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Rheumatic Heart Disease Australia

RHD Resouces

Clinical Impact and Costs of Echocardiographic Screening for Rheumatic Heart Disease - Editorial

An 18‐year‐old lies in bed in a lower‐income country. He has just experienced an embolic stroke that originated on his infected mechanical mitral prosthesis, placed 2 years prior for severe rheumatic mitral stenosis. This true story is paradigmatic of the burdens created by rheumatic heart disease (RHD) in developing nations and underserved regions of developed nations. What if this tragedy could have been prevented by simple diagnosis and treatment of streptococcal pharyngitis so he never developed RHD? What if he had been started on secondary prophylaxis for rheumatic fever after echocardiographic screening for early RHD when he was in grade school?
Author / Authors 
James N. Kirkpatrick Catherine M. Otto
Published on behalf of the American Heart Association, Inc., by Wiley Blackwell.
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