Rheumatic HD Prevalence around the world

The term “minimally invasive cardiac surgery” refers to a form of cardiac surgery performed using specialized surgical instruments through small incisions to minimize tissue damage and inflammation process and also patients’ more satisfaction and quick recovery. Today minimally invasive cardiac surgery (MICS) is a good alternative for standard midsternotomy for many cardiac surgeries [1–3]. Although the smaller surgical incision scars seem to be the main advantage of this procedure among the general population, the main advantages of this surgical method are less tissue damage and systemic inflammatory response syndrome (SIRS), postoperative bleeding, less need for transfusion, and shorter hospital stay [1,2]. The term “minimally invasive cardiac surgery” refers to a form of cardiac surgery performed using specialized surgical instruments through small incisions to minimize tissue damage and inflammation process and also patients’ more satisfaction and quick recovery. Today minimally invasive cardiac surgery (MICS) is a good alternative for standard midsternotomy for many cardiac surgeries [1–3]. Although the smaller surgical incision scars seem to be the main advantage of this procedure among the general population, the main advantages of this surgical method are less tissue damage and systemic inflammatory response syndrome (SIRS), postoperative bleeding, less need for transfusion, and shorter hospital stay [1,2].The term “minimally invasive cardiac surgery” refers to a form of cardiac surgery performed using specialized surgical instruments through small incisions to minimize tissue damage and inflammation process and also patients’ more satisfaction and quick recovery. Today minimally invasive cardiac surgery (MICS) is a good alternative for standard midsternotomy for many cardiac surgeries [1–3]. Although the smaller surgical incision scars seem to be the main advantage of this procedure among the general population, the main advantages of this surgical method are less tissue damage and systemic inflammatory response syndrome (SIRS), postoperative bleeding, less need for transfusion, and shorter hospital stay [1,2].The term “minimally invasive cardiac surgery” refers to a form of cardiac surgery performed using specialized surgical instruments through small incisions to minimize tissue damage and inflammation process and also patients’ more satisfaction and quick recovery. Today minimally invasive cardiac surgery (MICS) is a good alternative for standard midsternotomy for many cardiac surgeries [1–3]. Although the smaller surgical incision scars seem to be the main advantage of this procedure among the general population, the main advantages of this surgical method are less tissue damage and systemic inflammatory response syndrome (SIRS), postoperative bleeding, less need for transfusion, and shorter hospital stay [1,2].The term “minimally invasive cardiac surgery” refers to a form of cardiac surgery performed using specialized surgical inst

1. Original Article
Prevalence of Rheumatic Heart Disease Detected
by Echocardiographic Screening
Eloi Marijon, M.D., Phalla Ou, M.D., David S. Celermajer, Ph.D., F.R.A.C.P., Beatriz
Ferreira, M.D., Ph.D., Ana Olga Mocumbi, M.D., Dinesh Jani, M.D., Christophe
Paquet, M.D., M.P.H., Sophie Jacob, Ph.D., Daniel Sidi, M.D., Ph.D., and Xavier
Jouven, M.D., Ph.D.
N Engl J Med
Volume 357(5):470-476
August 2, 2007

2. Study Overview
•Screening for rheumatic heart disease in children was undertaken in
Cambodia and Mozambique
•In both countries, echocardiographic screening showed a much higher
prevalence of rheumatic heart disease in children than did clinical
screening
•The findings have important public health implications for secondary
prevention of this serious disorder, which is particularly prevalent in the
developing world

3. Characteristics of the Patients
Marijon E et al. N Engl J Med 2007;357:470-476

4. Prevalence of Rheumatic Valvular Abnormalities among Schoolchildren in Cambodia and
Mozambique as Detected by Clinical Screening with Echocardiographic Confirmation and by
Echocardiographic Screening
Marijon E et al. N Engl J Med 2007;357:470-476

5. Outcome of Echocardiographic Screening for Rheumatic Heart Disease in Mozambique
Marijon E et al. N Engl J Med 2007;357:470-476

6. Conclusion
•Systematic screening with echocardiography, as compared with clinical
screening, reveals a much higher prevalence of rheumatic heart disease
(approximately 10 times as great)
•Since rheumatic heart disease frequently has devastating clinical
consequences and secondary prevention may be effective after accurate
identification of early cases, these results have important public health
implications