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Cited by 43Streptococcal Infections and TreatmentsCardiovascular Effects of ExerciseInfective Endocarditis Diagnosis and Management

Rheumatic heart disease echocardiographic screening: approaching practical and affordable solutions

Nascimento, Bruno R, Nunes, Maria Carmo P, Lopes, Eduardo L V, Rezende, Vitória M L R, Landay, Taylor, Ribeiro, Antonio L P, Sable, Craig, Beaton, Andrea Z·2016·Heart
DOI 10.1136/heartjnl-2015-308635
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Abstract

Rheumatic heart disease (RHD) affects at least 32.9 million people worldwide and ranks as a leading cause of death and disability in low-income and middle-income countries (LMICs). Echocardiographic screening has been demonstrated to be a powerful tool for early RHD detection, and holds potential for global RHD control. However, national screening programmes have not emerged. Major barriers to implementation include the lack of human and financial resources in LMICs. Here, we focus on recent research advances that could make echocardiographic screening more practical and affordable, including handheld echocardiography devices, simplified screening protocols and task shifting of echocardiographic screening to non-experts. Additionally, we highlight some important remaining questions before echocardiographic screening can be widely recommended, including demonstration of cost-effectiveness, assessment of the impact of screening on children and communities, and determining the importance of latent RHD. While a single strategy for echocardiographic screening in all high-prevalence areas is unlikely, we believe recent advancements are bringing the public health community closer to developing sustainable programmes for echocardiographic screening.

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Crossref · 10.1136/heartjnl-2015-308635

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  • Task-shifting ultrasound performance away from formally-trained sonographers and physicians to non-experts, while maintaining high quality imaging, helps establish a sustainable and cost-effective telemedicine program.

    “Task-shifting ultrasound performance away from formally-trained sonographers and physicians to non-experts, while maintaining high quality imaging, helps establish a sustainable and cost-effective telemedicine program (47).”

    From Tele-Ultrasound in Resource-Limited Settings: A Systematic Review (2019) · cites this paper as [47]

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Authors
Nascimento, B. R., Nunes, M. C. P., Lopes, E. L. V., Rezende, V. M. L. R., Landay, T., Ribeiro, A. L. P., Sable, C., & Beaton, A. Z.
Affiliations
  • Universidade Federal de Minas Gerais (BR)
  • University of Maryland, College Park (US)
  • Division of Cardiology and Cardiovascular Surgery, Hospital das Clínicas, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
  • Children's National (US)
Corresponding author
Nascimento, Bruno R
ORCID
Venue
Heart
Publisher
BMJ
Published
2016-02-18
Volume
102
Issue
9
Pages
658-664
ISSN
  • 1355-6037 (ISSN-L)
  • 1468-201X
DOI
10.1136/heartjnl-2015-308635
OpenAlex
W2336411555
Cited by
43
References
59
Citations by year
2026: 5 · 2025: 4 · 2024: 3 · 2023: 5 · 2022: 4 · 2021: 3 · 2020: 1 · 2019: 10 · 2018: 3 · 2017: 3 · 2016: 2
FWCI
0.89
Type
journal article
Language
en
Open access
closed
Locations
  • Heart (publishedVersion)
  • PubMed (publishedVersion)
  • HighWire Press Open Archive (submittedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Streptococcal Infections and Treatments
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Effects of Exercise
  • Health Sciences › Medicine › Epidemiology › Infective Endocarditis Diagnosis and Management
Keywords
rheumatic heart disease, echocardiographic screening, handheld echocardiography, task shifting, low- and middle-income countries, cost-effectiveness, screening program implementation, early disease detection
MeSH terms
Cardiology, Child, Cost-Benefit Analysis, Echocardiography, Humans, Research, Rheumatic Heart Disease, Practice Guidelines as Topic, Early Diagnosis

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