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Current prevalence trend of rheumatic heart disease in South Asia: a systematic review

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Abstract

Background

Rheumatic heart disease (RHD) is a chronic cardiovascular disease that has almost been eradicated from developed countries but still exists in developing regions like South Asia. However, the prevalence of RHD in the South Asian region has not been reported as a whole. The aim of our study was to systematically review the existing data from population-based studies in this region to determine the current prevalence trend of RHD in South Asia.

Methods

In this systematic review, electronic databases including Google Scholar, PubMed, ScienceDirect, and the national journal databases of the South Asian region were searched to find relevant articles published between 1991 to 2019 based on predefined inclusion/exclusion criteria.

Results

Twenty-five population-based studies were included from four South Asian countries (Bangladesh, India, Pakistan, and Nepal). The findings of the included studies showed a decreasing trend of RHD in Bangladesh, India, and Pakistan, whereas an increasing trend of RHD was observed in Nepal. The prevalence of RHD was higher in rural areas compared to urban areas. This systematic review thus reveals a decreasing trend of RHD in most South Asian countries in the last decade.

Conclusion

The findings of this study will help public health leaders understand the current scenario of RHD in the South Asian region.

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References

  • Agarwal AK, Yunus M, Ahmad J, Khan A (1995) Rheumatic heart disease in India. J R Soc Health 115:303–309

    Article  CAS  Google Scholar 

  • Ahmed J, Mostafa Zaman M, Monzur Hassan MM (2005) Prevalence of rheumatic fever and rheumatic heart disease in rural Bangladesh. Trop Dr 35:160–161

    Google Scholar 

  • Asghar U, Ghauri F, Naeem MT, Amjad M (2017) Prevalence of rheumatic heart disease in different regions of Pakistan. JMHS 11:1049–1052

    Google Scholar 

  • Bahadur K, Sharma D et al (2003) Prevalence of rheumatic and congenital heart disease in schoolchildren of Kathmandu valley in Nepal. Indian Heart J 55:615–618

    PubMed  Google Scholar 

  • Banik S, Ghosh A (2020) Prevalence of chronic kidney disease in Bangladesh: a systematic review and meta-analysis. Int Urol Nephrol. https://doi.org/10.1007/s11255-020-02597-6

  • Carapetis JR, Beaton A et al (2016) Acute rheumatic fever and rheumatic heart disease. Nat Rev Dis Primers 2:1–24

    Article  Google Scholar 

  • Guilherme L, Kalil J (2010) Rheumatic fever and rheumatic heart disease: cellular mechanisms leading autoimmune reactivity and disease. J Clin Immunol 30:17–23

    Article  Google Scholar 

  • Gul A, Hassan MU, Hafizullah M (2009) Rheumatic heart disease in urban school children of Peshawar. JPMI 23:337–340

    Google Scholar 

  • Haque K et al (1992) Epidemiology of rheumatic fever and rheumatic heart disease: observations in 15798 children of rural and urban areas. In: First national scientific conference on rheumatic fever and rheumatic heart disease

  • Hossain MM, Ahmed J, Shahidullah M, Zaman MM (2007) Prevalence of rheumatic fever and rheumatic heart disease in an urban population of Bangladesh. Dhaka: National Centre for Control of Rheumatic Fever and Heart Diseases

  • Jose VJ, Gomathi M (2003) Declining prevalence of rheumatic heart disease in rural school children in India: 2001-2002. Indian Heart J 55:158–160

    PubMed  Google Scholar 

  • Kaul R, Masoodi M, Wani KA, Hassan G, Qureshi K (2005) Prevalence of rheumatic heart disease in school children (5–15 years) in a rural block of Srinagar. JK Pract 12:160–162

    Google Scholar 

  • KC MB (2016) Rheumatic heart disease in Nepal: current scenario. Nepalese Heart J 13:1–2

    Article  Google Scholar 

  • Kumar P, Garhwal S, Chaudhary V (1992) Rheumatic heart disease: a school survey in a rural area of Rajasthan. Indain Heart J 44:245–246

    CAS  Google Scholar 

  • Kumar R, Sharma YP et al (2014) Streptococcal pharyngitis, rheumatic fever and rheumatic heart disease: eight-year prospective surveillance in Rupnagar district of Punjab, India. Natl Med J India 27:70–75

    PubMed  Google Scholar 

  • Kumari NR, Raju IB et al (2013) Prevalence of rheumatic and congenital heart disease in school children of Andhra Pradesh, South India. J Cardiovase Dis Res 4:11–14

    Article  Google Scholar 

  • Majumder A, Flora MS et al (2014) Prevalence of rheumatic fever and rheumatic heart disease in school children of Bharateswari homes of Bangladesh. Cardiovas J 6:103–106

    Article  Google Scholar 

  • Marijon E, Mirabel M, Celermajer DS, Jouven X (2012) Rheumatic heart disease. Lancet 379:953–964

