الفهرس | Only 14 pages are availabe for public view |
Abstract Rheumatic heart disease (RHD) is one of the most common acquired cardiovascular disease in children and young adults. Rheumatic fever is a systemic, non-suppurative inflammatory complication of untreated pharyngeal infection with group A beta hemolytic streptococci, which is characterized by inflammatory lesions primarily involving the heart, joints and subcutaneous tissue. Acute rheumatic carditis develops in 40% to 50% of patients with a first attack of acute rheumatic fever. Rheumatic fever typically occurs in children between the ages of 5 and 15 years, however, any age-group may be affected. Males and females are equally susceptible. RHD was diagnosed by auscultating for a heart murmur. Echocardiography has proven to be more sensitive and specific than auscultation. RHD detected on echocardiography without an associated clinically pathological cardiac murmur is referred to as subclinical RHD. This study detect the prevalence of rheumatic heart disease among school children in Damietta district. The present study was a prospective study included 5000 students; 2578 males and 2422 female from primary and preparatory governmental and private schools. For each child, a full questionnaire obtained. All students were belonging to the age group 6-15 years old. The students were sent for further evaluation by consultant cardiologist and echocardiographer for identification of the cases of rheumatic heart diseases. |