{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T11:03:00Z","timestamp":1787914980732,"version":"build-2784847793"},"reference-count":41,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2024,2,11]],"date-time":"2024-02-11T00:00:00Z","timestamp":1707609600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"CNPq","award":["310749\/2022-0"],"award-info":[{"award-number":["310749\/2022-0"]}]},{"name":"CNPq","award":["310790\/2021-2"],"award-info":[{"award-number":["310790\/2021-2"]}]},{"name":"CNPq","award":["465518\/2014-1"],"award-info":[{"award-number":["465518\/2014-1"]}]},{"name":"CNPq","award":["Improving the Prevention and Detection of Heart Valve Disease Across the Lifespan, 2022"],"award-info":[{"award-number":["Improving the Prevention and Detection of Heart Valve Disease Across the Lifespan, 2022"]}]},{"name":"CNPq","award":["Improving the Prevention and Detection of Heart Valve Disease Across the Lifespan, 2024"],"award-info":[{"award-number":["Improving the Prevention and Detection of Heart Valve Disease Across the Lifespan, 2024"]}]},{"name":"CNPq","award":["APQ project- 000627-20"],"award-info":[{"award-number":["APQ project- 000627-20"]}]},{"name":"CNPq","award":["PPM-00428-17"],"award-info":[{"award-number":["PPM-00428-17"]}]},{"name":"CNPq","award":["RED-00081-16"],"award-info":[{"award-number":["RED-00081-16"]}]},{"name":"CNPq","award":["88887.507149\/2020-00"],"award-info":[{"award-number":["88887.507149\/2020-00"]}]},{"name":"CNPq","award":["465518\/2014-1"],"award-info":[{"award-number":["465518\/2014-1"]}]},{"name":"Edwards Lifesciences Foundation","award":["310749\/2022-0"],"award-info":[{"award-number":["310749\/2022-0"]}]},{"name":"Edwards Lifesciences Foundation","award":["310790\/2021-2"],"award-info":[{"award-number":["310790\/2021-2"]}]},{"name":"Edwards Lifesciences Foundation","award":["465518\/2014-1"],"award-info":[{"award-number":["465518\/2014-1"]}]},{"name":"Edwards Lifesciences Foundation","award":["Improving the Prevention and Detection of Heart Valve Disease Across the Lifespan, 2022"],"award-info":[{"award-number":["Improving the Prevention and Detection of Heart Valve Disease Across the Lifespan, 2022"]}]},{"name":"Edwards Lifesciences Foundation","award":["Improving the Prevention and Detection of Heart Valve Disease Across the Lifespan, 2024"],"award-info":[{"award-number":["Improving the Prevention and Detection of Heart Valve Disease Across the Lifespan, 2024"]}]},{"name":"Edwards Lifesciences Foundation","award":["APQ project- 000627-20"],"award-info":[{"award-number":["APQ project- 000627-20"]}]},{"name":"Edwards Lifesciences Foundation","award":["PPM-00428-17"],"award-info":[{"award-number":["PPM-00428-17"]}]},{"name":"Edwards Lifesciences Foundation","award":["RED-00081-16"],"award-info":[{"award-number":["RED-00081-16"]}]},{"name":"Edwards Lifesciences Foundation","award":["88887.507149\/2020-00"],"award-info":[{"award-number":["88887.507149\/2020-00"]}]},{"name":"Edwards Lifesciences Foundation","award":["465518\/2014-1"],"award-info":[{"award-number":["465518\/2014-1"]}]},{"name":"FAPEMIG","award":["310749\/2022-0"],"award-info":[{"award-number":["310749\/2022-0"]}]},{"name":"FAPEMIG","award":["310790\/2021-2"],"award-info":[{"award-number":["310790\/2021-2"]}]},{"name":"FAPEMIG","award":["465518\/2014-1"],"award-info":[{"award-number":["465518\/2014-1"]}]},{"name":"FAPEMIG","award":["Improving the Prevention and Detection of Heart Valve Disease Across the Lifespan, 2022"],"award-info":[{"award-number":["Improving the Prevention and Detection of Heart Valve Disease Across the Lifespan, 2022"]}]},{"name":"FAPEMIG","award":["Improving the Prevention and Detection of Heart Valve Disease Across the Lifespan, 2024"],"award-info":[{"award-number":["Improving the Prevention and Detection of Heart Valve Disease Across the Lifespan, 2024"]}]},{"name":"FAPEMIG","award":["APQ project- 000627-20"],"award-info":[{"award-number":["APQ project- 000627-20"]}]},{"name":"FAPEMIG","award":["PPM-00428-17"],"award-info":[{"award-number":["PPM-00428-17"]}]},{"name":"FAPEMIG","award":["RED-00081-16"],"award-info":[{"award-number":["RED-00081-16"]}]},{"name":"FAPEMIG","award":["88887.507149\/2020-00"],"award-info":[{"award-number":["88887.507149\/2020-00"]}]},{"name":"FAPEMIG","award":["465518\/2014-1"],"award-info":[{"award-number":["465518\/2014-1"]}]},{"name":"CAPES","award":["310749\/2022-0"],"award-info":[{"award-number":["310749\/2022-0"]}]},{"name":"CAPES","award":["310790\/2021-2"],"award-info":[{"award-number":["310790\/2021-2"]}]},{"name":"CAPES","award":["465518\/2014-1"],"award-info":[{"award-number":["465518\/2014-1"]}]},{"name":"CAPES","award":["Improving