Medical Journal of Indonesia Vol. 31 No. 3 2022 FKUI
Clinical Research Characteristics of Patients with Rheumatic Heart Disease in A National Referral Hospital in Indonesia
Dublin Core
Title
Medical Journal of Indonesia Vol. 31 No. 3 2022 FKUI
Clinical Research Characteristics of Patients with Rheumatic Heart Disease in A National Referral Hospital in Indonesia
Clinical Research Characteristics of Patients with Rheumatic Heart Disease in A National Referral Hospital in Indonesia
Subject
echocardiography, pathology, rheumatic heart disease, right ventricular
dysfunction
dysfunction
Description
BACKGROUND Rheumatic heart disease (RHD) is one of the most common
cardiovascular problems in Indonesia. Comprehensive data regarding patient
characteristics are critical in planning optimal treatment strategies to relieve the
burden of RHD. This study aimed to describe the clinical and echocardiographic
characteristics of patients across several types of valvular lesions in RHD in the
Indonesian population.
METHODS This retrospective study was performed between January 2016 and June
2019 at the National Cardiovascular Center Harapan Kita, Jakarta, Indonesia. The study
population comprised all patients with significant valve disease aged ≥18 years. Patient
characteristics and echocardiographic parameters were collected retrospectively from
medical records and hospital information systems. Patients were classified into several
groups based on etiologies of valve disease.
RESULTS Of 5,482 patients with significant valve lesions, 2,333 (42.6%) were RHD
patients. They were predominantly female (64.1%) and younger (mean [standard
deviation] age 42.61 [12.01] years). Atrial fibrillation (AF) was the most frequent rhythm
disorder observed in RHD (65.4%). Isolated mitral stenosis was the most common valve
lesion in RHD patients (46.5%). Most patients with RHD had preserved left ventricular
(LV) ejection fraction. Half of the patients with mitral stenosis had reduced right
ventricular (RV) contractility (tricuspid annular plane systolic excursion <17 mm).
CONCLUSIONS Isolated mitral stenosis was the most observed condition of valve
lesions in RHD. Characteristics of RHD patients in this study were predominantly female,
younger age, had preserved LV function, reduced RV function, and high prevalence of
AF.
cardiovascular problems in Indonesia. Comprehensive data regarding patient
characteristics are critical in planning optimal treatment strategies to relieve the
burden of RHD. This study aimed to describe the clinical and echocardiographic
characteristics of patients across several types of valvular lesions in RHD in the
Indonesian population.
METHODS This retrospective study was performed between January 2016 and June
2019 at the National Cardiovascular Center Harapan Kita, Jakarta, Indonesia. The study
population comprised all patients with significant valve disease aged ≥18 years. Patient
characteristics and echocardiographic parameters were collected retrospectively from
medical records and hospital information systems. Patients were classified into several
groups based on etiologies of valve disease.
RESULTS Of 5,482 patients with significant valve lesions, 2,333 (42.6%) were RHD
patients. They were predominantly female (64.1%) and younger (mean [standard
deviation] age 42.61 [12.01] years). Atrial fibrillation (AF) was the most frequent rhythm
disorder observed in RHD (65.4%). Isolated mitral stenosis was the most common valve
lesion in RHD patients (46.5%). Most patients with RHD had preserved left ventricular
(LV) ejection fraction. Half of the patients with mitral stenosis had reduced right
ventricular (RV) contractility (tricuspid annular plane systolic excursion <17 mm).
CONCLUSIONS Isolated mitral stenosis was the most observed condition of valve
lesions in RHD. Characteristics of RHD patients in this study were predominantly female,
younger age, had preserved LV function, reduced RV function, and high prevalence of
AF.
Creator
Estu Rudiktyo, Annemieke Wind, Pieter Doevendans, Bambang Budi Siswanto, Maarten-Jan Cramer, Amiliana Mardiani Soesanto
Source
https://doi.org/10.13181/mji.oa.226150
Date
December 01, 2022
Contributor
peri irawan
Format
pdf
Language
english
Type
text
Files
Citation
Estu Rudiktyo, Annemieke Wind, Pieter Doevendans, Bambang Budi Siswanto, Maarten-Jan Cramer, Amiliana Mardiani Soesanto , “Medical Journal of Indonesia Vol. 31 No. 3 2022 FKUI
Clinical Research Characteristics of Patients with Rheumatic Heart Disease in A National Referral Hospital in Indonesia,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/1065.
Clinical Research Characteristics of Patients with Rheumatic Heart Disease in A National Referral Hospital in Indonesia,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/1065.