Insights from a Rheumatic Heart Disease Registry in a Tertiary Centre in Sabah

Introduction Rheumatic heart disease is still endemic in developing countries and among the indigenous population in developed countries. However, there is no comprehensive data on rheumatic heart disease patients in Malaysia. The Cardiology Department of Queen Elizabeth ll Hospital (QEH ll), Sabah...

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Main Authors:	Narwani Hussin, Hafizah Jumat, Wong, Mabelle, Liau, Siow Yen, Jeremy Robert Jinuin Jimin, Beh, Boon Cong, Liew, Houng Bang
Format:	Article
Language:	English
Published:	Jabatan Kesihatan Masyarakat, Pusat Perubatan Universiti Kebangsaan Malaysia 2017
Online Access:	http://journalarticle.ukm.my/11568/ http://journalarticle.ukm.my/11568/ http://journalarticle.ukm.my/11568/1/65-414-1-PB.pdf

id	ukm-11568
recordtype	eprints
spelling	ukm-115682018-04-13T15:52:11Z http://journalarticle.ukm.my/11568/ Insights from a Rheumatic Heart Disease Registry in a Tertiary Centre in Sabah Narwani Hussin, Hafizah Jumat, Wong, Mabelle Liau, Siow Yen Jeremy Robert Jinuin Jimin, Beh, Boon Cong Liew, Houng Bang Introduction Rheumatic heart disease is still endemic in developing countries and among the indigenous population in developed countries. However, there is no comprehensive data on rheumatic heart disease patients in Malaysia. The Cardiology Department of Queen Elizabeth ll Hospital (QEH ll), Sabah started this hospital-based registry in 2010. The objective of this analysis was to report the demographic profile, severity of disease, types of valve involvement and the practice of secondary prophylaxis among these patients. Methods This was a retrospective record review involved a three-year review of patients registered under the rheumatic heart disease registry in QEH ll, Sabah from December 2010 to November 2013. It included patients who attended the cardiology clinic who were diagnosed with rheumatic heart disease. Results A total of 627 rheumatic heart disease patients were registered over a period of three years. Mean age was 41 (16.2) year old, 67.5% were female, and 51.2% of the patients had severe valvular dysfunction with mitral regurgitation as the commonest valve affected (67.3%). There was an increasing trend in the percentage of patients receiving secondary prophylaxis (oral and intra-muscular) from the year 2010 to the year 2013 (23.2% and 67.6% respectively). Abnormal ECG, pulmonary regurgitation and not on any secondary prophylaxis were found to be associated with severe rheumatic heart disease. Conclusions Rheumatic heart disease is prevalent in Sabah. Most patients had severe form of valve dysfunction when diagnosed. Awareness and advocacy on secondary prophylaxis warrant immediate improvement. Jabatan Kesihatan Masyarakat, Pusat Perubatan Universiti Kebangsaan Malaysia 2017 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/11568/1/65-414-1-PB.pdf Narwani Hussin, and Hafizah Jumat, and Wong, Mabelle and Liau, Siow Yen and Jeremy Robert Jinuin Jimin, and Beh, Boon Cong and Liew, Houng Bang (2017) Insights from a Rheumatic Heart Disease Registry in a Tertiary Centre in Sabah. International Journal of Public Health Research, 7 (1). pp. 757-764. ISSN 2232-0245 http://spaj.ukm.my/ijphr/index.php/ijphr/issue/view/7
repository_type	Digital Repository
institution_category	Local University
institution	Universiti Kebangasaan Malaysia
building	UKM Institutional Repository
collection	Online Access
language	English
description	Introduction Rheumatic heart disease is still endemic in developing countries and among the indigenous population in developed countries. However, there is no comprehensive data on rheumatic heart disease patients in Malaysia. The Cardiology Department of Queen Elizabeth ll Hospital (QEH ll), Sabah started this hospital-based registry in 2010. The objective of this analysis was to report the demographic profile, severity of disease, types of valve involvement and the practice of secondary prophylaxis among these patients. Methods This was a retrospective record review involved a three-year review of patients registered under the rheumatic heart disease registry in QEH ll, Sabah from December 2010 to November 2013. It included patients who attended the cardiology clinic who were diagnosed with rheumatic heart disease. Results A total of 627 rheumatic heart disease patients were registered over a period of three years. Mean age was 41 (16.2) year old, 67.5% were female, and 51.2% of the patients had severe valvular dysfunction with mitral regurgitation as the commonest valve affected (67.3%). There was an increasing trend in the percentage of patients receiving secondary prophylaxis (oral and intra-muscular) from the year 2010 to the year 2013 (23.2% and 67.6% respectively). Abnormal ECG, pulmonary regurgitation and not on any secondary prophylaxis were found to be associated with severe rheumatic heart disease. Conclusions Rheumatic heart disease is prevalent in Sabah. Most patients had severe form of valve dysfunction when diagnosed. Awareness and advocacy on secondary prophylaxis warrant immediate improvement.
format	Article
author	Narwani Hussin, Hafizah Jumat, Wong, Mabelle Liau, Siow Yen Jeremy Robert Jinuin Jimin, Beh, Boon Cong Liew, Houng Bang
spellingShingle	Narwani Hussin, Hafizah Jumat, Wong, Mabelle Liau, Siow Yen Jeremy Robert Jinuin Jimin, Beh, Boon Cong Liew, Houng Bang Insights from a Rheumatic Heart Disease Registry in a Tertiary Centre in Sabah
author_facet	Narwani Hussin, Hafizah Jumat, Wong, Mabelle Liau, Siow Yen Jeremy Robert Jinuin Jimin, Beh, Boon Cong Liew, Houng Bang
author_sort	Narwani Hussin,
title	Insights from a Rheumatic Heart Disease Registry in a Tertiary Centre in Sabah
title_short	Insights from a Rheumatic Heart Disease Registry in a Tertiary Centre in Sabah
title_full	Insights from a Rheumatic Heart Disease Registry in a Tertiary Centre in Sabah
title_fullStr	Insights from a Rheumatic Heart Disease Registry in a Tertiary Centre in Sabah
title_full_unstemmed	Insights from a Rheumatic Heart Disease Registry in a Tertiary Centre in Sabah
title_sort	insights from a rheumatic heart disease registry in a tertiary centre in sabah
publisher	Jabatan Kesihatan Masyarakat, Pusat Perubatan Universiti Kebangsaan Malaysia
publishDate	2017
url	http://journalarticle.ukm.my/11568/ http://journalarticle.ukm.my/11568/ http://journalarticle.ukm.my/11568/1/65-414-1-PB.pdf
first_indexed	2023-09-18T20:00:38Z
last_indexed	2023-09-18T20:00:38Z
_version_	1777406825085272064

Insights from a Rheumatic Heart Disease Registry in a Tertiary Centre in Sabah

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