Wilson Sadoh E, Chinyere Uzodimma C, Queennette Daniels
Department of Child Health University of Benin Teaching Hospital, Benin Nigeria.
Paediatric Department, Lagoon Hospital, Lagos Nigeria.
Afr Health Sci. 2014 Sep;14(3):609-16. doi: 10.4314/ahs.v14i3.16.
Acquired heart diseases (AHD) are not uncommon in children. The current multi-center study aims to provide a more representative data of AHD in Nigeria.
Over 42 months, children referred for echocardiographic evaluation who had confirmed AHD in three centers in Nigeria were recruited. The data was collected on biodata and types of AHD.
There were 116 children with 132 cases of AHD, with a mean age of 6.7 ± 5.7 years. The males were 63(54.3%). Myocarditis/ dilated cardiomyopathy (DCM) 38(28.8%) was the commonest AHD followed by pericarditis 34 (25.8%), rheumatic heart disease (RHD) 23 (17.4%) and hypertrophic cardiomyopathy 18(13.6%). Endomyocardial fibrosis (EMF) 3(2.3%) was uncommon.
Nigerian children face a quadruped of AHD namely, myocarditis, DCM, pericardial disease and RHD. As other types of AHD other than RHD are becoming prevalent, there is need to improve the scope of intervention facilities in the country to meet with the demands of the growing afflictions.
获得性心脏病(AHD)在儿童中并不罕见。当前的多中心研究旨在提供尼日利亚AHD更具代表性的数据。
在42个月的时间里,招募了在尼日利亚三个中心接受超声心动图评估且确诊为AHD的儿童。收集了有关生物数据和AHD类型的数据。
有116名儿童,共132例AHD,平均年龄为6.7±5.7岁。男性有63名(54.3%)。心肌炎/扩张型心肌病(DCM)38例(28.8%)是最常见的AHD,其次是心包炎34例(25.8%)、风湿性心脏病(RHD)23例(17.4%)和肥厚型心肌病18例(13.6%)。心内膜心肌纤维化(EMF)3例(2.3%)并不常见。
尼日利亚儿童面临着心肌炎、DCM、心包疾病和RHD这四种AHD。由于除RHD外的其他类型AHD正变得普遍,该国需要扩大干预设施的范围,以满足日益增长的疾病需求。