 to 27 age group. 69.7% of the patients were from urban areas. The median age of the study population was 30 (interquartile range = 21-50). 4151 cases were caused by RHD which showed that RHD constituted 54.8% of the cases. The median age for RHD patients was 25 (interquartile range = 19-34). The second most prevalent disease was hypertensive heart disease which constituted 13.6% that was followed by congenital heart disease with 9% prevalence rate.
CONCLUSION: The results of this study indicated the extent of the RHD prevalence in Ethiopia's cardiac hospital was 54.8%. What was more critical was that almost 70% of the RHD patients were mainly the working-age group(19 to 34 years).

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Year:  2021        PMID: 33592020      PMCID: PMC7886207          DOI: 10.1371/journal.pone.0246519

Source DB:  PubMed          Journal:  PLoS One        ISSN: 1932-6203            Impact factor:   3.240


  29 in total

Review 1.  World Heart Federation criteria for echocardiographic diagnosis of rheumatic heart disease--an evidence-based guideline.

Authors:  Bo Reményi; Nigel Wilson; Andrew Steer; Beatriz Ferreira; Joseph Kado; Krishna Kumar; John Lawrenson; Graeme Maguire; Eloi Marijon; Mariana Mirabel; Ana Olga Mocumbi; Cleonice Mota; John Paar; Anita Saxena; Janet Scheel; John Stirling; Satupaitea Viali; Vijayalakshmi I Balekundri; Gavin Wheaton; Liesl Zühlke; Jonathan Carapetis
Journal:  Nat Rev Cardiol       Date:  2012-02-28       Impact factor: 32.419

2.  Estimates of the global burden of rheumatic heart disease.

Authors:  Liesl J Zühlke; Andrew C Steer
Journal:  Glob Heart       Date:  2013-09-26

3.  Prevalence of rheumatic heart disease among school children in Ethiopia: A multisite echocardiography-based screening.

Authors:  Dejuma Yadeta; Abrha Hailu; Abraham Haileamlak; Etsgenet Gedlu; Senbeta Guteta; Endale Tefera; Zemene Tigabu; Hagazi Tesfaye; Wandimu Daniel; Desalew Mekonnen; Meseret Zelalem; Yohannes Tekleab; Bekele Alemayehu; Dufera Mekonnen; Aklilu Azazh; Tamirat Moges; Tedros Hailu; Tekabe Abdosh; Nejib Yusuf; Dawit Ayele; Kindie Wuobshet; Henok Tadele; Kinfe Lemma; Solomon Shiferaw; Araya Giday; Demeke Mekonnen; Getnet Alemu; Liesl Zühlke; Thomas G Allison; Vuisile T Nkomo; Mark E Engel
Journal:  Int J Cardiol       Date:  2016-07-01       Impact factor: 4.164

Review 4.  The global burden of group A streptococcal diseases.

Authors:  Jonathan R Carapetis; Andrew C Steer; E Kim Mulholland; Martin Weber
Journal:  Lancet Infect Dis       Date:  2005-11       Impact factor: 25.071

Review 5.  Recommendations on the Use of Echocardiography in Adult Hypertension: A Report from the European Association of Cardiovascular Imaging (EACVI) and the American Society of Echocardiography (ASE).

Authors:  Thomas H Marwick; Thierry C Gillebert; Gerard Aurigemma; Julio Chirinos; Genevieve Derumeaux; Maurizio Galderisi; John Gottdiener; Brian Haluska; Elizabeth Ofili; Patrick Segers; Roxy Senior; Robyn J Tapp; Jose L Zamorano
Journal:  J Am Soc Echocardiogr       Date:  2015-07       Impact factor: 5.251

6.  Adherence to Benzathine Penicillin G Secondary Prophylaxis and Its Determinants in Patients with Rheumatic Heart Disease at a Cardiac Center of an Ethiopian Tertiary Care Teaching Hospital.

Authors:  Kajela Kibirat Mekonen; Malede Berihun Yismaw; Alfoalem Araba Abiye; Tamrat Assefa Tadesse
Journal:  Patient Prefer Adherence       Date:  2020-02-19       Impact factor: 2.711

7.  Spectrum of cardiovascular diseases in six main referral hospitals of Ethiopia.

Authors:  Dejuma Yadeta; Senbeta Guteta; Bekele Alemayehu; Dufera Mekonnen; Etsegenet Gedlu; Henock Benti; Hagazi Tesfaye; Samuel Berhane; Abraha Hailu; Abadi Luel; Tedros Hailu; Wandimu Daniel; Abraham Haileamlak; Esayas Kebede Gudina; Gari Negeri; Desalew Mekonnen; Kindie Woubeshet; Tariku Egeno; Kinfe Lemma; Vibhu R Kshettry; Endale Tefera
Journal:  Heart Asia       Date:  2017-06-19

Review 8.  Rheumatic heart disease in Africa: is there a role for genetic studies?

Authors:  Ana Olga Mocumbi
Journal:  Cardiovasc J Afr       Date:  2015 Mar-Apr       Impact factor: 1.167

9.  Community health extension program of Ethiopia, 2003-2018: successes and challenges toward universal coverage for primary healthcare services.

Authors:  Yibeltal Assefa; Yalemzewod Assefa Gelaw; Peter S Hill; Belaynew Wassie Taye; Wim Van Damme
Journal:  Global Health       Date:  2019-03-26       Impact factor: 4.185

10.  The spectrum of paediatric cardiac disease presenting to an outpatient clinic in Malawi.

Authors:  Neil Kennedy; Paul Miller
Journal:  BMC Res Notes       Date:  2013-02-07
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