Echocardiography in Indigenous Populations and Resource Poor Settings

Marangou, James; Beaton, Andrea; Aliku, Twalib; Nunes, Maria Carmo Pereira; Kangaharan, Nadarajah; Reményi, Bo

doi:10.1016/j.hlc.2019.05.176

Cited by 17 publications

(20 citation statements)

References 45 publications

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“…Further research should address the role of echocardiography screening in different population groups, the use of non-expert operators, and incorporation of screening into routine health checks. 205…”

Section: Increasing Early Diagnosis Of Rhdmentioning

confidence: 99%

“…Ideally, screening would form part of a comprehensive health response to RHD in select communities, which would require the collaborative development of criteria and thresholds for screening. Further research should address the role of echocardiography screening in different population groups, the use of non‐expert operators, and incorporation of screening into routine health checks 205…”

Section: Chapter 4 Critical Elements Of a Comprehensive Approach To Ementioning

confidence: 99%

See 1 more Smart Citation

Ending rheumatic heart disease in Australia: the evidence for a new approach

Wyber¹,

Noonan²,

Halkon³

et al. 2020

Medical Journal of Australia

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on behalf of the END RHD CRE Investigators Collaborators Acknowledgements: • Children, families and communities living with RHD-We thank the Aboriginal and Torres Strait Islander people for sharing their stories in the Endgame Strategy, and acknowledge that the research and data in this publication reflect the experiences of Aboriginal and Torres Strait Islander people and communities affected by the ongoing trauma of ARF and RHD. • END RHD Review Working Group-We thank the following members of the END RHD Alliance, who formed an expert working group to review content of the Endgame Strategy for feasibility and acceptability, including review from a cultural perspective:

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Section: Increasing Early Diagnosis Of Rhdmentioning

confidence: 99%

Section: Chapter 4 Critical Elements Of a Comprehensive Approach To Ementioning

confidence: 99%

Ending rheumatic heart disease in Australia: the evidence for a new approach

Wyber¹,

Noonan²,

Halkon³

et al. 2020

Medical Journal of Australia

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“…Marangou and colleagues remind us that the majority of the global CV disease burden occurs in low-and middleincome countries (LMIC) and indigenous populations [25]. Apart from the major cardiac conditions, like ischaemic heart disease and heart failure, other neglected diseases-like rheumatic heart disease (RHD) in Oceania (including Australia and New Zealand), Sub-Saharan Africa and South Asia; endomyocardial fibrosis in the tropical areas of Saharan Africa, Asia and Latin America, and Chagas cardiomyopathy, especially in Latin America-exact a tremendous toll on human life and its quality.…”

mentioning

confidence: 99%

“…Disease screening is challenging, and especially so in resource limited regions. However, Mangalou and colleagues state that echocardiographic screening is our best weapon to detect RHD in those high-risk individuals who develop RHD without a clinical documented episode of rheumatic fever, as early implementation of secondary prophylaxis is known to be the most cost-effective method of halting disease progression and allowing for disease resolution [25].…”

mentioning

confidence: 99%

Echocardiography: Navigating Complexities to Provide Many Useful Applications in Contemporary Clinical Cardiology

Gregory

Stanton

Thomas

et al. 2019

Heart, Lung and Circulation

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Echocardiography has been around for more than half a century [1]. Recent decades have seen significant technological advances, with increasing clinical applications of this non-invasive imaging tool, beyond the basic assessment of left ventricular function, with further evolution evident on the horizon. There has also been a burgeoning increase in use: According to the 2017 Australian Medicare Medical Benefits Schedule (MBS) Taskforce, about 900,000 echocardiographic procedures (excluding stress echo) are reimbursed annually, at a cost of over $180 million each year [2]. In addition, the use of echo is growing at a rate of about 8.8% each year [3]. Stress echocardiography accounts for over $56 million in billing annually in Australia and has grown each year at a rate of 12% for the past 5 years [4]. In recognition of this expanding use, this fully commissioned Special Issue of Heart, Lung and Circulation presents an overview of contemporary practice in echocardiography.

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“…En los pacientes aquí descritos, el compromiso ventricular izquierdo aislado fue el principal patrón de presentación, y solo hubo dos casos de compromiso biventricular y ninguno con afección exclusiva del ventrículo derecho. Los pacientes con compromiso del ventrículo derecho presentan característicamente distensión yugular, hepatomegalia, ascitis y edema de los miembros inferiores 11 . En algunos pacientes se ha identificado ascitis grave sin otros signos de falla cardiaca derecha, planteando la posibilidad de compromiso por fibrosis e inflamación del peritoneo 2 .…”

Section: Discusiónunclassified

Fibrosis endomiocárdica: una cardiomiopatía restrictiva en países en vía de desarrollo

Vasquez-Rodriguez¹,

Medina-Mur²,

Giraldo³

et al. 2021

ACM

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La fibrosis endomiocárdica (FE) es una cardiomiopatía restrictiva infrecuente. En América Latina son escasos los reportes. En el presente trabajo se realiza una descripción de una serie de pacientes diagnosticados de FE en Colombia. Método: Realizamos una búsqueda en los registros de imágenes de resonancia magnética (RM) cardiaca realizadas en nuestra institución entre 2016 y 2019 en busca de pacientes con diagnóstico de FE. Se describieron sus características sociodemográficas, clínicas y de imagen. Resultados: Nueve pacientes fueron diagnosticados de FE (el 66.7% mujeres), con una edad promedio de 69 años. Los pacientes presentaron un promedio de 2.6 años de evolución. El principal síntoma referido fue disnea, seguido de síncope, dolor torácico y palpitaciones. En ninguno de ellos se sospechó FE como diagnóstico inicial. En cuanto a los hallazgos ecocardiográficos, se identificó compromiso predominante del ventrículo izquierdo, seguido de compromiso biventricular. Todos los pacientes presentaron patrón de llenado restrictivo con dilatación auricular izquierda severa. En el análisis retrospectivo se cumplieron los criterios de Mocumbi para el diagnóstico de FE en el 100% de los pacientes con gravedad moderada (77.8%). Las imágenes de RM mostraron función sistólica biventricular y volúmenes preservados. Se observó depósito focal de gadolinio subendocárdico a nivel apical y se confirmó la presencia de trombo en el 66% de los casos. Conclusión: La FE es una cardiomiopatía restrictiva infrecuente circunscrita a países tropicales. La mayoría de los pacientes en nuestra serie presentaron compromiso aislado del ventrículo izquierdo, seguido de compromiso biventricular, con función ventricular usualmente preservada.

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Echocardiography in Indigenous Populations and Resource Poor Settings

Abstract: people from the same region [2]. The underlying causes leading to poorer health outcomes are complex and varied, relating to post-colonialism dispossession as well as geographical and socioeconomic factors.

Cited by 17 publications

References 45 publications

Ending rheumatic heart disease in Australia: the evidence for a new approach

Ending rheumatic heart disease in Australia: the evidence for a new approach

Echocardiography: Navigating Complexities to Provide Many Useful Applications in Contemporary Clinical Cardiology

Fibrosis endomiocárdica: una cardiomiopatía restrictiva en países en vía de desarrollo

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