2023 World Heart Federation guidelines for the echocardiographic diagnosis of rheumatic heart disease.


Journal

Nature reviews. Cardiology
ISSN: 1759-5010
Titre abrégé: Nat Rev Cardiol
Pays: England
ID NLM: 101500075

Informations de publication

Date de publication:
Apr 2024
Historique:
accepted: 13 09 2023
pubmed: 2 11 2023
medline: 2 11 2023
entrez: 2 11 2023
Statut: ppublish

Résumé

Rheumatic heart disease (RHD) is an important and preventable cause of morbidity and mortality among children and young adults in low-income and middle-income countries, as well as among certain at-risk populations living in high-income countries. The 2012 World Heart Federation echocardiographic criteria provided a standardized approach for the identification of RHD and facilitated an improvement in early case detection. The 2012 criteria were used to define disease burden in numerous epidemiological studies, but researchers and clinicians have since highlighted limitations that have prompted a revision. In this updated version of the guidelines, we incorporate evidence from a scoping review, an expert panel and end-user feedback and present an approach for active case finding for RHD, including the use of screening and confirmatory criteria. These guidelines also introduce a new stage-based classification for RHD to identify the risk of disease progression. They describe the latest evidence and recommendations on population-based echocardiographic active case finding and risk stratification. Secondary antibiotic prophylaxis, echocardiography equipment and task sharing for RHD active case finding are also discussed. These World Heart Federation 2023 guidelines provide a concise and updated resource for clinical and research applications in RHD-endemic regions.

Identifiants

pubmed: 37914787
doi: 10.1038/s41569-023-00940-9
pii: 10.1038/s41569-023-00940-9
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

250-263

Informations de copyright

© 2023. Springer Nature Limited.

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Auteurs

Joselyn Rwebembera (J)

Division of Adult Cardiology, Uganda Heart Institute, Kampala, Uganda. joselynr36@gmail.com.

James Marangou (J)

Global and Tropical Health Division, Menzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia.
Department of Cardiology, Royal Perth Hospital, Perth, Western Australia, Australia.
Department of Cardiology, Fiona Stanley Hospital, Perth, Western Australia, Australia.

Julius Chacha Mwita (JC)

Department of Internal Medicine, University of Botswana and Princess Marina Hospital, Gaborone, Botswana.

Ana Olga Mocumbi (AO)

University Eduardo Mondlane, Maputo, Mozambique.

Cleonice Mota (C)

Departamento de Paediatria, Faculdade de Medicina da Universidade Federal de Minas Gerais, Belo, Horizonte, Brazil.
Divisão de Cardiologia Pediátrica e Fetal/Serviço de Cardiologia e Cirurgia Cardiovascular e Serviço de Paediatria, Hospital das Clínicas da Universidade Federal de Minas Gerais, Belo, Horizonte, Brazil.

Emmy Okello (E)

Division of Adult Cardiology, Uganda Heart Institute, Kampala, Uganda.

Bruno Nascimento (B)

Departamento de Clínica Médica, Faculdade de Medicina da Universidade Federal de Minas Gerais, Belo, Horizonte, Brazil.
Serviço de Cardiologia e Cirurgia Cardiovascular, Hospital das Clínicas da Universidade Federal de Minas Gerais, Belo, Horizonte, Brazil.

Lene Thorup (L)

Department of Cardiothoracic Surgery, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.

Andrea Beaton (A)

Department of Paediatrics, School of Medicine, University of Cincinnati, Cincinnati, OH, USA.
Division of Cardiology, The Heart Institute, Cincinnati Children's Medical Center, Cincinnati, OH, USA.

Joseph Kado (J)

Wesfarmers Centre of Vaccine and Infectious Diseases, Telethon Kids Institute, Perth, Western Australia, Australia.
School of Medicine, University of Western Australia, Perth, Western Australia, Australia.

Alexander Kaethner (A)

Global and Tropical Health Division, Menzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia.
NT Cardiac, Darwin, Northern Territory, Australia.

Raman Krishna Kumar (RK)

Amrita Institute of Medical Sciences and Research Centre, Kochi, India.

John Lawrenson (J)

Paediatric Cardiology Service of the Western Cape, Red Cross War Memorial Children's Hospital and Tygerberg Hospital, Cape Town, South Africa.
Department of Paediatrics and Child Health, Stellenbosch University, Stellenbosch, South Africa.

Eloi Marijon (E)

Division of Cardiology, European Georges Pompidou Hospital, Paris, France.

Mariana Mirabel (M)

Institut Mutualiste Montsouris, Paris, France.

Maria Carmo Pereira Nunes (MCP)

Departamento de Clínica Médica, Faculdade de Medicina da Universidade Federal de Minas Gerais, Belo, Horizonte, Brazil.
Serviço de Cardiologia e Cirurgia Cardiovascular, Hospital das Clínicas da Universidade Federal de Minas Gerais, Belo, Horizonte, Brazil.

Daniel Piñeiro (D)

Faculty of Medicine, University of Buenos Aires, Buenos Aires, Argentina.

Fausto Pinto (F)

Cardiology Department, Centro Hospitalar Universitário Lisboa Norte, Centro Académico de Medicina de Lisboa, The Cardiovascular Centre of the University of Lisbon, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal.

Kate Ralston (K)

World Heart Federation, Geneva, Switzerland.

Craig Sable (C)

Division of Cardiology, Children's National Hospital, Washington, DC, USA.

Amy Sanyahumbi (A)

Baylor College of Medicine, Texas Children's Hospital, Houston, TX, USA.

Anita Saxena (A)

Pt BD Sharma University of Health Sciences, Rohtak, India.

Karen Sliwa (K)

Cape Heart Institute, Department of Medicine and Cardiology, Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa.

Andrew Steer (A)

Department of Paediatrics, University of Melbourne, Melbourne, Victoria, Australia.
Tropical Diseases Research Group, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.
Department of General Medicine, Royal Children's Hospital, Melbourne, Victoria, Australia.

Satupaitea Viali (S)

School of Medicine, National University of Samoa, Apia, Samoa.

Gavin Wheaton (G)

Women's and Children's Hospital, Adelaide, South Australia, Australia.

Nigel Wilson (N)

Green Lane Paediatric and Congenital Cardiac Services, Starship Hospital, Te Whatu Ora, Auckland, New Zealand.

Liesl Zühlke (L)

South African Medical Research Council, Extramural Research & Internal Portfolio, Cape Town, South Africa.
Division of Paediatric Cardiology, Department of Paediatrics and Child Health, University of Cape Town, Cape Town, South Africa.

Bo Reményi (B)

Global and Tropical Health Division, Menzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia.
NT Cardiac, Darwin, Northern Territory, Australia.
Department of Paediatrics, Royal Darwin Hospital, Darwin, Australia.

Classifications MeSH