Department of Paediatric Cardiology, Hospital Queen Elizabeth II, Kota Kinabalu, Sabah, Malaysia.
Cardiol Young. 2022 Jan;32(1):83-87. doi: 10.1017/S1047951121001621. Epub 2021 May 4.
Rheumatic heart disease is among the leading causes of acquired valvular heart disease in the developing world. However, there is no data available for rheumatic heart disease in the paediatric population of Sabah. This study collected data for acute rheumatic fever admissions among the paediatric population in Sabah over a period of 3 years.
This is a retrospective cohort study. All records for admissions to paediatric wards in Sabah for acute rheumatic fever from January 2016 to December 2018 were collected. The patient records were then traced and required information were collected.
A total of 52 cases of acute rheumatic fever were admitted. It was observed that the incidence of acute rheumatic fever was 74.4 per 100,000 paediatric admissions. Patients from the West Coast Division made up most of the admissions (n = 24, 46.2%). Male patients (n = 35, 67.3%) of the indigenous Kadazan-Dusun ethnicity (n = 21, 40.4%) were most commonly encountered. The mean age at time of presentation was 9.58 years. Most cases admitted (n = 38, 73.1%) were categorised as Priority 1 (severe rheumatic heart disease).
Most patients who were admitted had symptoms of heart failure and were diagnosed with severe rheumatic heart disease. Although this disease is preventable, the incidence in Sabah remains high. This study was limited as we only looked at patients who were admitted and we foresee the real incidence to be higher. Hence, there is an urgent need for a rheumatic heart disease registry in Malaysia to gather more data for prevention and early intervention.
风湿性心脏病是发展中国家获得性心脏瓣膜病的主要原因之一。然而，在沙巴的儿科人群中，没有风湿性心脏病的数据。本研究收集了沙巴儿科人群中急性风湿热住院患者的 3 年数据。
这是一项回顾性队列研究。收集了 2016 年 1 月至 2018 年 12 月期间沙巴儿科病房因急性风湿热入院的所有记录。然后追踪患者记录并收集所需信息。
共收治 52 例急性风湿热患者。观察到急性风湿热的发病率为每 100,000 名儿科住院患者中有 74.4 例。西海岸区的患者占大多数入院患者（n = 24，46.2%）。最常见的是男性患者（n = 35，67.3%）和本土卡达赞-杜顺族裔患者（n = 21，40.4%）。就诊时的平均年龄为 9.58 岁。大多数入院患者（n = 38，73.1%）被归类为 1 类（严重风湿性心脏病）。
大多数入院患者都有心力衰竭的症状，并被诊断为严重风湿性心脏病。尽管这种疾病是可以预防的，但沙巴的发病率仍然很高。本研究存在局限性，因为我们只观察了入院患者，我们预计实际发病率会更高。因此，马来西亚迫切需要建立风湿性心脏病登记处，以收集更多数据用于预防和早期干预。
