Childhood acquired heart diseases in Jos, north central Nigeria
Identifieur interne : 001F24 ( Ncbi/Merge ); précédent : 001F23; suivant : 001F25Childhood acquired heart diseases in Jos, north central Nigeria
Auteurs : Fidelia Bode-Thomas [Nigeria] ; Olukemi O. Ige [Nigeria] ; Christopher Yilgwan [Nigeria]Source :
- Nigerian Medical Journal : Journal of the Nigeria Medical Association [ 0300-1652 ] ; 2013.
Abstract
The patterns of childhood acquired heart diseases (AHD) vary in different parts of the world and may evolve over time. We aimed to compare the pattern of childhood AHD in our institution to the historical and contemporary patterns in other parts of the country, and to highlight possible regional differences and changes in trend.
Pediatric echocardiography records spanning a period of 10 years were reviewed. Echocardiography records of children with echocardiographic or irrefutable clinical diagnoses of AHD were identified and relevant data extracted from their records.
One hundred and seventy five children were diagnosed with AHD during the period, including seven that had coexisting congenital heart disease (CHD). They were aged 4 weeks to 18 years (mean 9.844.5 years) and comprised 80 (45.7%) males and 95 (54.3%) females. Rheumatic heart disease (RHD) was the cause of the AHD in 101 (58.0%) children, followed by dilated cardiomyopathy (33 cases, 18.9%) which was the most frequent AHD in younger (under 5 years) children. Other AHD encountered were cor pulmonale in 16 (9.1%), pericardial disease in 15 (8.6%), infective endocarditis in 8 (4.6%) and aortic aneurysms in 2 (1.1%) children. Only one case each of endomyocardial fibrosis (EMF) and Kawasaki Disease were seen during the period.
The majority of childhood acquired heart diseases in our environment are still of infectious aeitology, with RHD remaining the most frequent, particularly in older children. Community-based screening and multicenter collaborative studies will help to better describe the pattern of AHD in our country. More vigorous pursuit of the Millennium development goals will contribute to reducing the burden of childhood acquired heart diseases in the country.
Url:
DOI: 10.4103/0300-1652.108897
PubMed: 23661900
PubMed Central: 3644746
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Childhood acquired heart diseases in Jos, north central Nigeria</title><author><name sortKey="Bode Thomas, Fidelia" sort="Bode Thomas, Fidelia" uniqKey="Bode Thomas F" first="Fidelia" last="Bode-Thomas">Fidelia Bode-Thomas</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Paediatrics, University of Jos, Jos, Nigeria</nlm:aff><country xml:lang="fr">Nigeria</country><wicri:regionArea>Department of Paediatrics, University of Jos, Jos</wicri:regionArea><wicri:noRegion>Jos</wicri:noRegion></affiliation></author><author><name sortKey="Ige, Olukemi O" sort="Ige, Olukemi O" uniqKey="Ige O" first="Olukemi O." last="Ige">Olukemi O. Ige</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Paediatrics, University of Jos, Jos, Nigeria</nlm:aff><country xml:lang="fr">Nigeria</country><wicri:regionArea>Department of Paediatrics, University of Jos, Jos</wicri:regionArea><wicri:noRegion>Jos</wicri:noRegion></affiliation></author><author><name sortKey="Yilgwan, Christopher" sort="Yilgwan, Christopher" uniqKey="Yilgwan C" first="Christopher" last="Yilgwan">Christopher Yilgwan</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Paediatrics, University of Jos, Jos, Nigeria</nlm:aff><country xml:lang="fr">Nigeria</country><wicri:regionArea>Department of Paediatrics, University of Jos, Jos</wicri:regionArea><wicri:noRegion>Jos</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23661900</idno><idno type="pmc">3644746</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3644746</idno><idno type="RBID">PMC:3644746</idno><idno type="doi">10.4103/0300-1652.108897</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">002797</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002797</idno><idno type="wicri:Area/Pmc/Curation">002796</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002796</idno><idno type="wicri:Area/Pmc/Checkpoint">001A69</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001A69</idno><idno type="wicri:Area/Ncbi/Merge">001F24</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Childhood acquired heart diseases in Jos, north central Nigeria</title><author><name sortKey="Bode Thomas, Fidelia" sort="Bode Thomas, Fidelia" uniqKey="Bode Thomas F" first="Fidelia" last="Bode-Thomas">Fidelia Bode-Thomas</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Paediatrics, University