Please use this identifier to cite or link to this item: https://hdl.handle.net/10137/5674
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dc.contributor.authorRoberts, Kathrynen
dc.contributor.authorColquhoun, Samanthaen
dc.contributor.authorSteer, Andrewen
dc.contributor.authorReményi, Boen
dc.contributor.authorCarapetis, Jonathanen
dc.date2012en
dc.date.accessioned2018-05-15T23:01:31Zen
dc.date.available2018-05-15T23:01:31Zen
dc.date.issued2013-01en
dc.identifier.citationNature reviews. Cardiology 2013-01; 10(1): 49-58en
dc.identifier.urihttps://hdl.handle.net/10137/5674en
dc.description.abstractRheumatic heart disease (RHD) is a leading cause of cardiac disease among children in developing nations, and in indigenous populations of some industrialized countries. In endemic areas, RHD has long been a target of screening programmes that, historically, have relied on cardiac auscultation. The evolution of portable echocardiographic equipment has changed the face of screening for RHD over the past 5 years, with greatly improved sensitivity. However, concerns have been raised about the specificity of echocardiography, and the interpretation of minor abnormalities poses new challenges. The natural history of RHD in children with subclinical abnormalities detected by echocardiographic screening remains unknown, and long-term follow-up studies are needed to evaluate the significance of detecting these changes at an early stage. For a disease to be deemed suitable for screening from a public health perspective, it needs to fulfil a number of criteria. RHD meets some, but not all, of these criteria. If screening programmes are to identify additional cases of RHD, parallel improvements in the systems that deliver secondary prophylaxis are essential.en
dc.language.isoengen
dc.titleScreening for rheumatic heart disease: current approaches and controversies.en
dc.typeJournal Articleen
dc.typeReviewen
dc.identifier.journaltitleNature reviews. Cardiologyen
dc.identifier.doi10.1038/nrcardio.2012.157en
dc.identifier.pubmedidhttps://www.ezpdhcs.nt.gov.au/login?url=https://www.ncbi.nlm.nih.gov/pubmed//23149830en
dc.subject.meshAdolescenten
dc.subject.meshChilden
dc.subject.meshChild, Preschoolen
dc.subject.meshEchocardiography, Doppler, Coloren
dc.subject.meshFemaleen
dc.subject.meshHeart Auscultationen
dc.subject.meshHumansen
dc.subject.meshMaleen
dc.subject.meshMass Screeningen
dc.subject.meshPredictive Value of Testsen
dc.subject.meshPrognosisen
dc.subject.meshRheumatic Heart Diseaseen
dc.subject.meshDiagnostic Imagingen
dc.subject.meshHeart Function Testsen
dc.identifier.affiliationMenzies School of Health Research, Charles Darwin University, Royal Darwin Hospital Campus, Rocklands Drive, Casuarina, Darwin, NT 0810, Australia..en
dc.identifier.pubmedurihttps://www.ezpdhcs.nt.gov.au/login?url=https://www.ncbi.nlm.nih.gov/pubmed//23149830en
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