Screening for rheumatic heart disease: Is a paradigm shift required?

被引:12
|
作者
Hunter L.D. [1 ]
Monaghan M. [2 ]
Lloyd G. [3 ]
Pecoraro A.J.K. [1 ]
Doubell A.F. [1 ]
Herbst P.G. [1 ]
机构
[1] Division of Cardiology, Tygerberg Hospital, University of Stellenbosch, Cape Town
[2] King’s College Hospital NHS Trust, London
[3] Department of Echocardiography, Barts Heart Centre, St Bartholomew’s Hospital, London
来源
Echo Research & Practice | 2017年 / 4卷 / 4期
关键词
2D echocardiography; Rheumatic heart disease; Screening;
D O I
10.1530/ERP-17-0037
中图分类号
学科分类号
摘要
This focused review presents a critical appraisal of the World Heart Federation criteria for the echocardiographic diagnosis of rheumatic heart disease (RHD) and its performance in African RHD screening programmes. It identifies various logistical and methodological problems that negatively influence the current guideline’s performance. The authors explore novel RHD screening methodology that could address some of these shortcomings and if proven to be of merit, would require a paradigm shift in the approach to the echocardiographic diagnosis of subclinical RHD. © 2017 The authors.
引用
收藏
页码:R43 / R52
页数:9
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