the Prevention and Detection of Heart Valve Disease Across the Lifespan, 2022"],"award-info":[{"award-number":["Improving the Prevention and Detection of Heart Valve Disease Across the Lifespan, 2022"]}]},{"name":"CAPES","award":["Improving the Prevention and Detection of Heart Valve Disease Across the Lifespan, 2024"],"award-info":[{"award-number":["Improving the Prevention and Detection of Heart Valve Disease Across the Lifespan, 2024"]}]},{"name":"CAPES","award":["APQ project- 000627-20"],"award-info":[{"award-number":["APQ project- 000627-20"]}]},{"name":"CAPES","award":["PPM-00428-17"],"award-info":[{"award-number":["PPM-00428-17"]}]},{"name":"CAPES","award":["RED-00081-16"],"award-info":[{"award-number":["RED-00081-16"]}]},{"name":"CAPES","award":["88887.507149\/2020-00"],"award-info":[{"award-number":["88887.507149\/2020-00"]}]},{"name":"CAPES","award":["465518\/2014-1"],"award-info":[{"award-number":["465518\/2014-1"]}]},{"name":"National Institute of Science and Technology for Health Technology Assessment","award":["310749\/2022-0"],"award-info":[{"award-number":["310749\/2022-0"]}]},{"name":"National Institute of Science and Technology for Health Technology Assessment","award":["310790\/2021-2"],"award-info":[{"award-number":["310790\/2021-2"]}]},{"name":"National Institute of Science and Technology for Health Technology Assessment","award":["465518\/2014-1"],"award-info":[{"award-number":["465518\/2014-1"]}]},{"name":"National Institute of Science and Technology for Health Technology Assessment","award":["Improving the Prevention and Detection of Heart Valve Disease Across the Lifespan, 2022"],"award-info":[{"award-number":["Improving the Prevention and Detection of Heart Valve Disease Across the Lifespan, 2022"]}]},{"name":"National Institute of Science and Technology for Health Technology Assessment","award":["Improving the Prevention and Detection of Heart Valve Disease Across the Lifespan, 2024"],"award-info":[{"award-number":["Improving the Prevention and Detection of Heart Valve Disease Across the Lifespan, 2024"]}]},{"name":"National Institute of Science and Technology for Health Technology Assessment","award":["APQ project- 000627-20"],"award-info":[{"award-number":["APQ project- 000627-20"]}]},{"name":"National Institute of Science and Technology for Health Technology Assessment","award":["PPM-00428-17"],"award-info":[{"award-number":["PPM-00428-17"]}]},{"name":"National Institute of Science and Technology for Health Technology Assessment","award":["RED-00081-16"],"award-info":[{"award-number":["RED-00081-16"]}]},{"name":"National Institute of Science and Technology for Health Technology Assessment","award":["88887.507149\/2020-00"],"award-info":[{"award-number":["88887.507149\/2020-00"]}]},{"name":"National Institute of Science and Technology for Health Technology Assessment","award":["465518\/2014-1"],"award-info":[{"award-number":["465518\/2014-1"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>Introduction: Handheld echocardiography (echo) is the tool of choice for rheumatic heart disease (RHD) screening. We aimed to assess the agreement between screening and standard echo for latent RHD diagnosis in schoolchildren from an endemic setting. Methods: Over 14 months, 3 nonphysicians used handheld machines and the 2012 WHF Criteria to determine RHD prevalence in consented schoolchildren from Brazilian low-income public schools. Studies were interpreted by telemedicine by 3 experts (Brazil, US). RHD-positive children (borderline\/definite) and those with congenital heart disease (CHD) were referred for standard echo, acquired and interpreted by a cardiologist. Agreement between screening and standard echo, by WHF subgroups, was assessed. Results: 1390 students were screened in 6 schools, with 110 (7.9%, 95% CI 6.5\u20139.5) being screen positive (14 \u00b1 2 years, 72% women). Among 16 cases initially diagnosed as definite RHD, 11 (69%) were confirmed, 4 (25%) reclassified to borderline, and 1 to normal. Among 79 cases flagged as borderline RHD, 19 (24%) were confirmed, 50 (63%) reclassified to normal, 8 (10%) reclassified as definite RHD, and 2 had mild CHD. Considering the 4 diagnostic categories, kappa was 0.18. In patients with borderline RHD reclassified to non-RHD, the most frequent WHF criterion was B (isolated mitral regurgitation, 64%), followed by A (2 mitral valve morphological features, 31%). In 1 patient with definite RHD reclassified to normal, the WHF criterion was D (borderline RHD in aortic and mitral valves). After standard echo, RHD prevalence was 3.2% (95% CI 2.3\u20134.2). Conclusions: Although practical, RHD screening with handheld devices tends to overestimate prevalence.