Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Echocardiogram screenings are effective in preventing rheumatic heart disease

12.06.2012
Circulation study from Children's National Medical Center provides recommendations for preventing treatable condition

Routine screening with echocardiogram can detect three times as many cases of rheumatic heart disease (RHD) as clinical examinations, offering a novel approach in preventing this common disease, according to a new study in Circulation. The study, conducted by cardiologists from Children's National Medical Center, is the largest single-population study in Africa. The August issue of Nature Reviews - Cardiology features a summary of the article in its Public Health feature.

The study screened nearly 5,000 school-aged children in Uganda and 130 had abnormal echocardiograms. After further evaluation at a hospital, 72 children were classified as having RHD, compared with just 23 children who met the diagnosis criteria for clinical evaluation. This represents a 400 percent increase in identification with an echocardiogram.

"What we found is that there were many children who had clinically silent RHD, which would have gone undetected without an echocardiogram," said Children's National's Andrea Beaton, MD, the lead author. "Echo screenings allow us to identify at-risk patients early, which in turn allows for early intervention to prevent more serious disease and complications."

The team performed upwards of 250 screenings daily, making echocardiograms an efficient and effective means for screening. The authors' recommendations include:
Focus screening on children 10 years old in lower socioeconomic groups, to maximize limited resources
Provide a two-staged approach to RHD detection (initial echo screening followed by comprehensive follow up)

Continue to support global efforts to treat subclinical RHD

RHD is the world's most common acquired cardiovascular disease, affecting approximately 15 million people, with a high incidence in developing countries. RHD is caused by repeated exposure to streptococcal bacteria, or strep throat, which is treated with antibiotics – when easily accessible. Repeated exposure to strep can lead to RHD, which carries many risks, including death. By identifying signs of RHD early, children can receive readily available antibiotics to prevent serious harm.

"Our study supports the World Heart Federation's new guidelines for using echocardiograms to diagnose RHD, so our hope is that more countries will adopt system-wide screening programs for this preventable disease," said Craig Sable, MD, a pediatric cardiologist at Children's National and senior author of the paper.

Dr. Sable has been leading cardiac screening programs in Uganda for the past 13 years. He and a large team from Children's National have screened more than 1,000 children and coordinated the care for more than 150 children in the United States. Dr. Sable has also led six cardiac surgery missions to Uganda since 2007 and coordinated additional surgical trips by other teams; more than 150 children have undergone open heart surgery in Uganda.

For copies of the study or for interviews, contact Emily Dammeyer or Emily Hartman, Public Relations: 202-476-4500

About Children's National Medical Center

Children's National Medical Center in Washington, DC, has been serving the nation's children since 1870. Home to Children's Research Institute and the Sheikh Zayed Institute for Pediatric Surgical Innovation, Children's National is consistently ranked among the top pediatric hospitals by U.S.News & World Report and the Leapfrog Group. Children's National is a Magnet® designated hospital. With 303 beds and eight regional outpatient centers, Children's National is the only exclusive provider of acute pediatric services in the Washington metropolitan area. For more information, visit ChildrensNational.org, or follow us on Facebook and Twitter.

Emily Dammeyer | EurekAlert!
Further information:
http://www.childrensnational.org

More articles from Health and Medicine:

nachricht A new method of tooth repair? Scientists uncover mechanisms to inform future treatment
09.08.2019 | University of Plymouth

nachricht Take a break! Brain stimulation improves motor learning
08.08.2019 | Max-Planck-Institut für Kognitions- und Neurowissenschaften

All articles from Health and Medicine >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: A miniature stretchable pump for the next generation of soft robots

Soft robots have a distinct advantage over their rigid forebears: they can adapt to complex environments, handle fragile objects and interact safely with humans. Made from silicone, rubber or other stretchable polymers, they are ideal for use in rehabilitation exoskeletons and robotic clothing. Soft bio-inspired robots could one day be deployed to explore remote or dangerous environments.

Most soft robots are actuated by rigid, noisy pumps that push fluids into the machines' moving parts. Because they are connected to these bulky pumps by tubes,...

Im Focus: Vehicle Emissions: New sensor technology to improve air quality in cities

Researchers at TU Graz are working together with European partners on new possibilities of measuring vehicle emissions.

Today, air pollution is one of the biggest challenges facing European cities. As part of the Horizon 2020 research project CARES (City Air Remote Emission...

Im Focus: Self healing robots that "feel pain"

Over the next three years, researchers from the Vrije Universiteit Brussel, University of Cambridge, École Supérieure de Physique et de Chimie Industrielles de la ville de Paris (ESPCI-Paris) and Empa will be working together with the Dutch Polymer manufacturer SupraPolix on the next generation of robots: (soft) robots that ‘feel pain’ and heal themselves. The partners can count on 3 million Euro in support from the European Commission.

Soon robots will not only be found in factories and laboratories, but will be assisting us in our immediate environment. They will help us in the household, to...

Im Focus: Scientists create the world's thinnest gold

Scientists at the University of Leeds have created a new form of gold which is just two atoms thick - the thinnest unsupported gold ever created.

The researchers measured the thickness of the gold to be 0.47 nanometres - that is one million times thinner than a human finger nail. The material is regarded...

Im Focus: Study on attosecond timescale casts new light on electron dynamics in transition metals

An international team of scientists involving the Max Planck Institute for the Structure and Dynamics of Matter (MPSD) in Hamburg has unraveled the light-induced electron-localization dynamics in transition metals at the attosecond timescale. The team investigated for the first time the many-body electron dynamics in transition metals before thermalization sets in. Their work has now appeared in Nature Physics.

The researchers from ETH Zurich (Switzerland), the MPSD (Germany), the Center for Computational Sciences of University of Tsukuba (Japan) and the Center for...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

VideoLinks
Industry & Economy
Event News

The power of thought – the key to success: CYBATHLON BCI Series 2019

16.08.2019 | Event News

4th Hybrid Materials and Structures 2020 28 - 29 April 2020, Karlsruhe, Germany

14.08.2019 | Event News

What will the digital city of the future look like? City Science Summit on 1st and 2nd October 2019 in Hamburg

12.08.2019 | Event News

 
Latest News

Working out why plants get sick

16.08.2019 | Life Sciences

Newfound superconductor material could be the 'silicon of quantum computers'

16.08.2019 | Physics and Astronomy

Stanford develops wireless sensors that stick to the skin to track our health

16.08.2019 | Medical Engineering

VideoLinks
Science & Research
Overview of more VideoLinks >>>