{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T13:11:14Z","timestamp":1774617074244,"version":"3.50.1"},"reference-count":25,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"9","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2020,5,5]]},"abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>BACKGROUND<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              In New Caledonia, a South Pacific archipelago whose inhabitants comprise Melanesians, Europeans\/whites, Wallisians, Futunans, Polynesians, and Asians, the prevalence of rheumatic heart disease (\n              <jats:styled-content style=\"fixed-case\">RHD<\/jats:styled-content>\n              ) is 0.9% to 1% at ages 9 and 10. It could be higher at the age of 16, but this remains to be verified.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>METHODS AND RESULTS<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              A total of 1530 Melanesian, M\u00e9tis, white, Wallisian, Futunan, Polynesian, and Asian adolescents benefited from a transthoracic echocardiogram. Definite or borderline\n              <jats:styled-content style=\"fixed-case\">RHD<\/jats:styled-content>\n              , nonrheumatic valve lesions, congenital heart defects, family and personal history of acute rheumatic fever, and socioeconomic factors were collected. The prevalence of cardiac abnormalities was 8.1%, made up of 4.1%\n              <jats:styled-content style=\"fixed-case\">RHD<\/jats:styled-content>\n              including 2.4% definite and 1.7% borderline\n              <jats:styled-content style=\"fixed-case\">RHD<\/jats:styled-content>\n              , 1.7% nonrheumatic valve lesions, and 2.3% congenital anomalies. In whites and Asians, there were no cases of\n              <jats:styled-content style=\"fixed-case\">RHD<\/jats:styled-content>\n              .\n              <jats:styled-content style=\"fixed-case\">RHD<\/jats:styled-content>\n              was higher in the Wallisian, Futunan, and Polynesian group (7.6%) when compared with Melanesians (5.3%) and M\u00e9tis (2.9%). The number of nonrheumatic valve lesions was not statistically different in the different ethnicities. The prevalence of\n              <jats:styled-content style=\"fixed-case\">RHD<\/jats:styled-content>\n              was higher in adolescents with a personal history of acute rheumatic fever, in those living in overcrowded conditions, and in those whose parents were unemployed or had low\u2010income occupations, such as the farmers or manual workers.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>CONCLUSIONS<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              <jats:styled-content style=\"fixed-case\">RHD<\/jats:styled-content>\n              was 4 times higher in adolescents at age 16 than at ages 9 and 10 (4.1% versus 0.9%\u20131%). No cases of\n              <jats:styled-content style=\"fixed-case\">RHD<\/jats:styled-content>\n              were observed in whites and Asians. The determining factors were history of acute rheumatic fever and socioeconomic factors.\n            <\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.119.015017","type":"journal-article","created":{"date-parts":[[2020,4,26]],"date-time":"2020-04-26T09:00:25Z","timestamp":1587891625000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":10,"title":["Screening Rheumatic Heart Disease in 1530 New Caledonian Adolescents"],"prefix":"10.1161","volume":"9","author":[{"given":"Jean\u2010Claude","family":"Chatard","sequence":"first","affiliation":[{"name":"Inter\u2010University Laboratory of Human Movement Science Faculty of Medicine Jacques Lisfranc University Lyon\u2010Saint\u2010Etienne Saint\u2010Etienne France"},{"name":"Directorate of Health and Social Affairs Noumea New Caledonia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Dubois","sequence":"additional","affiliation":[{"name":"Department of Cardiology Faculty of Medicine Jacques Lisfranc University Lyon\u2010Saint\u2010Etienne Saint\u2010Etienne France"},{"name":"Directorate of Health and Social Affairs Noumea New Caledonia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Florian","family":"Espinosa","sequence":"additional","affiliation":[{"name":"Department of Cardiology Faculty of Medicine Jacques Lisfranc University Lyon\u2010Saint\u2010Etienne Saint\u2010Etienne France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jo\u00ebl","family":"Kamblock","sequence":"additional","affiliation":[{"name":"Health and Social Agency Noumea New Caledonia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pierre\u2010Henri","family":"Ledos","sequence":"additional","affiliation":[{"name":"Health and Social Agency Noumea New Caledonia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emmanuel","family":"Tarpinian","sequence":"additional","affiliation":[{"name":"Health and Social Agency Noumea New Caledonia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antoine","family":"Da Costa","sequence":"additional","affiliation":[{"name":"Department of Cardiology Faculty of Medicine Jacques Lisfranc University Lyon\u2010Saint\u2010Etienne Saint\u2010Etienne France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(05)70267-X"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1603693"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.113.001477"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.3329\/jhpn.v31i1.14751"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1586\/erc.09.145"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa065085"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(14)70310-9"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.12087"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.13185"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-011-0139-x"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/INF.0b013e3181fbd85b"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1754.2002.00772.x"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciu490"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.108.792135"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.autrev.2015.04.005"},{"key":"e_1_3_2_17_2","first-page":"1","article-title":"Rheumatic fever and rheumatic heart disease","volume":"923","author":"World Health Organization","year":"2004","unstructured":"World Health Organization . 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