A dramatic decline in university hospital admissions of acute rheumatic fever in the eastern region of Saudi Arabia

Abdul-Mohsen, Mohammed Fakhry; Lardhi, Amer A.

doi:10.1016/j.jsha.2011.01.002

Cited by 7 publications

(7 citation statements)

References 19 publications

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“…In 2004, about 20% of Saudi Arabian HF patients were found to be suffering from depression, whereas the previous past five years' estimates rendered 56.7% (2021) [16], 62%-65% (2018) [17], and 23.52% (2019) [18] depression in Saudi HF cohort. Compared to the 2019 report, the current analysis corroborated the increase of 20% signifying an upsurge of the associated risk factors [7]. Researchers are attempting to establish a possible connection for the co-occurrence of these diseases.…”

Section: Discussionsupporting

confidence: 66%

“…These mutual associations together play a role in leading to the development of depression in this cohort. Prevalence rates in Saudi Arabia of these relatable diseases were measured about two decades ago [7], which signifies the quantification of the latest figures and determination of the depression-leading factors among Saudi HF patients. Correspondingly, we aim to examine the prevalence and risk factors of depression and anxiety among Saudi HF patients and suggest preventive measures to mitigate them.…”

Section: Introductionmentioning

confidence: 99%

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The Prevalence of Depression and Anxiety in Heart Failure Patients in Saudi Arabia: An Original Study

Shamiri¹,

Almushawah²,

Alsomali³

et al. 2023

Cureus

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BackgroundDepression is a severe comorbidity that is often detected in patients with chronic diseases. Poor prognosis may eventuate high mortality risk. Up to 30% of heart failure patients have been documented with depression and the majority upholds depression-related symptoms that may have serious clinical implications, such as hospital readmissions and fatalities. To mitigate depression-induced harms among heart failure patients, studies are being conducted to determine the prevalence, risk factors, and interventions. ObjectivesThe current investigation is envisioned to examine the prevalence of depression and anxiety among the Saudi heart failure population. Also, it will help to explore the risk factors that will subsequently facilitate the analysis of preventive measures. MethodologyThe cross-sectional epidemiologic research was conducted at King Khalid University, Hospital with the recruitment of 205 participants. Each participant underwent a 30-question screening for depression, anxiety, and related risk factors. The "Hospital, Anxiety, and Depression Scale" (HADS score) was used to score subjects for the assessment of both comorbidities. The data points were subsequently analyzed by descriptive statistics and regression analysis. ResultsAmong 205 participants, 137 (66.82%) were male and 68 (33.17%) were female with a mean age of 59.71 years. Our sample reflects a prevalence of 52.7% depression and 56.9% anxiety in Saudi heart failure patients. High depression scores were positively related to age, female gender, hospital readmissions, and pre-existing comorbidities in heart failure patients. ConclusionThe study manifested high depression scores among the Saudi heart failure cohort compared to the previous survey. In addition, a substantial interrelationship of depression and categorical variables has been identified that accentuates predominating risks that can potentially promote depression and anxiety in heart failure patients.

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Section: Discussionsupporting

confidence: 66%

Section: Introductionmentioning

confidence: 99%

The Prevalence of Depression and Anxiety in Heart Failure Patients in Saudi Arabia: An Original Study

Shamiri¹,

Almushawah²,

Alsomali³

et al. 2023

Cureus

View full text Add to dashboard Cite

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“…35 Furthermore, over an 11-year observation period in Dammam, left-sided lesions were diagnosed in all patients. 36 In the southern area, 40 patients with rheumatic carditis were identified, and 6.7% of them who developed TR were found to have concomitant MR. 37 Isolated rheumatic TV has never been reported in KSA.…”

