{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T01:04:39Z","timestamp":1784250279887,"version":"3.55.0"},"reference-count":43,"publisher":"Cambridge University Press (CUP)","issue":"10","license":[{"start":{"date-parts":[[2019,9,2]],"date-time":"2019-09-02T00:00:00Z","timestamp":1567382400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1047951119002075_as1\"><jats:title>Background:<\/jats:title><jats:p>The aim of this study is to investigate the prevalence of subclinical rheumatic heart disease in schoolchildren aged 5\u201318 by using portable echocardiography in Ankara, Turkey.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951119002075_as2\"><jats:title>Methods:<\/jats:title><jats:p>The portable echocardiography screening was performed by a paediatric cardiologist for all of the cases. The mean age of 2550 healthy students was 11.09 \u00b1 2.91 years (1339 females, 1211 males) in three private and three public schools. Echocardiographic studies were assessed according to 2012 World Heart Federation criteria for rheumatic heart disease.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951119002075_as3\"><jats:title>Results:<\/jats:title><jats:p>After reviewing the echocardiographic images, 73 students were reevaluated by an advanced echocardiography device in the university hospital. Evidence of definite subclinical rheumatic heart disease was found in 39 students (15\/1000) and borderline rheumatic heart disease in 20 students (8\/1000). No children had any clinical symptoms. The mean age of children diagnosed with rheumatic heart disease and borderline rheumatic heart disease is 12.4 and 11.4 years, respectively. The risk of rheumatic heart disease was found to be increased sevenfold in girls between 14 and 18 years. We surprisingly observed that the prevalence of definite rheumatic heart disease in private schools located in high-income areas of Ankara was higher than that in public schools.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951119002075_as4\"><jats:title>Conclusions:<\/jats:title><jats:p>This is the first and largest single-centred echocardiographic screening study for subclinical rheumatic heart disease in Turkish schoolchildren. The frequency of rheumatic heart disease has been found to be 15\/1000. This finding is similar to those of recent echocardiographic screening studies performed in middle and high-risk populations. We conclude that to decrease the burden of rheumatic heart disease, echocardiographic screening studies are necessary, and long-term follow-up of children with echocardiographically diagnosed subclinical rheumatic heart disease is needed.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1047951119002075","type":"journal-article","created":{"date-parts":[[2019,9,2]],"date-time":"2019-09-02T10:49:36Z","timestamp":1567421376000},"page":"1272-1277","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":10,"title":["Echocardiographic screening for rheumatic heart disease in Turkish schoolchildren"],"prefix":"10.1017","volume":"29","author":[{"given":"Semra","family":"Atalay","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ercan","family":"Tutar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tayfun","family":"U\u00e7ar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2047-5850","authenticated-orcid":false,"given":"Seda","family":"Top\u00e7u","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serdal K.","family":"K\u00f6se","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melih T.","family":"Do\u011fan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2019,9,2]]},"reference":[{"key":"S1047951119002075_ref11","doi-asserted-by":"publisher","DOI":"10.1136\/adc.63.12.1501"},{"key":"S1047951119002075_ref43","doi-asserted-by":"publisher","DOI":"10.1111\/tmi.12796"},{"key":"S1047951119002075_ref15","doi-asserted-by":"publisher","DOI":"10.1007\/s11886-012-0343-1"},{"key":"S1047951119002075_ref10","doi-asserted-by":"publisher","DOI":"10.1038\/nrcardio.2012.7"},{"key":"S1047951119002075_ref28","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951111000266"},{"key":"S1047951119002075_ref16","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8175.2009.01055.x"},{"key":"S1047951119002075_ref13","first-page":"1","volume-title":"Streptococcus Pyogenes: Basic Biology to Clinical Manifestations","author":"Sika-Paotuni","year":"2016\u20132017"},{"key":"S1047951119002075_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2010.01.364"},{"key":"S1047951119002075_ref32","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.116.004515"},{"key":"S1047951119002075_ref33","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.113.003495"},{"key":"S1047951119002075_ref34","doi-asserted-by":"publisher","DOI":"10.1136\/openhrt-2017-000702"},{"key":"S1047951119002075_ref6","first-page":"5","article-title":"Time to use ultrasound and not stethoscopes for rheumatic heart disease screening","volume":"2008","author":"Marijon","journal-title":"Nat Clin Pract Cardiovasc Med"},{"key":"S1047951119002075_ref9","doi-asserted-by":"publisher","DOI":"10.1093\/ehjci\/jeu296"},{"key":"S1047951119002075_ref5","doi-asserted-by":"publisher","DOI":"10.1038\/ncpcardio1185"},{"key":"S1047951119002075_ref22","volume-title":"Geneva