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The prevalence of unrecognized congenital heart disease among healthy elementary school students in northern Thailand
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Metadata
Document Title
The prevalence of unrecognized congenital heart disease among healthy elementary school students in northern Thailand
Author
Sayasathid J.,Supachokchaipattana P.,Pipatvech K.,Sukonpan K.,Somboonna N.,Pannarunothai S.
Name from Authors Collection
Affiliations
Cardiac Center, Naresuan University Hospital, Phitsanulok 65000, Thailand; Pediatric Department, Sawanpracharak Hospital, Nakhon Sawan 60000, Thailand; Pediatric Department, Uttaradit Hospital, Uttaradit 53000, Thailand; Obstretic and Gynecology Department, Buddhachinaraj Hospital, Phitsanulok 65000, Thailand; National Center for Genetic Engineering and Biotechnology, National Science and Technology Development Agency, Pathumthani 12120, Thailand; Department of Microbiology, Chulalongkorn University, Bangkok 10330, Thailand; Faculty of Medicine, Naresuan University, Phitsanulok 65000, Thailand
Type
Article
Source Title
Asian Biomedicine
ISSN
19057415
Year
2010
Volume
4
Issue
1
Page
171-175
Open Access
All Open Access, Hybrid Gold
Publisher
Asian Biomedicine
DOI
10.2478/abm-2010-0021
Abstract
Background: Congenital heart disease (CHD) is one of the major congenital anomalies among newborns. Although many infants with CHD are symptomatic and identified soon after birth, others remain undiagnosed until the disease becomes severe. Objectives: Unravel the number of CHD cases among 7-12 years old students who reported neither clinical complication nor history about cardiac diseases, stressing the importance for regular cardiac examination in children, even if they appeared healthy. Methods: The study selected students without clinical history of heart disease from 1,041 elementary schools in northern Thailand (Tak, Nakhon Sawan and Uttaradit). Certified nurses and health officers examined the students for abnormal heart conditions. Pediatric cardiologists scrutinized the students with suspected CHD for confirmation and characterization of cardiac lesion types. Results: Out of 144,293 students included in the study, 851 students showed atypical heart symptoms, and 87 were verified to have the CHD. This conferred the prevalence rate of unrecognized CHD among the elementary school children to be 0.60 per 1,000. The frequently-detected heart defects were ventricular septal defect (41.4%) and pulmonary stenosis (16.1%). Fifty-one children (58.6%) required surgery for cardiovascular correction. The prevalence of the CHD in elementary school students ranged from 0.41 to 1.05 cases per 1000 study subjects. The greatest number of incidences was found in Tak province where medical resources are inadequate. Conclusion: This study highlights the significance of routine cardiac examination among school-aged students, particularly in the regions with limited medical facilities, providing information essential for appropriate health care planning and managements.
Keyword
Asymptomatic | Congenital | Elementary school students | Heart defect | Heart disease | Prevalence
Industrial Classification
Knowledge Taxonomy Level 1
Knowledge Taxonomy Level 2
Knowledge Taxonomy Level 3
License
CC BY
Rights
Author
Publication Source
Scopus