of Jos, Jos, Nigeria</nlm:aff><country xml:lang="fr">Nigeria</country><wicri:regionArea>Department of Paediatrics, University of Jos, Jos</wicri:regionArea><wicri:noRegion>Jos</wicri:noRegion></affiliation></author><author><name sortKey="Ige, Olukemi O" sort="Ige, Olukemi O" uniqKey="Ige O" first="Olukemi O." last="Ige">Olukemi O. Ige</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Paediatrics, University of Jos, Jos, Nigeria</nlm:aff><country xml:lang="fr">Nigeria</country><wicri:regionArea>Department of Paediatrics, University of Jos, Jos</wicri:regionArea><wicri:noRegion>Jos</wicri:noRegion></affiliation></author><author><name sortKey="Yilgwan, Christopher" sort="Yilgwan, Christopher" uniqKey="Yilgwan C" first="Christopher" last="Yilgwan">Christopher Yilgwan</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Paediatrics, University of Jos, Jos, Nigeria</nlm:aff><country xml:lang="fr">Nigeria</country><wicri:regionArea>Department of Paediatrics, University of Jos, Jos</wicri:regionArea><wicri:noRegion>Jos</wicri:noRegion></affiliation></author></analytic><series><title level="j">Nigerian Medical Journal : Journal of the Nigeria Medical Association</title><idno type="ISSN">0300-1652</idno><idno type="eISSN">2229-774X</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Background:</title><p>The patterns of childhood acquired heart diseases (AHD) vary in different parts of the world and may evolve over time. We aimed to compare the pattern of childhood AHD in our institution to the historical and contemporary patterns in other parts of the country, and to highlight possible regional differences and changes in trend.</p></sec><sec id="st2"><title>Materials and Methods:</title><p>Pediatric echocardiography records spanning a period of 10 years were reviewed. Echocardiography records of children with echocardiographic or irrefutable clinical diagnoses of AHD were identified and relevant data extracted from their records.</p></sec><sec id="st3"><title>Results:</title><p>One hundred and seventy five children were diagnosed with AHD during the period, including seven that had coexisting congenital heart disease (CHD). They were aged 4 weeks to 18 years (mean 9.844.5 years) and comprised 80 (45.7%) males and 95 (54.3%) females. Rheumatic heart disease (RHD) was the cause of the AHD in 101 (58.0%) children, followed by dilated cardiomyopathy (33 cases, 18.9%) which was the most frequent AHD in younger (under 5 years) children. Other AHD encountered were cor pulmonale in 16 (9.1%), pericardial disease in 15 (8.6%), infective endocarditis in 8 (4.6%) and aortic aneurysms in 2 (1.1%) children. Only one case each of endomyocardial fibrosis (EMF) and Kawasaki Disease were seen during the period.</p></sec><sec id="st4"><title>Conclusions:</title><p>The majority of childhood acquired heart diseases in our environment are still of infectious aeitology, with RHD remaining the most frequent, particularly in older children. Community-based screening and multicenter collaborative studies will help to better describe the pattern of AHD in our country. More vigorous pursuit of the Millennium development goals will contribute to reducing the burden of childhood acquired heart diseases in the country.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Sliwa, K" uniqKey="Sliwa K">K Sliwa</name></author><author><name sortKey="Mocumbi, Ao" uniqKey="Mocumbi A">AO Mocumbi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mocumbi, Ao" uniqKey="Mocumbi A">AO Mocumbi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Essop, Mr" uniqKey="Essop M">MR Essop</name></author><author><name sortKey="Nkomo, V" uniqKey="Nkomo V">V Nkomo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Harris, Gd" uniqKey="Harris G">GD Harris</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Antia, Au" uniqKey="Antia A">AU Antia</name></author><author><name sortKey="Effiong, Ce" 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Mayosi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Eze, Jc" uniqKey="Eze J">JC Eze</name></author><author><name sortKey="Ezemba, N" uniqKey="Ezemba N">N Ezemba</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Leblanc, J" uniqKey="Leblanc J">J Leblanc</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Niger Med J</journal-id><journal-id journal-id-type="iso-abbrev">Niger Med J</journal-id><journal-id journal-id-type="publisher-id">NMJ</journal-id><journal-title-group><journal-title>Nigerian Medical Journal : Journal of the Nigeria Medical Association</journal-title></journal-title-group><issn pub-type="ppub">0300-1652</issn><issn