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Prevalence of rheumatic heart disease in a public school of Belo Horizonte.
[acute rheumatic fever]
Previous
studies
indicate
that
compared
with
physical
examination
,
Doppler
echocardiography
identifies
a
larger
number
of
cases
of
rheumatic
heart
disease
in
apparently
healthy
individuals
.
To
determine
the
prevalence
of
rheumatic
heart
disease
among
students
in
a
public
school
of
Belo
Horizonte
by
clinical
evaluation
and
Doppler
echocardiography
.
This
was
a
cross-sectional
study
conducted
with
267
randomly
selected
school
students
aged
between
6
and
16
years
.
students
underwent
anamnesis
and
physical
examination
with
the
purpose
of
establishing
criteria
for
the
diagnosis
of
rheumatic
fever
.
They
were
all
subjected
to
Doppler
echocardiography
using
a
portable
machine
.
Those
who
exhibited
nonphysiological
mitral
regurgitation
(
MR
)
and
/
or
aortic
regurgitation
(
AR
)
were
referred
to
the
Doppler
echocardiography
laboratory
of
the
Hospital
das
ClÃnicas
of
the
Universidade
Federal
of
Minas
Gerais
(
HC-UFMG
)
to
undergo
a
second
Doppler
echocardiography
examination
.
According
to
the
findings
,
the
cases
of
rheumatic
heart
disease
were
classified
as
definitive
,
probable
,
or
possible
.
Of
the
267
students
,
1
(
0
.
37
%
)
had
a
clinical
history
compatible
with
the
diagnosis
of
acute
rheumatic
fever
(
ARF
)
and
portable
Doppler
echocardiography
indicated
nonphysiological
MR
and
/
or
AR
in
25
(
9
.
4
%
)
.
Of
these
,
16
(
6
%
)
underwent
Doppler
echocardiography
at
HC-UFMG
.
The
results
showed
definitive
rheumatic
heart
disease
in
1
student
,
probable
rheumatic
heart
disease
in
3
students
,
and
possible
rheumatic
heart
disease
in
1
student
.
In
the
population
under
study
,
the
prevalence
of
cases
compatible
with
rheumatic
involvement
was
5
times
higher
on
Doppler
echocardiography
(
18
.
7
/
1000
;
95
%
CI
6
.
9
/
1000
-
41
.
0
/
1000
)
than
on
clinical
evaluation
(
3
.
7
/
1000
-
95
%
CI
)
.
Diseases
Validation
Diseases presenting
"heart disease"
symptom
22q11.2 deletion syndrome
achondroplasia
acute rheumatic fever
adrenal incidentaloma
child syndrome
classical phenylketonuria
cohen syndrome
congenital diaphragmatic hernia
dentinogenesis imperfecta
esophageal adenocarcinoma
fabry disease
familial mediterranean fever
heparin-induced thrombocytopenia
hirschsprung disease
holt-oram syndrome
homocystinuria without methylmalonic aciduria
kabuki syndrome
monosomy 21
omenn syndrome
phenylketonuria
sneddon syndrome
systemic capillary leak syndrome
wiskott-aldrich syndrome
wolf-hirschhorn syndrome
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