Patterns of cardiovascular diseases among cardiac disease suspected patients in Bahir Dar City, Ethiopia: Rheumatic heart disease in patients suspected with Heart diseases
Rheumatic heart disease in patients suspected with Heart diseases
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Background: Rheumatic heart disease (RHD) has remained a substantial public health challenge in low and middle-income countries. We aimed to determine the prevalence and associated factors of RHD among patients who received echocardiographic examinations.
Methods: A total of 849 patients who underwent echocardiography examinations were included in the study. Descriptive statistics and logistic regression analysis were performed. The odds ratio with 95% confidence interval, and p-values were used to determine the presence of associations.
Results: A total of 849 cardiac disease suspected cases were included in the analysis, of which 406 (47.8%) had a definite cardiac disorder. RHD is responsible for 76(18.2%) of the total cardiovascular disorders. The prevalence of RHD was 76(9.0%) among the total study population. The sex and age of the patients showed associations with rheumatic heart disease. The odds of having RHD among females was nearly three times that of male counterparts (AOR= 2.9, 95%CI: 1.6-5.4). Besides, the odds of having RHD among younger than 24, and from 25 to 35 was seventeen times that of respondents older than 50 years of age (AOR=17.2, 95%CI: 7.2-41.5, & AOR= 17.1, 95%CI: 7.3-40.0) respectively.
Conclusions: One-half of the cardiac disease suspected individuals had a definite cardiac disease, and RHD accounted for 18.2% of the total cardiac diseases. Younger age and female in gender were associated with greater likelihood of having RHD. Therefore, interventions should be tailored to the magnitude of the problem; females and younger age groups should be the focus of concern.