发展中国家孕妇亚临床风湿性心脏病的高患病率：一项超声心动图研究。
High prevalence of subclinical rheumatic heart disease in pregnant women in a developing country: an echocardiographic study.
作者信息
Otto Håvard, Saether Sverre Georg, Banteyrga Leul, Haugen Bjørn Olav, Skjaerpe Terje
机构信息
Department of Circulation and Medical Imaging, Norwegian University of Science and Technology, Trondheim, Norway.
出版信息
Echocardiography. 2011 Nov;28(10):1049-53. doi: 10.1111/j.1540-8175.2011.01520.x. Epub 2011 Oct 4.
OBJECTIVES
Pregnant women with rheumatic heart disease (RHD) carry a high risk of morbidity and mortality. In this study the prevalence of subclinical RHD in pregnant women in Keren, Eritrea was assessed using echocardiography.
METHODS AND RESULTS
A prospective cross sectional survey of pregnant women attending a midwife consultation was carried out by two specially trained medical students and an experienced cardiologist. The women were screened by the medical students using echocardiography. All recordings were reviewed and evaluated by the experienced cardiologist before a final diagnosis was given. Eight of the 348 screened women had definite RHD. This corresponds to a prevalence of 2.3%, 95% CI (0.7-3.9).
CONCLUSION
2.3% of the pregnant women in Keren were found to have subclinical RHD.
目的
患有风湿性心脏病（RHD）的孕妇具有较高的发病和死亡风险。在本研究中，使用超声心动图评估了厄立特里亚凯伦地区孕妇亚临床风湿性心脏病的患病率。
方法与结果
两名经过专门培训的医学生和一名经验丰富的心脏病专家对前来助产士咨询的孕妇进行了前瞻性横断面调查。医学生使用超声心动图对这些女性进行筛查。在给出最终诊断之前，所有记录均由经验丰富的心脏病专家进行审查和评估。在348名接受筛查的女性中，有8名患有明确的风湿性心脏病。这对应于2.3%的患病率，95%置信区间为（0.7 - 3.9）。
结论
发现凯伦地区2.3%的孕妇患有亚临床风湿性心脏病。
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