<\/jats:p>","DOI":"10.3390\/diagnostics14040392","type":"journal-article","created":{"date-parts":[[2024,2,12]],"date-time":"2024-02-12T04:47:45Z","timestamp":1707713265000},"page":"392","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Agreement between Handheld and Standard Echocardiography for Diagnosis of Latent Rheumatic Heart Disease in Brazilian Schoolchildren from High-Prevalence Settings (Agreement between Screening and Standard Echo for RHD)"],"prefix":"10.3390","volume":"14","author":[{"given":"Marina","family":"Diniz","sequence":"first","affiliation":[{"name":"Servi\u00e7o de Cardiologia e Cirurgia Cardiovascular e Centro de Telessa\u00fade do Hospital das Cl\u00ednicas da Universidade Federal de Minas Gerais, Belo Horizonte 30130-100, MG, Brazil"},{"name":"Departamento de Cl\u00ednica M\u00e9dica, Faculdade de Medicina da Universidade Federal de Minas Gerais, Belo Horizonte 30130-100, MG, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucas","family":"Fraga","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Cardiologia e Cirurgia Cardiovascular e Centro de Telessa\u00fade do Hospital das Cl\u00ednicas da Universidade Federal de Minas Gerais, Belo Horizonte 30130-100, MG, Brazil"},{"name":"Departamento de Cl\u00ednica M\u00e9dica, Faculdade de Medicina da Universidade Federal de Minas Gerais, Belo Horizonte 30130-100, MG, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Nunes","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Cardiologia e Cirurgia Cardiovascular e Centro de Telessa\u00fade do Hospital das Cl\u00ednicas da Universidade Federal de Minas Gerais, Belo Horizonte 30130-100, MG, Brazil"},{"name":"Departamento de Cl\u00ednica M\u00e9dica, Faculdade de Medicina da Universidade Federal de Minas Gerais, Belo Horizonte 30130-100, MG, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaciane","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Cardiologia e Cirurgia Cardiovascular e Centro de Telessa\u00fade do Hospital das Cl\u00ednicas da Universidade Federal de Minas Gerais, Belo Horizonte 30130-100, MG, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingred","family":"Amaral","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Cardiologia e Cirurgia Cardiovascular e Centro de Telessa\u00fade do Hospital das Cl\u00ednicas da Universidade Federal de Minas Gerais, Belo Horizonte 30130-100, MG, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luz","family":"Chavez","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Cardiologia e Cirurgia Cardiovascular e Centro de Telessa\u00fade do Hospital das Cl\u00ednicas da Universidade Federal de Minas Gerais, Belo Horizonte 30130-100, MG, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luiza","family":"de Paula","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Cardiologia e Cirurgia Cardiovascular e Centro de Telessa\u00fade do Hospital das Cl\u00ednicas da Universidade Federal de Minas Gerais, Belo Horizonte 30130-100, MG, Brazil"},{"name":"Departamento de Cl\u00ednica M\u00e9dica, Faculdade de Medicina da Universidade Federal de Minas Gerais, Belo Horizonte 30130-100, MG, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beatriz","family":"Haiashi","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Cardiologia e Cirurgia Cardiovascular e Centro de Telessa\u00fade do Hospital das Cl\u00ednicas da Universidade Federal de Minas Gerais, Belo Horizonte 30130-100, MG, Brazil"},{"name":"Departamento de Cl\u00ednica M\u00e9dica, Faculdade de Medicina da Universidade Federal de Minas Gerais, Belo Horizonte 30130-100, MG, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandre","family":"Ferreira","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Cardiologia e Cirurgia Cardiovascular e Centro de Telessa\u00fade do Hospital das Cl\u00ednicas da Universidade Federal de Minas Gerais, Belo Horizonte 30130-100, MG, Brazil"},{"name":"Departamento de Cl\u00ednica