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风湿性心脏病筛查：是否需要范式转变？

Screening for rheumatic heart disease: is a paradigm shift required?

作者信息

Hunter L D, Monaghan M, Lloyd G, Pecoraro A J K, Doubell A F, Herbst P G

机构信息

Division of Cardiology, Tygerberg Hospital and University of Stellenbosch, Cape Town, South Africa

King's College Hospital NHS Trust, London, UK.

出版信息

Echo Res Pract. 2017 Dec;4(4):R43-R52. doi: 10.1530/ERP-17-0037. Epub 2017 Sep 1.

DOI:10.1530/ERP-17-0037
PMID:28864463
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5633059/
Abstract

This focused review presents a critical appraisal of the World Heart Federation criteria for the echocardiographic diagnosis of rheumatic heart disease (RHD) and its performance in African RHD screening programmes. It identifies various logistical and methodological problems that negatively influence the current guideline's performance. The authors explore novel RHD screening methodology that could address some of these shortcomings and if proven to be of merit, would require a paradigm shift in the approach to the echocardiographic diagnosis of subclinical RHD.

摘要

本重点综述对世界心脏联盟关于风湿性心脏病（RHD）超声心动图诊断的标准及其在非洲RHD筛查项目中的表现进行了批判性评估。它指出了各种后勤和方法学问题，这些问题对当前指南的表现产生了负面影响。作者探索了新的RHD筛查方法，该方法可以解决其中一些缺点，如果被证明有价值，将需要在亚临床RHD超声心动图诊断方法上进行范式转变。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d810/5633059/efb5bf4700bb/erp-4-R43-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d810/5633059/d6df5f59f3a5/erp-4-R43-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d810/5633059/ef5245636be9/erp-4-R43-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d810/5633059/976d39a843ff/erp-4-R43-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d810/5633059/96c444f38574/erp-4-R43-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d810/5633059/4958fbd021e0/erp-4-R43-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d810/5633059/3b163004e9f8/erp-4-R43-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d810/5633059/efb5bf4700bb/erp-4-R43-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d810/5633059/d6df5f59f3a5/erp-4-R43-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d810/5633059/ef5245636be9/erp-4-R43-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d810/5633059/976d39a843ff/erp-4-R43-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d810/5633059/96c444f38574/erp-4-R43-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d810/5633059/4958fbd021e0/erp-4-R43-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d810/5633059/3b163004e9f8/erp-4-R43-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d810/5633059/efb5bf4700bb/erp-4-R43-g007.jpg

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J Am Soc Echocardiogr. 2017 Apr;30(4):303-371. doi: 10.1016/j.echo.2017.01.007. Epub 2017 Mar 14.
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Outcomes of borderline rheumatic heart disease: A prospective cohort study.边缘性风湿性心脏病的结局：一项前瞻性队列研究。
Int J Cardiol. 2017 Feb 1;228:661-665. doi: 10.1016/j.ijcard.2016.11.234. Epub 2016 Nov 14.
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改良的杜克/欧洲心脏病学会 2015 年感染性心内膜炎临床标准：是否需要更新？
Open Heart. 2022 May;9(1). doi: 10.1136/openhrt-2021-001856.
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Recent Advances in the Rheumatic Fever and Rheumatic Heart Disease Continuum.风湿热和风湿性心脏病连续体的最新进展
Pathogens. 2022 Jan 28;11(2):179. doi: 10.3390/pathogens11020179.
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Screening of asymptomatic rheumatic heart disease among refugee/migrant children and youths in Italy.意大利境内难民/移民儿童和青少年无症状风湿性心脏病筛查。
Pediatr Rheumatol Online J. 2019 Apr 2;17(1):12. doi: 10.1186/s12969-019-0314-9.
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