الفهرس 
Introduction.Only 14 pages are availabe for public view
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Abstract
Rheumatic heart disease (RHD) is one of the most common
acquired cardiovascular disease in children and young adults. Rheumatic
fever is a systemic, non-suppurative inflammatory complication of
untreated pharyngeal infection with group A beta hemolytic streptococci,
which is characterized by inflammatory lesions primarily involving the
heart, joints and subcutaneous tissue. Acute rheumatic carditis develops
in 40% to 50% of patients with a first attack of acute rheumatic fever.
Rheumatic fever typically occurs in children between the ages of 5
and 15 years, however, any age-group may be affected. Males and
females are equally susceptible.
RHD was diagnosed by auscultating for a heart murmur.
Echocardiography has proven to be more sensitive and specific than
auscultation. RHD detected on echocardiography without an associated
clinically pathological cardiac murmur is referred to as subclinical RHD.
This study detect the prevalence of rheumatic heart disease among
school children in Damietta district.
The present study was a prospective study included 5000 students;
2578 males and 2422 female from primary and preparatory governmental
and private schools. For each child, a full questionnaire obtained. All
students were belonging to the age group 6-15 years old.
The students were sent for further evaluation by consultant
cardiologist and echocardiographer for identification of the cases of
rheumatic heart diseases.