在南非伊丽莎白港一家三级医院就诊的急性风湿热和风湿性心脏病患者的临床表现及治疗结果。
Clinical presentation and outcomes of patients with acute rheumatic fever and rheumatic heart disease seen at a tertiary hospital setting in Port Elizabeth, South Africa.
作者信息
Makrexeni Zongezile Masonwabe, Pepeta Lungile
机构信息
Paediatric Cardiology Unit, Walter Sisulu University, Port Elizabeth, South Africa. Email:
Faculty of Health Sciences, Nelson Mandela Metropolitan University, Port Elizabeth, South Africa.
出版信息
Cardiovasc J Afr. 2017;28(4):248-250. doi: 10.5830/CVJA-2017-019. Epub 2017 Apr 20.
BACKGROUND
The incidence of acute rheumatic fever (ARF) and rheumatic heart disease (RHD) has waned in Western countries, however that is not the situation in developing nations.
METHODS
Records were reviewed of patients from the Eastern Cape municipal districts who presented to the Paediatric Cardiology Unit with ARF and RHD from January 2008 to August 2015.
RESULTS
Total of 56 patients with ARF/RHD was reviewed. The majority of patients (n = 52) presented for the first time with RHD. Four patients presented with ARF and two had recurrent ARF. Six patients presented with a combination of RHD and congenital heart disease. Twenty-three patients were operated on for chronic rheumatic valve disease, with good outcomes.
CONCLUSION
The true burden of ARF/RHD is unknown in the Eastern Cape. Prospective studies are needed to accurately determine the prevalence of RHD in this province.
背景
急性风湿热（ARF）和风湿性心脏病（RHD）的发病率在西方国家已有所下降，但在发展中国家情况并非如此。
方法
回顾了2008年1月至2015年8月期间到东开普省市区儿科心脏病科就诊的ARF和RHD患者的记录。
结果
共回顾了56例ARF/RHD患者。大多数患者（n = 52）首次因RHD就诊。4例患者患有ARF，2例患有复发性ARF。6例患者同时患有RHD和先天性心脏病。23例患者接受了慢性风湿性瓣膜病手术，效果良好。
结论
东开普省ARF/RHD的实际负担尚不清楚。需要进行前瞻性研究以准确确定该省RHD的患病率。
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