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Heart failure, ventricular dysfunction and risk factor prevalence in Australian Aboriginal peoples: the Heart of the Heart Study.
[acute rheumatic fever]
Limited
strategies
have
been
developed
to
evaluate
and
address
the
alarming
discrepancy
in
early
mortality
between
Indigenous
and
non-
Indigenous
populations
.
T
o
assess
heart
failure
(
HF
)
,
HF
risk
factors
and
document
cardiac
characteristics
in
an
Australian
Aboriginal
population
.
A
dults
were
enrolled
across
six
Aboriginal
communities
in
Central
Australia
.
They
undertook
comprehensive
cardiovascular
assessments
,
including
echocardiography
,
to
determine
HF
status
,
asymptomatic
ventricular
dysfunction
and
underlying
risk
factor
profile
.
Of
436
participants
(
mean
age
44
±
14
years
;
64
%
women
)
enrolled
,
5
.
3
%
(
95
%
CI
3
.
2
%
to
7
.
5
%
)
were
diagnosed
with
HF
,
only
35
%
of
whom
had
a
pre-existing
HF
diagnosis
.
Asymptomatic
left
ventricular
dysfunction
(
ALVD
)
was
seen
in
13
%
(
95
%
CI
9
.
4
%
to
15
.
7
%
)
of
the
population
.
Estimates
of
HF
risk
factor
prevalence
were
as
follows
:
body
mass
index
(
BMI
)
≥
30
kg
/
m
(
2
)
42
%
,
hypertension
41
%
,
diabetes
mellitus
40
%
,
coronary
artery
disease
(
CAD
)
7
%
and
history
of
acute
rheumatic
fever
or
rheumatic
heart
disease
7
%
.
In
logistic
regression
analysis
(
after
adjustment
for
age
and
gender
)
,
HF
was
associated
with
CAD
(
OR
=
9
.
6
,
p
<
0
.
001
)
,
diabetes
(
OR
=
5
.
4
,
p
=
0
.
002
)
,
hypertension
(
OR
=
4
.
8
,
p
=
0
.
006
)
,
BMI
≥
30
kg
/
m
(
2
)
(
OR
=
2
.
9
,
p
=
0
.
02
)
,
acute
rheumatic
fever
or
rheumatic
heart
disease
(
OR
=
5
.
6
,
p
=
0
.
001
)
and
B-
type
natriuretic
peptide
(
OR
=
1
.
02
,
p
<
0
.
001
)
.
The
burden
of
HF
,
ALVD
and
risk
factors
in
this
population
was
extremely
high
.
This
study
highlights
potentially
modifiable
targets
on
which
to
focus
resources
and
screening
strategies
to
prevent
HF
in
this
high
-risk
Indigenous
population
.
Diseases
Validation
Diseases presenting
"fever"
symptom
22q11.2 deletion syndrome
acute rheumatic fever
alexander disease
allergic bronchopulmonary aspergillosis
canavan disease
carcinoma of the gallbladder
child syndrome
congenital toxoplasmosis
cushing syndrome
cystinuria
dracunculiasis
erdheim-chester disease
esophageal adenocarcinoma
esophageal carcinoma
familial mediterranean fever
focal myositis
hodgkin lymphoma, classical
lamellar ichthyosis
legionellosis
locked-in syndrome
malignant atrophic papulosis
neonatal adrenoleukodystrophy
neuralgic amyotrophy
oculocutaneous albinism
papillon-lefèvre syndrome
pyomyositis
pyruvate dehydrogenase deficiency
scrub typhus
severe combined immunodeficiency
sneddon syndrome
systemic capillary leak syndrome
triple a syndrome
typhoid
waldenström macroglobulinemia
wolf-hirschhorn syndrome
This symptom has already been validated