pub-type="epub">2229-774X</issn><publisher><publisher-name>Medknow Publications & Media Pvt Ltd</publisher-name><publisher-loc>India</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">23661900</article-id><article-id pub-id-type="pmc">3644746</article-id><article-id pub-id-type="publisher-id">NMJ-54-51</article-id><article-id pub-id-type="doi">10.4103/0300-1652.108897</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject></subj-group></article-categories><title-group><article-title>Childhood acquired heart diseases in Jos, north central Nigeria</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Bode-Thomas</surname><given-names>Fidelia</given-names></name><xref ref-type="aff" rid="aff1"></xref><xref ref-type="corresp" rid="cor1"></xref></contrib><contrib contrib-type="author"><name><surname>Ige</surname><given-names>Olukemi O.</given-names></name><xref ref-type="aff" rid="aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Yilgwan</surname><given-names>Christopher</given-names></name><xref ref-type="aff" rid="aff1"></xref></contrib></contrib-group><aff id="aff1">Department of Paediatrics, University of Jos, Jos, Nigeria</aff><author-notes><corresp id="cor1"><bold>Address for correspondence:</bold> Dr. Fidelia Bode-Thomas, Department of Paediatrics, Jos University Teaching Hospital, PMB 2076, Jos, Nigeria. E-mail: <email xlink:href="bodefide@gmail.com">bodefide@gmail.com</email></corresp></author-notes><pub-date pub-type="ppub"><season>Jan-Feb</season><year>2013</year></pub-date><volume>54</volume><issue>1</issue><fpage>51</fpage><lpage>58</lpage><permissions><copyright-statement>Copyright: © Nigerian Medical Journal</copyright-statement><copyright-year>2013</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-sa/3.0"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><sec id="st1"><title>Background:</title><p>The patterns of childhood acquired heart diseases (AHD) vary in different parts of the world and may evolve over time. We aimed to compare the pattern of childhood AHD in our institution to the historical and contemporary patterns in other parts of the country, and to highlight possible regional differences and changes in trend.</p></sec><sec id="st2"><title>Materials and Methods:</title><p>Pediatric echocardiography records spanning a period of 10 years were reviewed. Echocardiography records of children with echocardiographic or irrefutable clinical diagnoses of AHD were identified and relevant data extracted from their records.</p></sec><sec id="st3"><title>Results:</title><p>One hundred and seventy five children were diagnosed with AHD during the period, including seven that had coexisting congenital heart disease (CHD). They were aged 4 weeks to 18 years (mean 9.844.5 years) and comprised 80 (45.7%) males and 95 (54.3%) females. Rheumatic heart disease (RHD) was the cause of the AHD in 101 (58.0%) children, followed by dilated cardiomyopathy (33 cases, 18.9%) which was the most frequent AHD in younger (under 5 years) children. Other AHD encountered were cor pulmonale in 16 (9.1%), pericardial disease in 15 (8.6%), infective endocarditis in 8 (4.6%) and aortic aneurysms in 2 (1.1%) children. Only one case each of endomyocardial fibrosis (EMF) and Kawasaki Disease were seen during the period.</p></sec><sec id="st4"><title>Conclusions:</title><p>The majority of childhood acquired heart diseases in our environment are still of infectious aeitology, with RHD remaining the most frequent, particularly in older children. Community-based screening and multicenter collaborative studies will help to better describe the pattern of AHD in our country. More vigorous pursuit of the Millennium development goals will contribute to reducing the burden of childhood acquired heart diseases in the country.</p></sec></abstract><kwd-group><kwd>Acquired heart disease</kwd><kwd>dilated cardiomyopathy</kwd><kwd>Nigerian children</kwd><kwd>rheumatic heart disease</kwd></kwd-group></article-meta></front></pmc><affiliations><list><country><li>Nigeria</li></country></list><tree><country name="Nigeria"><noRegion><name sortKey="Bode Thomas, Fidelia" sort="Bode Thomas, Fidelia" uniqKey="Bode Thomas F" first="Fidelia" last="Bode-Thomas">Fidelia Bode-Thomas</name></noRegion><name sortKey="Ige, Olukemi O" sort="Ige, Olukemi O" uniqKey="Ige O" first="Olukemi O." last="Ige">Olukemi O. Ige</name><name sortKey="Yilgwan, Christopher" sort="Yilgwan, Christopher" uniqKey="Yilgwan C" first="Christopher" last="Yilgwan">Christopher Yilgwan</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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