Swithzerland. Rheumatic Fever and Rheumatic Heart Disease: Report of a WHO Expert Consultation, Geneva, 29 October to 1 November 2001. WHO Technical Report Series; 923","year":"2001"},{"key":"S1047951119002075_ref31","doi-asserted-by":"publisher","DOI":"10.5694\/mja17.00666"},{"key":"S1047951119002075_ref41","doi-asserted-by":"publisher","DOI":"10.1111\/ped.12163"},{"key":"S1047951119002075_ref18","first-page":"215","article-title":"Prevalence of heart disease in school children in rural Kenya using colour-flow echocardiography","volume":"73","author":"Anabwani","year":"1996","journal-title":"East Ast Afr Med J"},{"key":"S1047951119002075_ref3","doi-asserted-by":"publisher","DOI":"10.1097\/MOP.0000000000000164"},{"key":"S1047951119002075_ref14","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-014-0925-3"},{"key":"S1047951119002075_ref37","first-page":"102","article-title":"The Doppler echocardiographic assessment of valvular regurgitation in normal children","volume":"45","author":"Ayabakan","year":"2003","journal-title":"Turk J Pediatri"},{"key":"S1047951119002075_ref21","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1754.2010.01997.x"},{"key":"S1047951119002075_ref23","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa065085"},{"key":"S1047951119002075_ref26","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.109.849190"},{"key":"S1047951119002075_ref12","first-page":"201","article-title":"Rheumatic heart disease prevalence among schoolchildren in Ankara, Turkey","volume":"41","author":"Olgunt\u00fcrk","year":"1999","journal-title":"Turk J Pediatr"},{"key":"S1047951119002075_ref20","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-017-1724-4"},{"key":"S1047951119002075_ref25","first-page":"53","article-title":"Undetected rheumatic heart disease revealed using portable echocardiography in a population of school students in Tairawhiti, New Zealand","volume":"125","author":"Cramp","year":"2012","journal-title":"N Z Med J"},{"key":"S1047951119002075_ref42","unstructured":"42. World Heart Organisation. Rheumatic Fever and Rheumatic Heart Disease: Report of a WHO Expert Consultation. World Heart Organ Technical Report Series 923, 2004."},{"key":"S1047951119002075_ref2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp078039"},{"key":"S1047951119002075_ref1","doi-asserted-by":"publisher","DOI":"10.1017\/S0950268800003514"},{"key":"S1047951119002075_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2015.03.012"},{"key":"S1047951119002075_ref4","doi-asserted-by":"publisher","DOI":"10.1038\/nrdp.2015.84"},{"key":"S1047951119002075_ref38","doi-asserted-by":"publisher","DOI":"10.1136\/heart.83.2.185"},{"key":"S1047951119002075_ref17","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(14)70310-9"},{"key":"S1047951119002075_ref29","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2017.09.184"},{"key":"S1047951119002075_ref30","doi-asserted-by":"crossref","first-page":"e008039","DOI":"10.1161\/JAHA.117.008039","article-title":"Comparison between different strategies of rheumatic heart disease echocardiographic screening in Brazil: Data from the PROVAR (Rheumatic Valve Disease Screening Program) study","volume":"7","author":"Nascimento","year":"2018","journal-title":"Am Heart Assoc"},{"key":"S1047951119002075_ref35","doi-asserted-by":"publisher","DOI":"10.5830\/CVJA-2018-022"},{"key":"S1047951119002075_ref40","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2015.07.005"},{"key":"S1047951119002075_ref36","first-page":"279","article-title":"Prevalence of rheumatic heart disease in school children in Bikaner: An echocardiographic study","volume":"54","author":"Periwal","year":"2006","journal-title":"J Assoc Physicians India"},{"key":"S1047951119002075_ref27","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.112.092312"},{"key":"S1047951119002075_ref24","first-page":"28","article-title":"Prevalence of rheumatic heart disease among primary school pupils in mid-western Nigeria","volume":"90","author":"Sadoh","year":"2013","journal-title":"East Afr Med J"},{"key":"S1047951119002075_ref39","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8175.2011.01487.x"},{"key":"S1047951119002075_ref19","doi-asserted-by":"publisher","DOI":"10.1016\/j.gheart.2013.08.004"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951119002075","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,9,27]],"date-time":"2022-09-27T04:45:24Z","timestamp":1664253924000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951119002075\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,9,2]]},"references-count":43,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2019,10]]}},"alternative-id":["S1047951119002075"],"URL":"https:\/\/doi.org\/10.1017\/s1047951119002075","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"value":"1047-9511","type":"print"},{"value":"1467-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,9,2]]},"assertion":[{"value":"\u00a9 Cambridge University Press 2019\u00a0","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}