Key result
Among 800 reproductive-age females presenting for echocardiography, the prevalence of rheumatic heart disease was 5.75%, with mitral regurgitation being the most common valvular lesion.
Why the study?
Rheumatic heart disease remains a major public health problem in developing countries, accounting for approximately 90% of all cardiovascular disease among pregnant women in low-income countries.
What is the prevalence and pattern of rheumatic heart disease among reproductive age group females presenting to a tertiary care hospital in Central Nepal?
Cross-Sectional (n=800)
No
What is the prevalence and pattern of rheumatic heart disease among reproductive age group females presenting to a tertiary care hospital in Central Nepal?
The prevalence of rheumatic heart disease among reproductive age females in Central Nepal is high (5.75%), with the mitral valve being the most commonly affected, highlighting the potential need for routine echocardiographic screening before pregnancy.
Answers are grounded in this paper and cite their sources.
High RHD burden in reproductive-age women in Central Nepal; leaves open whether pre-pregnancy screening improves outcomes.
INTRODUCTION Rheumatic heart disease (RHD) remains a major public health problem in developing countries. In low income countries RHD accounts for approximately 90% of all cardiovascular disease among pregnant women. This study aims to evaluate the prevalence and pattern of RHD among reproductive age group women presenting to a tertiary care teaching hospital in Central Nepal. MATERIAL AND METHODS Prospective observational study was carried out in College of Medical Sciences Teaching Hospital, Bharatpur, Nepal from January 2019 to December 2019 by doing transthoracic echocardiography (TTE) of reproductive age group females (n=800) from 15 years to 45 years of age. The data were collected in pre-structured proforma. RESULTS Out of 800 patients, RHD was present in 46 (5.75%) patients. The incidence of RHD was found to be highest in the age group of 30-35 years 13 (28.3%) and the mean age of presentation was 29.24 years. Mitral valve was the most common valve involvement and mitral regurgitation 37 (80.4%) was the most common valvular dysfunction present in patients with RHD. CONCLUSION The prevalence of RHD among reproductive age group female is high and mitral valve is the most commonly affected valve.
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Shrestha et al. (2021) conducted a cross-sectional in Rheumatic heart disease (n=800). Echocardiography screening was evaluated on Prevalence of Rheumatic Heart Disease. Among 800 reproductive-age females presenting for echocardiography, the prevalence of rheumatic heart disease was 5.75%, with mitral regurgitation being the most common valvular lesion.
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