M\u00e9dica, Faculdade de Medicina da Universidade Federal de Minas Gerais, Belo Horizonte 30130-100, MG, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2827-4631","authenticated-orcid":false,"given":"Mauro","family":"Silva","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Cardiologia e Cirurgia Cardiovascular e Centro de Telessa\u00fade do Hospital das Cl\u00ednicas da Universidade Federal de Minas Gerais, Belo Horizonte 30130-100, MG, Brazil"},{"name":"Departamento de Cl\u00ednica M\u00e9dica, Faculdade de Medicina da Universidade Federal de Minas Gerais, Belo Horizonte 30130-100, MG, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00e9ssica","family":"Veloso","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Cardiologia e Cirurgia Cardiovascular e Centro de Telessa\u00fade do Hospital das Cl\u00ednicas da Universidade Federal de Minas Gerais, Belo Horizonte 30130-100, MG, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C\u00e1ssia","family":"Silva","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Cardiologia e Cirurgia Cardiovascular e Centro de Telessa\u00fade do Hospital das Cl\u00ednicas da Universidade Federal de Minas Gerais, Belo Horizonte 30130-100, MG, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernanda","family":"Gelape","sequence":"additional","affiliation":[{"name":"Curso de Medicina, Faculdade de Ci\u00eancias M\u00e9dicas de Minas Gerais, Belo Horizonte 30130-110, MG, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luiza","family":"Santos","sequence":"additional","affiliation":[{"name":"Curso de Medicina, Faculdade de Ci\u00eancias M\u00e9dicas de Minas Gerais, Belo Horizonte 30130-110, MG, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arthur","family":"Amaral","sequence":"additional","affiliation":[{"name":"Departamento de Medicina, Universidade Federal de Ouro Preto, Ouro Preto 35400-000, MG, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cec\u00edlia","family":"Coelho","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Cardiologia e Cirurgia Cardiovascular e Centro de Telessa\u00fade do Hospital das Cl\u00ednicas da Universidade Federal de Minas Gerais, Belo Horizonte 30130-100, MG, Brazil"},{"name":"Departamento de Cl\u00ednica M\u00e9dica, Faculdade de Medicina da Universidade Federal de Minas Gerais, Belo Horizonte 30130-100, MG, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucas","family":"Diamante","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Cardiologia e Cirurgia Cardiovascular e Centro de Telessa\u00fade do Hospital das Cl\u00ednicas da Universidade Federal de Minas Gerais, Belo Horizonte 30130-100, MG, Brazil"},{"name":"Departamento de Cl\u00ednica M\u00e9dica, Faculdade de Medicina da Universidade Federal de Minas Gerais, Belo Horizonte 30130-100, MG, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juliane","family":"Correia","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Cardiologia e Cirurgia Cardiovascular e Centro de Telessa\u00fade do Hospital das Cl\u00ednicas da Universidade Federal de Minas Gerais, Belo Horizonte 30130-100, MG, Brazil"},{"name":"Departamento de Cl\u00ednica M\u00e9dica, Faculdade de Medicina da Universidade Federal de Minas Gerais, Belo Horizonte 30130-100, MG, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zilda","family":"Meira","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Cardiologia e Cirurgia Cardiovascular e Centro de Telessa\u00fade do Hospital das Cl\u00ednicas da Universidade Federal de Minas Gerais, Belo Horizonte 30130-100, MG, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2740-0042","authenticated-orcid":false,"given":"Antonio","family":"Ribeiro","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Cardiologia e Cirurgia Cardiovascular e Centro de Telessa\u00fade do Hospital das Cl\u00ednicas da Universidade Federal de Minas Gerais, Belo Horizonte 30130-100, MG, Brazil"},{"name":"Departamento de Cl\u00ednica M\u00e9dica, Faculdade de Medicina da Universidade Federal de Minas Gerais, Belo Horizonte 30130-100, MG, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison","family":"Spaziani","sequence":"additional","affiliation":[{"name":"Cardiology, Children\u2019s National Health System, Washington, DC 20010, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Craig","family":"Sable","sequence":"additional","affiliation":[{"name":"Cardiology, Children\u2019s National Health System, Washington, DC 