Rheumatic Heart Disease in Nepal: Current Scenario

Kc, Man Bahadur

doi:10.3126/njh.v13i2.15554

Cited by 7 publications

(5 citation statements)

References 2 publications

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“…Nepal, a country of Himalayas in South Asia, has an endemic pattern of RHD in high burden with studies showing the prevalence among school children between 0.9 and 1.35 per thousand [ 5 ]. A large epidemiological survey among school children in the capital Kathmandu valley reported the prevalence to be 0.90 per thousand (in the age group 5–16 years) which was significantly lower than the prevalence in a remote western district Jajarkot having the prevalence of 7.32 per thousand schoolchildren.…”

Section: Discussionmentioning

confidence: 99%

Rheumatic heart disease in the heart of Himalayas

Lamichhane¹,

Sharma

Pokhrel

et al. 2022

Annals of Medicine &Amp; Surgery

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Section: Discussionmentioning

confidence: 99%

Rheumatic heart disease in the heart of Himalayas

Lamichhane¹,

Sharma

Pokhrel

et al. 2022

Annals of Medicine &Amp; Surgery

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“…Evidently, heart failure due to advanced rheumatic and congenital heart disease are still among the most common cardiac causes of hospital admission in Nepal. 6…”

Section: Status Quomentioning

confidence: 99%

Insight into The Status of Cardiothoracic and Vascular Surgery Training in Nepal

Tiwari

2024

J. Nat. Heart Lung Soc. Nep.

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Cardiothoracic and Vascular Surgery is at a developing stage in Nepal. In Nepal, training of CTV surgeons started in the beginning of the 21st century. Nevertheless, there is already a decrease in trainee’s interest in this specialization leading CTVS training to a gasping state at its very neonatal age. Globally, training of medical professionals, in particular CTV surgeons, has been under continuous evolution since its inception. Analogously, in Nepal, the duration of the CTVS training and academic curriculum needs upgrading to meet international standards. Introduction of new concepts, learning advanced diagnostic and therapeutic techniques is important for CTV surgeons in Nepal, to become a competent member of the multidisciplinary Heart Team.

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“…11,12,13 PTMC has been performed regularly in Shahid Gangalal National Heart Centre for the last 17 years. 14,15,16 Till now there is no data regarding the impact of PTMC on the RV function in our population. Thus we aim to study the impact of PTMC on RV function.…”

Section: Introductionmentioning

confidence: 97%

Immediate impact of percutaneous transvenous mitral commissurotomy on right ventricular function

Malla

Shah

et al. 2017

Nepalese Heart J.

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Background and Aims: Abnormal Right Ventricular (RV) function affects the long term outcome and clinical symptoms in patients with mitral stenosis (MS). This study evaluates the immediate effect of Percutaneous Transmitral Commisurotomy (PTMC) on RV function. Methods: An observational, cross sectional study was done on 50 patients with rheumatic MS who underwent PTMC at Shahid Gangalal National Heart Center from Dec 2015 -Dec 2016. All underwent clinical evaluation and echocardiogram before and immediately after PTMC. Results: There was female preponderance with 66% being female. The mean age was 37.26 ± 10.63 years. There was immediate increase in the mitral valve area (MVA) from 0.87 ± 0.12cm2 to 1.54 ± 0.27cm2(p< 0.001). There was significant decrease in mean mitral diastolic gradient from 16.4 ± 8.8mmHg to 5 ± 1.5mmHg (p< 0.001), in the pulmonary artery systolic pressure 53.6 ± 21.83mmHg to 39.5 ± 14.67mmHg (p< 0.001), in the RV Tei index from 0.56 ± 0.08 to 0.40 ± 0.08 (p< 0.001). There was significant increase in TAPSE from 16.0 ± 1.50 to 18.6 ± 1.70 mm, (p<0.001) and the longitudinal velocity of excursion of the RV at the tricuspid annulus (RV S') from 13.69 ± 3.33 cm/sec to 15.31 ± 3.07 cm/sec (p< 0.001) Conclusions: Successful PTMC can improve RV function as shown by the improvement in PASP, RV Tei index, TAPSE and RV S'. Further larger population studies are required to confirm the findings. Long term studies are important to determine the prognostic significance of improvement in RV function.

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Rheumatic Heart Disease in Nepal: Current Scenario

Abstract: Rheumatic Heart Disease, though declining in developed world, is still prevalent in Nepal in spite of increased awareness and improvement in preventive programs. This article presents the current scenario of Rheumatic Heart Disease in Nepal.Nepalese Heart Journal 2016; 13(2): 1-2

Cited by 7 publications

References 2 publications

Rheumatic heart disease in the heart of Himalayas

Rheumatic heart disease in the heart of Himalayas

Insight into The Status of Cardiothoracic and Vascular Surgery Training in Nepal

Immediate impact of percutaneous transvenous mitral commissurotomy on right ventricular function

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