Clinical Spectrum and Considerations of Rheumatic Fever and Rheumatic Heart Disease: Call for National Disease Prevention and Control Programme in Saudi Arabia
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 3
Abstract
Rheumatic fever (RF) and its sequel rheumatic heart disease (RHD) are considered to be preventable chronic diseases; however, they are still epidemic in developing countries. This study was designed to collect the clinical details and compliance with treatment from patient in the Northwest region in Saudi Arabia. Clinical records from patients referred to the paediatric cardiology unit between 2004 and 2016 were reviewed. The demographic, sociodemographic, clinical data, echocardiography and laboratory data were collected. A total of 297 children with RF/RHD were identified. Complete medical record was found for 248 patients. Of these, 86 patients with RF and 162 with RHD. RHD referrals are more from rural compared to urban areas. Arthritis was the major manifestation in RF group (69%), while carditis was the major manifestations in the RHD group (66%). Mitral regurgitation was the most common valvular lesions among RHD cases (42%). Compliance with secondary prophylactic treatment was found to be 43%. Family history of RHD was noted in 7 cases, which represent 4.3%. RF/RHD is still a burden in Saudi Arabia especially in rural areas and cause of hospital admissions. An initiative for control and prevention of RF/RHD, including public awareness activities, is needed across the country.
Authors and Affiliations
Khalid Al- Harbi
Keywords
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- EP ID EP552592
- DOI 10.9790/0853-1803013742.
- Views 69
- Downloads 0
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