20010, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5586-774X","authenticated-orcid":false,"given":"Bruno","family":"Nascimento","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Cardiologia e Cirurgia Cardiovascular e Centro de Telessa\u00fade do Hospital das Cl\u00ednicas da Universidade Federal de Minas Gerais, Belo Horizonte 30130-100, MG, Brazil"},{"name":"Departamento de Cl\u00ednica M\u00e9dica, Faculdade de Medicina da Universidade Federal de Minas Gerais, Belo Horizonte 30130-100, MG, Brazil"},{"name":"Servi\u00e7o de Hemodin\u00e2mica, Hospital Madre Teresa, Belo Horizonte 30441-070, MG, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,2,11]]},"reference":[{"key":"ref_1","first-page":"615","article-title":"Cardiac manifestations of rheumatic diseases","volume":"156","year":"2021","journal-title":"Med. Clin."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"102740","DOI":"10.1016\/j.autrev.2020.102740","article-title":"Rheumatic heart disease: A review of the current status of global research activity","volume":"20","author":"Dooley","year":"2021","journal-title":"Autoimmun. Rev."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"39","DOI":"10.4103\/0974-2069.197051","article-title":"Rheumatic heart disease screening: Current concepts and challenges","volume":"10","author":"Dougherty","year":"2017","journal-title":"Ann. Pediatr. Cardiol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"612716","DOI":"10.3389\/fcvm.2020.612716","article-title":"Rheumatic Heart Valve Disease Pathophysiology and Underlying Mechanisms","volume":"7","author":"Passos","year":"2021","journal-title":"Front. Cardiovasc. Med."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"h3443","DOI":"10.1136\/bmj.h3443","article-title":"Acute rheumatic fever","volume":"351","author":"Webb","year":"2015","journal-title":"BMJ"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"2350","DOI":"10.1016\/j.jacc.2023.11.007","article-title":"Global Burden of Cardiovascular Diseases and Risks, 1990\u20132022","volume":"82","author":"Mensah","year":"2023","journal-title":"J. Am. Coll. Cardiol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1397","DOI":"10.1016\/j.jacc.2018.06.063","article-title":"Rheumatic Heart Disease Worldwide: JACC Scientific Expert Panel","volume":"72","author":"Watkins","year":"2018","journal-title":"J. Am. Coll. Cardiol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"e025284","DOI":"10.1161\/JAHA.122.025284","article-title":"Rheumatic Heart Disease Is a Neglected Disease Relative to Its Burden Worldwide: Findings from Global Burden of Disease 2019","volume":"11","author":"Ghamari","year":"2022","journal-title":"J. Am. Heart Assoc."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"17022","DOI":"10.1038\/s41598-019-53540-4","article-title":"Prevalence and progression of rheumatic heart disease: A global systematic review and meta-analysis of population-based echocardiographic studies","volume":"9","author":"Noubiap","year":"2019","journal-title":"Sci. Rep."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1115","DOI":"10.1093\/eurheartj\/ehu449","article-title":"Characteristics, complications, and gaps in evidence-based interventions in rheumatic heart disease: The Global Rheumatic Heart Disease Registry (the REMEDY study)","volume":"36","author":"Zuhlke","year":"2015","journal-title":"Eur. Heart J."},{"key":"ref_11","first-page":"345","article-title":"Rheumatic Fever: A Disease without Color","volume":"113","author":"Figueiredo","year":"2019","journal-title":"Arq. Bras. Cardiol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"e386","DOI":"10.1016\/S2214-109X(16)30065-1","article-title":"Focused cardiac ultrasound screening for rheumatic heart disease by briefly trained health workers: A study of diagnostic accuracy","volume":"4","author":"Engelman","year":"2016","journal-title":"Lancet. Glob. Health"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"470","DOI":"10.1056\/NEJMoa065085","article-title":"Prevalence of rheumatic heart disease detected by echocardiographic screening","volume":"357","author":"Marijon","year":"2007","journal-title":"N. Engl. J. Med."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1038\/nrcardio.2012.7","article-title":"World Heart Federation criteria for echocardiographic diagnosis of rheumatic heart disease\u2014An evidence-based guideline","volume":"9","author":"Remenyi","year":"2012","journal-title":"Nat. Rev. Cardiol."