Document Detail

Echocardiographic patterns of juvenile rheumatic heart disease at the Kenyatta National Hospital, Nairobi.
MedLine Citation:
PMID:  16450679     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To describe the echocardiographic features of children with rheumatic heart disease seen at the Kenyatta National Hospital. DESIGN: A retrospective study. SETTING: The Kenyatta National Hospital Heart Unit. SUBJECTS: Patients aged 20 years and less with echocardiographic diagnosis of rheumatic heart disease. RESULTS: Two hundred and twenty four echocardiograms were analysed. Seventy six point four of cases were aged between 5 and 15 years, while on 3% were less than five years. The combinations mitral and aortic regurgitation was the most common lesion followed by isolated mitral regurgitation. Isolated aortic regurgitation was as rare as isolated mitral stenosis in the paediatric age group 1.8% and 2.7% respectively. When seen in the younger age group, the leaflet morphology in mitral regurgitation was predominantly thickening and clubbing of the leaflets while in the older children the pathology was of marked fibrosis of the sub-valvular apparatus. Leaflet prolapse and commissural fusion was the major pathology in aortic regurgitation. Pulmonary hypertension was the most common complication commonly seen in mitral valve disease. Calcification was a rare encounter in this age bracket. CONCLUSIONS: Rheumatic heart disease in the paediatric age commonly presents as isolated mitral regurgitation or in combinations of mitral and aortic regurgitation. The complications of pulmonary hypertension was predominant in mitral valve disease. Valvular calcification is rare in juvenile rheumatic heart disease.
C Yuko-Jowi; M Bakari
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  East African medical journal     Volume:  82     ISSN:  0012-835X     ISO Abbreviation:  East Afr Med J     Publication Date:  2005 Oct 
Date Detail:
Created Date:  2006-02-02     Completed Date:  2006-03-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372766     Medline TA:  East Afr Med J     Country:  Kenya    
Other Details:
Languages:  eng     Pagination:  514-9     Citation Subset:  IM    
Department of Paediatrics and Child Health, College of Health Sciences, University of Nairobi, P.O. Box 19676-00202 Nairobi, Kenya.
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MeSH Terms
Age Factors
Aortic Valve Insufficiency / epidemiology,  ultrasonography*
Cardiology Service, Hospital / utilization
Child, Preschool
Kenya / epidemiology
Mitral Valve Insufficiency / epidemiology,  ultrasonography*
Mitral Valve Stenosis / epidemiology,  ultrasonography*
National Health Programs
Retrospective Studies
Rheumatic Heart Disease / epidemiology,  ultrasonography*

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