The screening of congenital heart disease by cardiac auscultation and 12-lead electrocardiogram among Indonesian elementary school students
Open Access
- 14 December 2020
- journal article
- research article
- Published by Cambridge University Press (CUP) in Cardiology in the Young
- Vol. 31 (2), 264-273
- https://doi.org/10.1017/s1047951120003881
Abstract
Background: Screening for congenital heart disease (CHD) in school students is well-established in high-income countries; however, data from low-to-middle-income countries including Indonesia are limited. Aim: This study aimed to evaluate CHD screening methods by cardiac auscultation and 12-lead electrocardiogram to obtain the prevalence of CHD, confirmed by transthoracic echocardiography, among Indonesian school students. Methods: We conducted a screening programme in elementary school students in the Province of Special Region of Yogyakarta, Indonesia. The CHD screening was integrated into the annual health screening. The trained general practitioners and nurses participated in the screening. The primary screening was by cardiac auscultation and 12-lead electrocardiogram. The secondary screening was by transthoracic echocardiography performed on school students with abnormal findings in the primary screening. Results: A total of 6116 school students were screened within a 2-year period. As many as 329 (5.38%) school students were detected with abnormalities. Of those, 278 students (84.49%) had an abnormal electrocardiogram, 45 students (13.68%) had heart murmurs, and 6 students (1.82%) had both abnormalities. The primary screening programme was successfully implemented. The secondary screening was accomplished for 260 school students, and 18 students (6.9%) had heart abnormalities with 7 (2.7%) who were confirmed with septal defects and 11 (4.2%) had valve abnormalities. The overall prevalence was 0.29% (18 out of 6116). Conclusions: The primary screening by cardiac auscultation and 12-lead electrocardiogram was feasible and yielded 5.38% of elementary school students who were suspected with CHD. The secondary screening resulted in 6.9% confirmed cardiac abnormalities. The cardiac abnormality prevalence was 0.29%.Keywords
This publication has 35 references indexed in Scilit:
- Prevalence of rheumatic and congenital heart disease in school children of Andhra Pradesh, South IndiaJournal of Cardiovascular Disease Research, 2013
- Echocardiography Screening for Rheumatic Heart Disease in Ugandan SchoolchildrenJournal of the American College of Cardiology, 2012
- Birth Prevalence of Congenital Heart Disease Worldwide: A Systematic Review and Meta-AnalysisJournal of Invasive Cardiology, 2011
- Challenges on the management of congenital heart disease in developing countriesInternational Journal of Cardiology, 2011
- Adult congenital cardiac surgery in IndonesiaCardiology in the Young, 2011
- The Challenge of Congenital Heart Disease Worldwide: Epidemiologic and Demographic FactsSeminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual, 2010
- Pulmonary arterial hypertension in congenital heart disease: An epidemiologic perspective from a Dutch registryInternational Journal of Cardiology, 2007
- Genetic Basis for Congenital Heart Defects: Current KnowledgeJournal of the American College of Cardiology, 2007
- Delayed diagnosis of congenital heart disease worsens preoperative condition and outcome of surgery in neonatesHeart, 2006
- Delayed recognition of congenital heart diseasePublished by Oxford University Press (OUP) ,2006