},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Rwebembera, J., Marangou, J., Mwita, J.C., Mocumbi, A.O., Mota, C., Okello, E., Nascimento, B., Thorup, L., Beaton, A., and Kado, J. (2023). 2023 World Heart Federation guidelines for the echocardiographic diagnosis of rheumatic heart disease. Nat. Rev. Cardiol., 1\u201314.","DOI":"10.1038\/s41569-023-00940-9"},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Nascimento, B.R., Nunes, M.C.P., da Silva, J.L.P., Steer, A., Engelman, D., Okello, E., Rwebembera, J., Zuhlke, L., Mirabel, M., and Nakitto, M. (2023). Outcomes of latent rheumatic heart disease: External validation of a simplified score in patients with and without secondary prophylaxis. Int. J. Cardiol., 131662.","DOI":"10.1016\/j.ijcard.2023.131662"},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"de Aquino Xavier, R.M., Azevedo, V.M.P., Godoy, P.H., Migowski, A., Ribeiro, A.L.P., Chaves, R.B.M., Correia, M.G., de Aquino Xavier, C., de Aquino Hashimoto, L., and Weksler, C. (2017). Medium-term outcomes of 78,808 patients after heart valve surgery in a middle-income country: A nationwide population-based study. BMC Cardiovasc. Disord., 17.","DOI":"10.1186\/s12872-017-0725-9"},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Ribeiro, G.S., Tartof, S.Y., Oliveira, D.W., Guedes, A.C., Reis, M.G., Riley, L.W., and Ko, A.I. (2012). Surgery for valvular heart disease: A population-based study in a Brazilian urban center. PLoS ONE, 7.","DOI":"10.1371\/journal.pone.0037855"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1136\/heartjnl-2018-313593","article-title":"Integration of echocardiographic screening by non-physicians with remote reading in primary care","volume":"105","author":"Nascimento","year":"2019","journal-title":"Heart"},{"key":"ref_20","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":"J. Am. Heart Assoc."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1177\/1357633X16677902","article-title":"Telehealth solutions to enable global collaboration in rheumatic heart disease screening","volume":"24","author":"Lopes","year":"2018","journal-title":"J. Telemed. Telecare"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"e011233","DOI":"10.1136\/heartasia-2019-011233","article-title":"Inter-rater and intra-rater reliability and agreement of echocardiographic diagnosis of rheumatic heart disease using the World Heart Federation evidence-based criteria","volume":"11","author":"Remenyi","year":"2019","journal-title":"Heart Asia"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1016\/j.jbi.2008.08.010","article-title":"Research electronic data capture (REDCap)\u2014A metadata-driven methodology and workflow process for providing translational research informatics support","volume":"42","author":"Harris","year":"2009","journal-title":"J. Biomed. Inform."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"2299","DOI":"10.1038\/bjc.2013.185","article-title":"A step-by-step guide to the systematic review and meta-analysis of diagnostic and prognostic test accuracy evaluations","volume":"108","author":"Liu","year":"2013","journal-title":"Br. J. Cancer"},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Figueroa, C.A., Harrison, R., Chauhan, A., and Meyer, L. (2019). Priorities and challenges for health leadership and workforce management globally: A rapid review. BMC Health Serv. Res., 19.","DOI":"10.1186\/s12913-019-4080-7"},{"key":"ref_26","first-page":"e38390","article-title":"A Closer Look Into Brazil\u2019s Healthcare System: What Can We Learn?","volume":"15","author":"Roman","year":"2023","journal-title":"Cureus"},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Bastos, M.L., Menzies, D., Hone, T., Dehghani, K., and Trajman, A. (2017). The impact of the Brazilian family health on selected primary care sensitive conditions: A systematic review. PLoS ONE, 12.","DOI":"10.1371\/journal.pone.0189557"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1007\/s11886-021-01592-2","article-title":"The Global Impact of Rheumatic Heart Disease","volume":"23","author":"Rwebembera","year":"2021","journal-title":"Curr. Cardiol. Rep."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"346","DOI":"10.1001\/jamacardio.2018.0001","article-title":"Time to Add a Fifth Pillar to Bedside Physical Examination: Inspection, Palpation, Percussion, Auscultation, and Insonation","volume":"3","author":"Narula","year":"2018","journal-title":"JAMA Cardiol."