Section: Discussionmentioning

confidence: 99%

A case report of isolated rheumatic tricuspid regurgitation and pericarditis

Alhadramy

2021

Journal of Taibah University Medical Sciences

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Rheumatic fever (RF) is a complex syndrome in which the human body develops antibodies against β-haemolytic streptococcus, and triggers inflammation in various organs. RF valvulitis mostly affects the mitral valve (MV) and, to a lesser extent, the aortic valve (AV). Isolated rheumatic tricuspid valve (TV) disease and pericarditis is extremely rare and is not well described in the RF guidelines. The current case demonstrates the echocardiographic findings of TV valvulitis of RF and describes the presentation and electrocardiogram (ECG) changes in pericarditis. We present the case of a 16-year-old male patient who developed upper respiratory tract infection followed by typical pericarditis chest pain. The patient had no history of joint pain or swelling, but was found to have a tricuspid regurgitation (TR) murmur upon examination. Laboratory investigations revealed an elevated erythrocyte sedimentation rate, and elevated C-reactive protein and antistreptolysin O titres. ECG showed a wide-spread 1.5 mm upward concave ST-segment elevation. In echocardiography, the TV opened well with markedly thickened leaflets and severe TR, while the MV and AV were normal in both structure and function. The diagnosis of RF was established and treatment with high-dose aspirin and antibiotics was initiated. The treatment led to resolution of the chest pain. Our case highlights that the physical and lab findings of rheumatic TR are similar to those of rheumatic mitral regurgitation, with the exception of a high-velocity jet. Similarly, the presentations of rheumatic pericarditis are similar to other types and may also respond to high-dose aspirin. Finally, physicians should be familiar with both the common and rare complications of RF because the guidelines have placed Middle East region among the high-risk countries.

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“…[ 8 ] In the kingdom of Saudi Arabia (KSA), a study was done in 2011 and showed that there was a significant decline in the frequency of new hospital admissions due to ARF. [ 9 ] Another study done in 2019 showed that levels of knowledge, attitude, and awareness of RF were high when compared with other studies. [ 10 ]…”

Section: Introductionmentioning

confidence: 99%

Awareness of rheumatic fever and rheumatic heart disease among the population in taif, Saudi Arabia 2020

Mougrabi

Aljuaid

Alrabie

et al. 2021

Journal of Family Medicine and Primary Care

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Objective: Studies assessing knowledge about rheumatic fever (RF) and rheumatic heart disease (RHD) are scarce in KSA. The aim of this study was to assess the awareness about ARF and RHD among the population at Taif city, Saudi Arabia. Methods: A cross-sectional study was done on 716 of residents of Taif city. A pre-designed questionnaire that collected data about the participants' demographic characters, their history of sore throat and medication used, participants' knowledge about cause and complications of sore throat, its relation to RHD, treatment, primary and secondary prevention of RHD. Results: 77% of the participants had a history of sore throat, of them 58.4% took antibiotics as a self-medication. A significant higher prevalence of previous history of sore throat was present among 42-50-year-old females, graduated, and those with an income above 10000 SR. Participants with an age of 18-24 years and graduated, had significantly higher percent of those who knew about: cause and complications of sore throat, sore throat is associated with heart diseases, and if treating sore throat can prevent heart disease. Females had a significantly higher percent of those who knew about: complications of sore throat, being extremely aware of that primary prevention of sore throat by using antibiotics such as penicillin and being extremely aware of secondary prevention of recurrence RF and decrease progression of RHD. Conclusion: Raising awareness about ARF and RHD through health education programs is needed.

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A dramatic decline in university hospital admissions of acute rheumatic fever in the eastern region of Saudi Arabia

Abstract: There is a significant decline in the frequency of new hospital admissions due to ARF. This decline was associated with similar decline in the frequency of the manifestations of ARC especially in pediatric age group (1-12 years).

Cited by 7 publications

References 19 publications

The Prevalence of Depression and Anxiety in Heart Failure Patients in Saudi Arabia: An Original Study

The Prevalence of Depression and Anxiety in Heart Failure Patients in Saudi Arabia: An Original Study

A case report of isolated rheumatic tricuspid regurgitation and pericarditis

Awareness of rheumatic fever and rheumatic heart disease among the population in taif, Saudi Arabia 2020

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