The prevalence of rheumatic heart disease among Grade 10 - 12 learners in the Free State and Northern Cape – Preliminary results of the Wheels-of-Hope Outreach Programme
Abstract
An outreach programme was initiated to echocardiographically screen Grade 10 - 12 learners, in Central South Africa, for rheumatic heart disease (RHD). Preliminary results, after the screening of 1 015 learners, identifi ed 102 abnormal echocardiograms. The abnormal echocardiograms were reviewed by an echocardiographer and paediatric cardiologist team and 14 pathological conditions were confi rmed in 13 patients. The abnormalities included RHD (n=5), pericardial effusion (n=2), left ventricular hypertrophy (n=2), mitral valve prolapse (n=3), ventricle septal defect (VSD) (n=1) and sub-aorta stenosis (n=1). The benchmark study by McClaren, et al. conducted in Soweto in 1972 (n=12 050, age 2 - 18 years) showed an overall RHD prevalence of 6.9 per 1 000 and 12.2 per 1 000 in the 15 - 18 year old bracket. The highest incidence (19.2/100) was found in Grade 7 learners (age not defined). The preliminary result of this study is 4.9 RHD cases per 1 000 in Grade 10 - 12 learners. This fi nding may indicate an actual decline in the prevalence of RHD in Central South Africa.Downloads
Copyright (c) 2017 SA Heart Journal

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
This journal is an open access journal, and the authors and journal should be properly acknowledged, when works are cited.
Authors may use the publishers version for teaching purposes, in books, theses, dissertations, conferences and conference papers.Â
A copy of the authors’ publishers version may also be hosted on the following websites:
- Non-commercial personal homepage or blog.
- Institutional webpage.
- Authors Institutional Repository.Â
The following notice should accompany such a posting on the website: “This is an electronic version of an article published in SAHJ, Volume XXX, number XXX, pages XXX–XXX”, DOI. Authors should also supply a hyperlink to the original paper or indicate where the original paper (http://www.journals.ac.za/index.php/SAHJ) may be found.Â
Authors publishers version, affiliated with the Stellenbosch University will be automatically deposited in the University’s’ Institutional Repository SUNScholar.
Articles as a whole, may not be re-published with another journal.
Copyright Holder: SA Heart Journal
The following license applies:
Attribution CC BY-NC-ND 4.0