Affordable Access

deepdyve-link
Publisher Website

Prevalence of latent structural heart disease in Nepali schoolchildren.

Authors
  • Shrestha, Nikesh R1
  • Uranw, Surendra2
  • Karki, Prahlad2
  • Bastola, Santosh2
  • Mahato, Rajan2
  • Sherpa, Kunjang2
  • Dhungana, Sahadeb3
  • Gurung, Keshar1
  • Pandey, Naveen2
  • Agrawal, Krishna2
  • Bartkowiak, Joanna4
  • Shah, Prashant2
  • Rothenbühler, Martina4
  • Pilgrim, Thomas4
  • 1 Department of Cardiology, Neuro Cardio and Multispeciality Hospital, Biratnagar, Nepal. , (Nepal)
  • 2 Department of Internal Medicine and Cardiology, BP Koirala Institute of Health Sciences, Dharan, Nepal. , (Nepal)
  • 3 Department of Cardiology, Noble Medical College Teaching Hospital and Research Center, Biratnagar, Nepal. , (Nepal)
  • 4 Department of Cardiology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland. , (Switzerland)
Type
Published Article
Journal
Cardiology in the Young
Publisher
Cambridge University Press
Publication Date
Nov 04, 2021
Pages
1–3
Identifiers
DOI: 10.1017/S1047951121004479
PMID: 34732274
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

The present study aimed to quantify the burden of structural heart disease in Nepali children. We performed a school-based cross-sectional echocardiographic screening study with cluster random sampling among children 5-16 years of age. Between December 2012 and January 2019, 6573 children (mean age 10.6 ± 2.9 years) from 41 randomly selected schools underwent echocardiographic screening. Structural heart disease was detected in 14.0 per 1000 children (95% CI 11.3-17.1) and was congenital in 3.3 per 1000 (95% CI 2.1-5.1) and rheumatic in 10.6 per 1000 (95% CI 8.3-13.4). Rates of rheumatic heart disease were higher among children attending public as compared to private schools (OR 2.8, 95% CI 1.6-5.2, p = 0.0001). Rheumatic heart disease accounted for three out of four cases of structural heart disease and was more common among children attending public as compared to private schools.

Report this publication

Statistics

Seen <100 times