PREVALENCE OF RHEUMATIC HEART DISEASE AMONG SCHOOL-GOING CHILDREN IN NORTHERN AND SOUTHERN REGIONS OF SARAWAK, MALAYSIA

Authors

  • Rudy Ngau Ajeng Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak, 94300, Kota Samarahan, Sarawak, Malaysia
  • Md Mizanur Rahman Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak, 94300, Kota Samarahan, Sarawak, Malaysia http://orcid.org/0000-0002-0706-2920
  • Asri Bin Said Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak, 94300, Kota Samarahan, Sarawak, Malaysia
  • Mohamed Ameenudeen Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak
  • Greta Miranda Goh Kim Choo Faculty of Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak, 94300, Kota Samarahan, Sarawak, Malaysiaand Health Sciences, Universiti Malaysia Sarawak
  • Muhammad Siddiq Bin Daud Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak, 94300, Kota Samarahan, Sarawak, Malaysia
  • Mohd Faiz Gahamat Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak, 94300, Kota Samarahan, Sarawak, Malaysia

DOI:

https://doi.org/10.37268/mjphm/vol.22/no.3/art.1535

Keywords:

Rheumatic heart disease, Prevalence, Echocardiography, World Heart Federation Criteria

Abstract

Rheumatic Heart Disease (RHD) is a preventable chronic heart disease caused by rheumatic fever. RHD can result in complications and can even conclude in unexpected death at a young age. This study aimed to estimate the prevalence of RHD among the school-going age group in the Northern and Southern regions of Sarawak. This research was conducted as a cross-sectional study in Samarahan and Kuching of the Southern Region and Miri of the Northern Region of Sarawak. The study population comprised school-going children within the divisions. The data on sociodemographic characteristics were collected through a questionnaire. At the same time, echocardiographic parameters were collected through a portable echocardiographic device. Cardiologists confirmed the abnormal cardiac findings. The overall prevalence of RHD was 14 per 1000 persons or 1.4%. Borderline RHD prevalence was 9 per 1000 persons or 0.9%, while the Definite RHD prevalence was 5 per 1000 persons or 0.5 %.  With the prevalence obtained, more attention should be given to preventing this silent disease.

References

Venugopal P, Gupta PK. Identification and diagnosis of risk factors and symptoms for rheumatic heart disease. Journal of Cardiovascular Disease Research. 2018;9(3):109-114.https://doi.org/10.5530/jcdr.2018.3.26

Marijon E, Mirabel M, Celermajer DS, Jouven X. Rheumatic heart disease. The Lancet. 2012;379(9819):953-964.https://doi.org/10.1016/S0140-6736(11)61171-9

Harris C, Croce B, Cao C. Rheumatic heart disease. Annals of cardiothoracic surgery. 2015;4(5):492.https://doi.org/10.3978/j.issn.2225-319X.2015.09.05

Boyarchuk O, Hariyan T, Kovalchuk T. Clinical features of rheumatic heart disease in children and adults in Western Ukraine. Bangladesh Journal of Medical Science. 2019;18(1):87-93.https://doi.org/10.3329/bjms.v18i1.39556

Zühlke L, Karthikeyan G, Engel ME, et al. Clinical outcomes in 3343 children and adults with rheumatic heart disease from 14 low-and middle-income countries: two-year follow-up of the Global Rheumatic Heart Disease Registry (the REMEDY Study). Circulation. 2016;134(19):1456-1466.https://doi.org/10.1161/CIRCULATIONAHA.116.024769

Nascimento BR, Beaton AZ. Rheumatic heart disease and socioeconomic development. The Lancet Global Health. 2019;7(10):e1297-e1299.https://doi.org/10.1016/S2214-109X(19)30369-9

Rérolle C, Faisant M, Lefrancq T, Saint‐Martin P. Sudden death due to undiagnosed rheumatic heart disease in a child. Journal of forensic sciences. 2016;61(3):848-850

Mutagaywa RK, Wind AM, Kamuhabwa A, Cramer MJ, Chillo P, Chamuleau S. Rheumatic heart disease anno 2020: Impacts of gender and migration on epidemiology and management. European Journal of Clinical Investigation. 2020;50(12):e13374.https://doi.org/10.1111/eci.13374

Dassel JL, Ralph AP, Carapetis JR. Controlling acute rheumatic fever and rheumatic heart disease in developing countries: are we getting closer? Current opinion in pediatrics. 2015;27(1):116-123.https://doi.org/10.1097/MOP.0000000000000164

Yakub MA, Dillon J, Krishna Moorthy PS, Pau KK, Nordin MN. Is rheumatic aetiology a predictor of poor outcome in the current era of mitral valve repair? Contemporary long-term results of mitral valve repair in rheumatic heart disease. European Journal of Cardio-Thoracic Surgery. 2013;44(4):673-681.https://doi.org/10.1093/ejcts/ezt093

