Journal article

Screening for rheumatic heart disease: current approaches and controversies

Kathryn Roberts, Samantha Colquhoun, Andrew Steer, Bo Remenyi, Jonathan Carapetis

NATURE REVIEWS CARDIOLOGY | NATURE PUBLISHING GROUP | Published : 2013

Abstract

Rheumatic heart disease (RHD) is a leading cause of cardiac disease among children in developing nations, and in indigenous populations of some industrialized countries. In endemic areas, RHD has long been a target of screening programmes that, historically, have relied on cardiac auscultation. The evolution of portable echocardiographic equipment has changed the face of screening for RHD over the past 5 years, with greatly improved sensitivity. However, concerns have been raised about the specificity of echocardiography, and the interpretation of minor abnormalities poses new challenges. The natural history of RHD in children with subclinical abnormalities detected by echocardiographic scre..

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