Echocardiographic Screening for Rheumatic Heart Disease: A Brief History and Implications for the Future.

Author(s)
Williamson, Jacqueline
Remenyi, Bo
Francis, Joshua
Morris, Peter
Whalley, Gillian
Publication Date
2024-04-24
Abstract
Transthoracic echocardiography is the gold standard for early detection of rheumatic heart disease (RHD) in asymptomatic children living in high-risk regions. Advances in technology allowing miniaturisation and increased portability of echocardiography devices have improved the accessibility of this vital diagnostic tool in RHD-endemic locations. Automation of image optimisation techniques and simplified RHD screening protocols permit use by non-experts after a brief period of training. While these changes are welcome advances in the battle to manage RHD, it is important that the sensitivity and specificity of RHD detection be maintained by all echocardiography users on any device to ensure accurate and timely diagnosis of RHD to facilitate initiation of appropriate therapy. This review of the evolution of echocardiography and its use in the detection of rheumatic valve disease may serve as a reminder of the key strengths and potential pitfalls of this increasingly relied-upon diagnostic test.
Affiliation
Child Health Division, Menzies School of Health Research, Charles Darwin University, Darwin, NT, Australia; NT Cardiac, Darwin, NT, Australia. Electronic address: jacqui.williamson@menzies.edu.au.
Child Health Division, Menzies School of Health Research, Charles Darwin University, Darwin, NT, Australia; NT Cardiac, Darwin, NT, Australia; Department of Paediatrics, Royal Darwin Hospital, Darwin, NT, Australia.
Global and Tropical Health Division, Menzies School of Health Research, Charles Darwin University, Darwin, NT, Australia; Department of Paediatrics, Royal Darwin Hospital, Darwin, NT, Australia.
Child Health Division, Menzies School of Health Research, Charles Darwin University, Darwin, NT, Australia; Department of Paediatrics, Royal Darwin Hospital, Darwin, NT, Australia.
Dunedin School of Medicine, University of Otago, Dunedin, New Zealand.
Citation
Heart Lung Circ . 2024 Apr 25:S1443-9506(24)00162-8. doi: 10.1016/j.hlc.2024.02.021. Online ahead of print.
ISSN
1444-2892
Pubmed ID
https://pubmed.ncbi.nlm.nih.gov/38670880/?otool=iaurydwlib
Link
Subject
Echocardiographic evolution
Mitral valve
Rheumatic heart disease
Screening
Title
Echocardiographic Screening for Rheumatic Heart Disease: A Brief History and Implications for the Future.
Type of document
Journal Article
Entity Type
Publication

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