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"733","DOI":"10.1016\/j.echo.2023.02.007","article-title":"Abbreviated Echocardiographic Screening for Rheumatic Heart Disease by Nonexperts with and without Offsite Expert Review: A Diagnostic Accuracy Study","volume":"36","author":"Francis","year":"2023","journal-title":"J. Am. Soc. Echocardiogr. Off. Publ. Am. Soc. Echocardiogr."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1001\/jamacardio.2020.7050","article-title":"Effectiveness of Systematic Echocardiographic Screening for Rheumatic Heart Disease in Nepalese Schoolchildren: A Cluster Randomized Clinical Trial","volume":"6","author":"Karki","year":"2021","journal-title":"JAMA Cardiol."},{"key":"ref_32","doi-asserted-by":"crossref","unstructured":"Kerrigan, V., Kelly, A., Lee, A.M., Mungatopi, V., Mitchell, A.G., Wyber, R., and Ralph, A.P. (2021). A community-based program to reduce acute rheumatic fever and rheumatic heart disease in northern Australia. BMC Health Serv. Res., 21.","DOI":"10.1186\/s12913-021-07159-9"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"1783","DOI":"10.1016\/j.amjcard.2016.03.006","article-title":"Efficacy of a Standardized Computer-Based Training Curriculum to Teach Echocardiographic Identification of Rheumatic Heart Disease to Nonexpert Users","volume":"117","author":"Beaton","year":"2016","journal-title":"Am. J. Cardiol."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"e038449","DOI":"10.1136\/bmjopen-2020-038449","article-title":"Standard echocardiography versus handheld echocardiography for the detection of subclinical rheumatic heart disease: A systematic review and meta-analysis of diagnostic accuracy","volume":"10","author":"Telford","year":"2020","journal-title":"BMJ Open"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1016\/j.ijcard.2023.01.024","article-title":"Handheld echocardiographic screening for rheumatic heart disease by non-experts in rural South Kordofan, Sudan: Supporting task shifting for control of a serious disease","volume":"377","author":"Elazrag","year":"2023","journal-title":"Int. J. Cardiol."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1136\/heartjnl-2015-308236","article-title":"Handheld echocardiographic screening for rheumatic heart disease by non-experts","volume":"102","author":"Ploutz","year":"2016","journal-title":"Heart"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1056\/NEJMoa2102074","article-title":"Secondary Antibiotic Prophylaxis for Latent Rheumatic Heart Disease","volume":"386","author":"Beaton","year":"2022","journal-title":"N. Engl. J. Med."},{"key":"ref_38","first-page":"210","article-title":"Rheumatic heart disease screening by \u201cpoint-of-care\u201d echocardiography: An acceptable alternative in resource limited settings?","volume":"4","author":"Saxena","year":"2015","journal-title":"Transl. Pediatr."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"2178","DOI":"10.1161\/CIRCULATIONAHA.117.026622","article-title":"Handheld Echocardiography: Current State and Future Perspectives","volume":"136","author":"Sengupta","year":"2017","journal-title":"Circulation"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"500","DOI":"10.21037\/cdt.2018.07.04","article-title":"Handheld echocardiography for screening and control of rheumatic heart disease study in Gezira state, Sudan: A double approach model","volume":"8","author":"Ali","year":"2018","journal-title":"Cardiovasc. Diagn. Ther."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"6048","DOI":"10.1097\/MS9.0000000000001402","article-title":"Detection and management of latent rheumatic heart disease: A narrative review","volume":"85","author":"Lamichhane","year":"2023","journal-title":"Ann. Med. Surg."}],"container-title":["Diagnostics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-4418\/14\/4\/392\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T13:58:32Z","timestamp":1760104712000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-4418\/14\/4\/392"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,11]]},"references-count":41,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2024,2]]}},"alternative-id":["diagnostics14040392"],"URL":"https:\/\/doi.org\/10.3390\/diagnostics14040392","relation":{},"ISSN":["2075-4418"],"issn-type":[{"value":"2075-4418","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2,11]]}}}