    Article  Google Scholar 

  • Misra M, Mittal M et al (2007) Prevalence of rheumatic heart disease in school-going children of eastern Uttar Pradesh. Indian Heart J 59:42–43

    PubMed  Google Scholar 

  • Nair B, Viswanathan S, Koshy AG, Gupta PN, Nair N, Thakkar A (2015) Rheumatic heart disease in Kerala: a vanishing entity? An echo Doppler study in 5–15-years-old school children. Int J Rheumatol. https://doi.org/10.1155/2015/930790

  • Negi P, Sondhi S, Asotra S, Mahajan K, Mehta A (2019) Current status of rheumatic heart disease in India. Indian Heart J 71:85–90

    Article  CAS  Google Scholar 

  • Negi PC, Kanwar A, Chauhan R et al (2013) Epidemiological trends of RF/RHD in school children of Shimla in North India. Indian J Med Res 137:1121–1127

    PubMed  PubMed Central  Google Scholar 

  • Periwal KL, Gupta BK, Panwar RB, Khatri PC, Raja S, Gupta R (2006) Prevalence of rheumatic heart disease in school children in Bikaner: an echocardiographic study. J Assoc Physicians India 54:279–282

    CAS  PubMed  Google Scholar 

  • Prajapati D, Sharma D et al (2014) Epidemiological survey of rheumatic fever, rheumatic heart disease and congenital heart disease among school children in Kathmandu valley of Nepal. Nepalese Heart J 10:1–5

    Article  Google Scholar 

  • Regmi P, Pandey M (1997) Prevalence of rheumatic fever and rheumatic heart disease in school children of Kathmandu City. Indian Heart J 49:518–520

    CAS  PubMed  Google Scholar 

  • Rizvi S, Khan M, Kundi A, Marsh D, Samad A, Pasha O (2004) Status of rheumatic heart disease in rural Pakistan. Heart 90:394–399

    Article  CAS  Google Scholar 

  • Sadiq M, Islam K et al (2009) Prevalence of rheumatic heart disease in school children of urban Lahore. Heart 95:353–357

    Article  CAS  Google Scholar 

  • Saxena A, Desai A et al (2017) Echocardiographic prevalence of rheumatic heart disease in Indian school children using world heart federation criteria–a multi site extension of RHEUMATIC study (the e-RHEUMATIC study). Int J Cardiol 249:438–442

    Article  Google Scholar 

  • Saxena A, Ramakrishnan S et al (2011) Prevalence and outcome of subclinical rheumatic heart disease in India: the RHEUMATIC (Rheumatic heart Echo utilisation and monitoring actuarial trends in Indian children) study. Heart 97:2018–2022

    Article  Google Scholar 

  • Shrestha NR, Karki P et al (2016) Prevalence of subclinical rheumatic heart disease in eastern Nepal: a school-based cross-sectional study. JAMA Cardiol 1:89–96

    Article  Google Scholar 

  • Shrestha U, Bhattarai T, Pandey M (1991) Prevalence of rheumatic fever and rheumatic heart disease in school children in a rural community of the hill region of Nepal. Indian Heart J 43:39

    CAS  PubMed  Google Scholar 

  • Steer AC, Carapetis JR, Nolan TM, Shann F (2002) Systematic review of rheumatic heart disease prevalence in children in developing countries: the role of environmental factors. J Paediatr Child Health 38:229–234

    Article  CAS  Google Scholar 

  • Watkins DA, Johnson CO et al (2017) Global, regional, and national burden of rheumatic heart disease, 1990–2015. N Engl J Med 377:713–722

    Article  Google Scholar 

  • Zaman MM, Choudhury SR, Rahman S, Ahmed J (2015) Prevalence of rheumatic fever and rheumatic heart disease in Bangladeshi children. Indian Heart J 67:45–49

    Article  Google Scholar 

  • Zühlke LJ, Beaton A et al (2017) Group a streptococcus, acute rheumatic fever and rheumatic heart disease: epidemiology and clinical considerations. Curr Treat Options Cardiovasc Med 19:15

    Article  Google Scholar 

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Acknowledgements

We are indebted to all the researchers whose studies were included in this study.

Funding

This study did not receive any specific grant from any organization in either the public or commercial sector.

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Authors and Affiliations

  1. Department of Pharmacy, Noakhali Science and Technology University, Noakhali, 3814, Bangladesh

    Sourav Roy & Sujan Banik

Authors
  1. Sourav Roy
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  2. Sujan Banik
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Contributions

Sourav Roy: Literature search, data analysis/interpretation, and manuscript writing. Sujan Banik: Research idea and study design, data acquisition, statistical analysis, and manuscript revision.

Corresponding author

Correspondence to Sujan Banik.

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Roy, S., Banik, S. Current prevalence trend of rheumatic heart disease in South Asia: a systematic review. J Public Health (Berl.) 30, 2483–2490 (2022). https://doi.org/10.1007/s10389-021-01578-y

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