Epidemiological survey of Rheumatic fever, Rheumatic heart disease and Congenital heart disease among school children in Kathmandu valley of Nepal
Journal Title: Nepalese Heart Journal - Year 2013, Vol 10, Issue 1
Abstract
background and aims: Rheumatic Fever, Rheumatic Heart Disease and Congenital Heart disease are the most common cardiac problems in school children. Prior studies have reported different prevalence rate of Rheumatic Heart Disease among different groups of population of Nepal. The aim of this study was to estimate the prevalence of Rheumatic Fever, Rheumatic Heart Disease and Congenital Heart Disease among school children in Kathmandu Valley of Nepal. Methods: Cardiac screening of 34,876 school children from 115 randomly selected public schools from two cities of Kathmandu Valley (Kathmandu and Lalitpur) was done. Cases with abnormal fndings in auscultation underwent echocardiography and the diagnosis was confrmed. Results: The prevalence of Congenital Heart Disease was noted to be 1 per thousand and prevalence of Rheumatic Heart Disease was found to be 0.90 per thousand (in the age group 5-16 years) with the most common lesion being Mitral Regurgitation. No signifcant statistical difference was noted between male and female students in both the cases of Rheumatic Heart Disease and Congenital Heart Disease. No cases of Acute Rheumatic Fever were noted. Conclusion: The prevalence of Rheumatic Heart Disease among school children in Kathmandu valley was noted to be lower than reported in similar previous studies. Primary and secondary prevention programs of RF/RHD have been effective in Nepal and are needed to be strengthened and expanded to further reduce the burden of these diseases.
Authors and Affiliations
Dipanker Prajapati| Shahid Gangalal National Heart Centre, Bansbari, Kathmandu, Deewakar Sharma| Shahid Gangalal National Heart Centre, Bansbari, Kathmandu, Prakash Raj Regmi| National Academy of Medical Sciences, Bir Hospital, Kathmandu, Harihar Khanal| National Academy of Medical Sciences, Bir Hospital, Kathmandu, Sajan Gopal Baidya| Shahid Gangalal National Heart Centre, Bansbari, Kathmandu, Sujeeb Rajbhandari| Shahid Gangalal National Heart Centre, Bansbari, Kathmandu, Madhu Rokka| Lalitpur Heart Clinic, Nepal Heart Foundation,Lalitpur Branch,Lalitpur, Sarju Raj Singh| Lalitpur Heart Clinic, Nepal Heart Foundation,Lalitpur Branch,Lalitpur, Anmol Shrestha| Lalitpur Heart Clinic, Nepal Heart Foundation,Lalitpur Branch,Lalitpur, Abha Shrestha| Lalitpur Heart Clinic, Nepal Heart Foundation,Lalitpur Branch,Lalitpur, Rupesh Jung Belbase| Lalitpur Heart Clinic, Nepal Heart Foundation,Lalitpur Branch,Lalitpur, Sambridhi Sulpya| Lalitpur Heart Clinic, Nepal Heart Foundation,Lalitpur Branch,Lalitpur
Keywords
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