Effectiveness of Systematic Echocardiographic Screening for Rheumatic Heart Disease in Nepalese Schoolchildren

Karki, Prahlad; Uranw, Surendra; Bastola, Santosh; Mahato, Rajan; Shrestha, Ninadini; Sherpa, Kunjang; Dhungana, Sahadeb Prasad; Odutayo, Ayodele; Gurung, Keshar; Pandey, Naveen; Agrawal, Kopila; Shah, Prashant; Rothenbühler, Martina; Jüni, Peter; Pilgrim, Thomas

doi:10.1001/jamacardio.2020.7050

Cited by 26 publications

(12 citation statements)

References 18 publications

(33 reference statements)

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“…Echocardiographic screening in combination with secondary antibiotic prophylaxis in children with evidence of latent rheumatic heart disease is currently investigated to reduce its prevalence in endemic regions. 91 In patients with established rheumatic heart disease, secondary long-term prophylaxis against rheumatic fever is recommended: benzathine benzyl penicillin 1.2 MUI every 3 to 4 weeks over 10 years. Lifelong prophylaxis should be considered in high-risk patients according to the severity of VHD and exposure to group A Streptococcus.…”

Section: Prophylaxis For Rheumatic Fevermentioning

confidence: 99%

2021 ESC/EACTS Guidelines for the management of valvular heart disease

Vahanian¹,

Beyersdorf²,

Praz³

et al. 2022

EuroIntervention

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547

581

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The ESC Guidelines represent the views of the ESC and were produced after careful consideration of the scientific and medical knowledge and the evidence available at the time of their dating. The ESC is not responsible in the event of any contradiction, discrepancy and/or ambiguity between the ESC Guidelines and any other official recommendations or guidelines issued by the relevant public health authorities, in particular in relation to good use of health care or therapeutic strategies. Health professionals are encouraged to take the ESC Guidelines fully into account when exercising their clinical judgment as well as in the determination and the implementation of preventive, diagnostic or therapeutic medical strategies. However, the ESC Guidelines do not override in any way whatsoever the individual responsibility of health professionals to make appropriate and accurate decisions in consideration of each patient's health condition and in consultation with that patient and the patient's caregiver where appropriate and/or necessary. Nor do the ESC Guidelines exempt health professionals from taking careful and full consideration of the relevant official updated recommendations or guidelines issued by the competent public health authorities in order to manage each patient's case in light of the scientifically accepted data pursuant to their respective ethical and professional obligations. It is also the health professional's responsibility to verify the applicable rules and regulations relating to drugs and medical devices at the time of prescription.

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Section: Prophylaxis For Rheumatic Fevermentioning

confidence: 99%

2021 ESC/EACTS Guidelines for the management of valvular heart disease

Vahanian¹,

Beyersdorf²,

Praz³

et al. 2022

EuroIntervention

Self Cite

547

581

View full text Add to dashboard Cite

show abstract

“…Nevertheless, we have demonstrated that a rapid single-view screening protocol can be performed in just over one-minute with a high degree of accuracy. School-based screening programs appear to be cost effective and reduce the risk of RHD overtime [5,18,19]. As new evidence emerges and technology improves, increased funding for RHD is needed to meaningfully reduce the global burden of disease [20].…”

Section: Discussionmentioning

confidence: 99%

Saving time saves lives! A time focused evaluation of a single-view echocardiographic screening protocol for subclinical rheumatic heart disease

Johannsen¹,

Kaltenborn²,

Shroff³

2022

International Journal of Cardiology

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“…Echocardiographic screening has been advocated as an effective screening measure for the early detection of latent RHD for which a standard WHF criteria for echocardiographic diagnosis of rheumatic heart disease was developed in 2012 [ 12 ]. School-based echocardiographic screening in combination with secondary antibiotic prophylaxis in children with evidence of latent rheumatic heart disease was found to be an effective strategy to reduce the prevalence of definite or borderline rheumatic heart disease in endemic regions [ 13 ]. For advanced cases, appropriate cardiac care services for medical and surgical management are required which are not easily accessible in all areas like Nepal.…”

Section: Discussionmentioning

confidence: 99%