The challenge of screening for asymptomatic rheumatic heart disease in South Africa

Acute rheumatic fever and rheumatic heart disease remain common in the population of South Africa. A recent screening study of asymptomatic schoolchildren in Mozambique and Cambodia makes a compelling case for a shift in the approach to screening for rheumatic heart disease from auscultation to port...

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Auteurs principaux:	Liesl Zühlke, Bongani M. Mayosi
Format:	article
Langue:	EN
Publié:	South African Heart Association 2017
Sujets:	acute rheumatic fever rheumatic heart disease south africa Diseases of the circulatory (Cardiovascular) system RC666-701
Accès en ligne:	https://doaj.org/article/b5724d0ba0b64a0ea8c13eb7d8ccb81e
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spelling	oai:doaj.org-article:b5724d0ba0b64a0ea8c13eb7d8ccb81e2021-11-22T07:21:21ZThe challenge of screening for asymptomatic rheumatic heart disease in South Africa10.24170/6-2-19971996-67412071-4602https://doaj.org/article/b5724d0ba0b64a0ea8c13eb7d8ccb81e2017-04-01T00:00:00Zhttps://www.journals.ac.za/index.php/SAHJ/article/view/1997https://doaj.org/toc/1996-6741https://doaj.org/toc/2071-4602Acute rheumatic fever and rheumatic heart disease remain common in the population of South Africa. A recent screening study of asymptomatic schoolchildren in Mozambique and Cambodia makes a compelling case for a shift in the approach to screening for rheumatic heart disease from auscultation to portable echocardiography. Rheumatic heart disease meets all the epidemiological criteria for screening in the South African population. The incorporation of echocardiographic screening programmes into the school health system and in antenatal clinics for the pre-symptomatic diagnosis of rheumatic heart disease could result in the reduction of morbidity and mortality through the early and wide application of secondary antibiotic prophylaxis.Liesl ZühlkeBongani M. MayosiSouth African Heart Associationarticleacute rheumatic feverrheumatic heart diseasesouth africaDiseases of the circulatory (Cardiovascular) systemRC666-701ENSA Heart Journal, Vol 6, Iss 2, Pp 100-103 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	acute rheumatic fever rheumatic heart disease south africa Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	acute rheumatic fever rheumatic heart disease south africa Diseases of the circulatory (Cardiovascular) system RC666-701 Liesl Zühlke Bongani M. Mayosi The challenge of screening for asymptomatic rheumatic heart disease in South Africa
description	Acute rheumatic fever and rheumatic heart disease remain common in the population of South Africa. A recent screening study of asymptomatic schoolchildren in Mozambique and Cambodia makes a compelling case for a shift in the approach to screening for rheumatic heart disease from auscultation to portable echocardiography. Rheumatic heart disease meets all the epidemiological criteria for screening in the South African population. The incorporation of echocardiographic screening programmes into the school health system and in antenatal clinics for the pre-symptomatic diagnosis of rheumatic heart disease could result in the reduction of morbidity and mortality through the early and wide application of secondary antibiotic prophylaxis.
format	article
author	Liesl Zühlke Bongani M. Mayosi
author_facet	Liesl Zühlke Bongani M. Mayosi
author_sort	Liesl Zühlke
title	The challenge of screening for asymptomatic rheumatic heart disease in South Africa
title_short	The challenge of screening for asymptomatic rheumatic heart disease in South Africa
title_full	The challenge of screening for asymptomatic rheumatic heart disease in South Africa
title_fullStr	The challenge of screening for asymptomatic rheumatic heart disease in South Africa
title_full_unstemmed	The challenge of screening for asymptomatic rheumatic heart disease in South Africa
title_sort	challenge of screening for asymptomatic rheumatic heart disease in south africa
publisher	South African Heart Association
publishDate	2017
url	https://doaj.org/article/b5724d0ba0b64a0ea8c13eb7d8ccb81e
work_keys_str_mv	AT lieslzuhlke thechallengeofscreeningforasymptomaticrheumaticheartdiseaseinsouthafrica AT bonganimmayosi thechallengeofscreeningforasymptomaticrheumaticheartdiseaseinsouthafrica AT lieslzuhlke challengeofscreeningforasymptomaticrheumaticheartdiseaseinsouthafrica AT bonganimmayosi challengeofscreeningforasymptomaticrheumaticheartdiseaseinsouthafrica
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The challenge of screening for asymptomatic rheumatic heart disease in South Africa

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