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[Rheumatic cardiopathies and its risk factors: about 50 cases]

Ines Maaloul1, Nihed Bouzidi1, Roeya Kolsi1

  • 1Service de pédiatrie, CHU Hédi Chaker. Sfax. Tunisie.

Annales De Cardiologie Et D'Angeiologie
|November 21, 2023
PubMed

Insights

Acute rheumatic fever (ARF) in children frequently leads to cardiac involvement, with 44% of patients developing heart lesions. Key risk factors include age over 8, heart murmurs, and elevated CRP levels, highlighting the need for improved prevention.

Area of Science:

  • Pediatrics
  • Cardiology
  • Rheumatology

Context:

  • Acute rheumatic fever (ARF) is a significant multisystemic inflammatory disease.
  • Cardiac involvement is the most severe manifestation of ARF.
  • Understanding cardiac involvement and its risk factors in children is crucial for effective management.

Purpose:

  • To analyze the prevalence and characteristics of cardiac involvement in children diagnosed with ARF.
  • To identify risk factors associated with the development of cardiac lesions in pediatric ARF cases.

Summary:

  • A retrospective study analyzed 50 children under 14 hospitalized for ARF over 12 years (2010-2022).
  • Cardiac lesions were observed in 44% of patients, with valvular sequelae in 19.
  • Risk factors identified included age > 8 years, heart murmur, prolonged PR interval, elevated CRP, and elevated VS.

Impact:

  • Findings underscore ARF's continued status as a public health concern in Tunisia.
  • Highlights the serious morbidity associated with ARF, particularly cardiac complications.
  • Emphasizes the necessity of strengthening preventive strategies for ARF and its cardiac sequelae.
Abstract

Keywords:
acute rheumatic fevercardiopathies rhumatismaleschildenfantfacteurs de risquerheumatic cardiopathyrhumatisme articulaire aigurisk factors

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