Prevalence of Structural Heart Diseases Detected by Handheld Echocardiographic Device in School-Age Children in Iran: The SHED LIGHT Study.

Autor:	Hosseini S; Heart Valve Disease Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR., Samiei N; Heart Valve Disease Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR., Tabib A; Heart Valve Disease Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR., Bakhshandeh H; Heart Valve Disease Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR., Rezaei Y; Heart Valve Disease Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR., Parsaee M; Echocardiography Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR., Rashidi Ghader F; Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR., Moradian M; Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR., Shojaeifard M; Echocardiography Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR., Khajali Z; Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR., Taghavi S; Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR., Naderi N; Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR., Mortaz Hejri G; Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR., Ghaderian H; Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR., Houshmand G; Heart Valve Disease Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR., Kaviani R; Echocardiography Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR., Farrashi M; Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR., Pakbaz M; Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR., Mombeini H; Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR., Saedi S; Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR., Ghavidel AA; Heart Valve Disease Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR., Omrani G; Heart Valve Disease Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR., Mohebbi A; Heart Valve Disease Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR., Peighambari MM; Heart Valve Disease Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR., Khorgami MR; Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR., Nikpajouh A; Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR., Amin A; Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR., Maleki M; Echocardiography Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR.; Cardiovascular Intervention Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR., Mestres CA; Department of Cardiac Surgery, University Hospital Zurich, Zurich, CH., Badano LP; Istituto Auxologico Italiano, IRCCS, Milan, Italy.; Department of Medicine and Surgery, University of Milano-Bicocca, Milan, IR., Noohi F; Heart Valve Disease Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR.; Cardiovascular Intervention Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR.
Jazyk:	angličtina
Zdroj:	Global heart [Glob Heart] 2022 Jun 15; Vol. 17 (1), pp. 39. Date of Electronic Publication: 2022 Jun 15 (Print Publication: 2022).
DOI:	10.5334/gh.1121
Abstrakt:	Background: Structural heart disease (SHD) has great impacts on healthcare systems, creating further public health concerns. Proper data are scant regarding the magnitude of the affected population by SHD. Objectives: This study aimed to determine the prevalence of SHD among children and adolescents in an Iranian population. Methods: In this population-based study, a multistage cluster-random sampling was used to choose schools from the Tehran urban area. All students were examined using a handheld Vscan device by echocardiographer, and the results were concurrently supervised and interpreted by cardiologists. All the major findings were reevaluated in hospital clinics. Results: Of 15,130 students (6-18 years, 52.2% boys) who were examined, the prevalence of individuals with congenital heart disease (CHD) and cardiomyopathy was 152 (10.046 per 1,000 persons) and 9 (0.595 per 1,000 persons), respectively. The prevalence of definite and borderline rheumatic heart disease (RHD) was 30 (2 per 1,000 persons) and 113 (7.5 per 1,000 persons), correspondingly. Non-rheumatic valvular heart disease (VHD) was also detected in 465 (30.7 per 1,000 persons) students. Of all the pathologies, only 39 (25.6%) cases with CHD and 1 (0.007%) cases with RHD had already been diagnosed. Parental consanguinity was the strongest predictor of CHD and SHD (odds ratio [OR]: 1.907, 95% CI, 1.358 to 2.680; P < 0.001 and OR, 1.855, 95% CI, 1.334 to 2.579; P < 0.001, respectively). The female sex (OR, 1.262, 95% CI, 1.013 to 1.573; P = 0.038) and fathers' low literacy (OR, 1.872, 95% CI, 1.068 to 3.281; P = 0.029) were the strongest predictors of non-rheumatic VHD and RHD, correspondingly. Conclusions: The implementation of echocardiographic examinations for detecting SHD among young population is feasible which detected SHD prevalence in our population comparable to previous reports. Further studies are required to delineate its economic aspects for community-based screening. Competing Interests: SH reports grants from the NIMAD, during the conduct of the study. All other authors have none to declare. (Copyright: © 2022 The Author(s).)
Databáze:	MEDLINE
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