Chang AY, Nabbaale J, Nalubwama H, et al. Motivations of women in Uganda living with rheumatic heart disease: A mixed methods study of experiences in stigma, childbearing, anticoagulation, and contraception. PloS one. 2018;13(3):e0194030.https://doi.org/10.1371/journal.pone.0194030

Riaz A, Hanif MI, Khan IH, Hanif A, Mughal S, Anwer A. Quality of life in patients with rheumatic heart disease. J Pakistan Med Assoc. 2018;68(3):370-375

World Health Organization. Sixty-fifth World Health Assembly. Geneva World Health Organization; 2012. Available at: chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/viewer.html?pdfurl=https%3A%2F%2Fapps.who.int%2Fgb%2FDGNP%2Fpdf_files%2FA65_REC1-en.pdf&clen=1386163&chunk=true.

Ralston J. New global target on non-communicable diseases: a call to action for the global cardiovascular disease community. Cardiovascular journal of Africa. 2012;23(5):241-242

Epi Info [computer program]. Version 7.2.4. USA: Centers for Disease Control and Prevention 2020.

Wejner-Mik P, Kasprzak JD, Filipiak-Strzecka D, Miśkowiec D, Lorens A, Lipiec P. Personal mobile device-based pocket echocardiograph-The diagnostic value and clinical utility. Adv Med Sci. Mar 2019;64(1):157-161.https://doi.org/10.1016/j.advms.2018.11.003

Reményi B, Wilson N, Steer A, et al. World Heart Federation criteria for echocardiographic diagnosis of rheumatic heart disease--an evidence-based guideline. Nat Rev Cardiol. 2012;9(5):297-309.https://doi.org/10.1038/nrcardio.2012.7

Sika-Paotonu D, Beaton A, Raghu A, Steer A, Carapetis J. Acute Rheumatic Fever and Rheumatic Heart Disease. In: Ferretti JJ, Stevens DL, Fischetti VA, eds. Streptococcus pyogenes: Basic Biology to Clinical Manifestations. Oklahoma City (OK): University of Oklahoma Health Sciences Center© The University of Oklahoma Health Sciences Center; 2016.

Remenyi B. Rheumatic Heart Disease of the Mitral Valve: Is There Such Thing as an Ideal Operation? Heart, Lung and Circulation. 2018;27(7):779-781.https://doi.org/10.1016/j.hlc.2018.05.002

Clark BC, Krishnan A, McCarter R, Scheel J, Sable C, Beaton A. Using a low-risk population to estimate the specificity of the World Heart Federation criteria for the diagnosis of rheumatic heart disease. Journal of the American Society of Echocardiography. 2016;29(3):253-258.https://doi.org/10.1016/j.echo.2015.11.013

Roberts KV, Maguire GP, Brown A, et al. Rheumatic heart disease in Indigenous children in northern Australia: differences in prevalence and the challenges of screening. Medical Journal of Australia. 2015;203(5):221-221.https://doi.org/https://doi.org/10.5694/mja15.00139

Chang AY, Scheel A, Dewyer A, et al. Prevalence, Clinical Features and Antibiotic Susceptibility of Group A Streptococcal Skin Infections in School Children in Urban Western and Northern Uganda. The Pediatric infectious disease journal. 2019;38(12):1183-1188.https://doi.org/10.1097/INF.0000000000002467

Kazahura P, Mushi TL, Pallangyo P, et al. Prevalence and Risk Factors for Subclinical Rheumatic Heart Disease Among Primary School Children in Dar es Salaam, Tanzania: A Community Based Cross-Sectional Study. Research Square. 2021:1-16.https://doi.org/10.21203/rs.3.rs-197941/v1

The Official Portal of Sarawak Government. Sarawak Population. Sarawak State Government Available at: https://sarawak.gov.my/web/home/article_view/240/175/. Accessed 08 November 2021, 2021.

Shrank WH, Patrick AR, Brookhart MA. Healthy user and related biases in observational studies of preventive interventions: a primer for physicians. J Gen Intern Med. 2011;26(5):546-550.https://doi.org/10.1007/s11606-010-1609-1

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Published

2023-04-24

How to Cite

Rudy Ngau Ajeng, Rahman, M. M., Asri Bin Said, Mohamed Ameenudeen, Greta Miranda Goh Kim Choo, Muhammad Siddiq Bin Daud, & Mohd Faiz Gahamat. (2023). PREVALENCE OF RHEUMATIC HEART DISEASE AMONG SCHOOL-GOING CHILDREN IN NORTHERN AND SOUTHERN REGIONS OF SARAWAK, MALAYSIA. Malaysian Journal of Public Health Medicine, 23(1), 103–109. https://doi.org/10.37268/mjphm/vol.22/no.3/art.1535