2nd National Heart Valve Summit 2012
Dr K Sarat Chandra
Echo screening for rheumatic fever: the prevalence is 2%
1. Echo prevalence is much higher.
2. Estimates cases 1600,000.
3. 50000 cases added each year.
4. Ten times more prevalence by echo criteria (21-30 per thousand)
5. MS, MR/AR > 2 cm jet, 1-2 cm jet with abnormal morphology, < 1 cm jet is physiologic jet
6. 0.6/1000 clinical diagnosis , 20/1000 echo prevalence, thick MV in all
7. Nodules, doming, thickening are the criteria
8. Silent clinically echo positive should be treated as established RHD
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