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Rheumatic heart disease

Identifieur interne : 004980 ( PascalFrancis/Curation ); précédent : 004979; suivant : 004981

Rheumatic heart disease

Auteurs : Eloi Marijon [France] ; Mariana Mirabel [France, Royaume-Uni] ; David S. Celermajer [Australie] ; Xavier Jouven [France, Royaume-Uni]

Source :

RBID : Pascal:12-0137539

Descripteurs français

English descriptors

Abstract

Rheumatic heart disease, often neglected by media and policy makers, is a major burden in developing countries where it causes most of the cardiovascular morbidity and mortality in young people, leading to about 250000 deaths per year worldwide. The disease results from an abnormal autoimmune response to a group A streptococcal infection in a genetically susceptible host. Acute rheumatic fever-the precursor to rheumatic heart disease-can affect different organs and lead to irreversible valve damage and heart failure. Although penicillin is effective in the prevention of the disease, treatment of advanced stages uses up a vast amount of resources, which makes disease management especially challenging in emerging nations. Guidelines have therefore emphasised antibiotic prophylaxis against recurrent episodes of acute rheumatic fever, which seems feasible and cost effective. Early detection and targeted treatment might be possible if populations at risk for rheumatic heart disease in endemic areas are screened. In this setting, active surveillance with echocardiography-based screening might become very important.
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A08 01  1  ENG  @1 Rheumatic heart disease
A11 01  1    @1 MARIJON (Eloi)
A11 02  1    @1 MIRABEL (Mariana)
A11 03  1    @1 CELERMAJER (David S.)
A11 04  1    @1 JOUVEN (Xavier)
A14 01      @1 Paris Cardiovascular Research Centre, INSERM U970, European Georges Pompidou Hospital @2 Paris @3 FRA @Z 1 aut. @Z 2 aut. @Z 4 aut.
A14 02      @1 Department of Cardiology, European Georges Pompidou Hospital @2 Paris @3 FRA @Z 1 aut. @Z 4 aut.
A14 03      @1 Paris Descartes University @2 Paris @3 FRA @Z 1 aut. @Z 2 aut. @Z 4 aut.
A14 04      @1 Maputo Heart Institute (ICOR), Maputo, Mozambique University College London @2 London @3 GBR @Z 2 aut. @Z 4 aut.
A14 05      @1 Sydney Medical School, University of Sydney, NSW @3 AUS @Z 3 aut.
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A21       @1 2012
A23 01      @0 ENG
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C01 01    ENG  @0 Rheumatic heart disease, often neglected by media and policy makers, is a major burden in developing countries where it causes most of the cardiovascular morbidity and mortality in young people, leading to about 250000 deaths per year worldwide. The disease results from an abnormal autoimmune response to a group A streptococcal infection in a genetically susceptible host. Acute rheumatic fever-the precursor to rheumatic heart disease-can affect different organs and lead to irreversible valve damage and heart failure. Although penicillin is effective in the prevention of the disease, treatment of advanced stages uses up a vast amount of resources, which makes disease management especially challenging in emerging nations. Guidelines have therefore emphasised antibiotic prophylaxis against recurrent episodes of acute rheumatic fever, which seems feasible and cost effective. Early detection and targeted treatment might be possible if populations at risk for rheumatic heart disease in endemic areas are screened. In this setting, active surveillance with echocardiography-based screening might become very important.
C02 01  X    @0 002B01
C03 01  X  FRE  @0 Rhumatisme @5 01
C03 01  X  ENG  @0 Rheumatism @5 01
C03 01  X  SPA  @0 Reumatismo @5 01
C03 02  X  FRE  @0 Médecine @5 02
C03 02  X  ENG  @0 Medicine @5 02
C03 02  X  SPA  @0 Medicina @5 02
C03 03  X  FRE  @0 Cardiopathie @5 04
C03 03  X  ENG  @0 Heart disease @5 04
C03 03  X  SPA  @0 Cardiopatía @5 04
C07 01  X  FRE  @0 Pathologie du système ostéoarticulaire @5 37
C07 01  X  ENG  @0 Diseases of the osteoarticular system @5 37
C07 01  X  SPA  @0 Sistema osteoarticular patología @5 37
C07 02  X  FRE  @0 Pathologie de l'appareil circulatoire @5 38
C07 02  X  ENG  @0 Cardiovascular disease @5 38
C07 02  X  SPA  @0 Aparato circulatorio patología @5 38
N21       @1 107
N44 01      @1 OTO
N82       @1 OTO

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Pascal:12-0137539

Le document en format XML

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