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Cardiac imaging in rheumatic heart disease and future developments

Seitler, S; Zuhair, M; Shamsi, A; Bray, JJH; Wojtaszewska, A; Siddiqui, A; Ahmad, M; ... Akhtar, A; + view all (2023) Cardiac imaging in rheumatic heart disease and future developments. European Heart Journal Open , 3 (2) , Article oeac060. 10.1093/ehjopen/oeac060. Green open access

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Abstract

Rheumatic heart disease (RHD) is the most common cause of valvular heart disease worldwide, affecting millions, especially in low-and middle-income countries. Multiple imaging modalities such as cardiac CT, cardiac MRI, and three-dimensional echocardiography may be utilized in diagnosing, screening, and managing RHD. However, two-dimensional transthoracic echocardiography remains the cornerstone of imaging in RHD. Criteria developed by the World Heart Foundation in 2012 sought to unify the diagnostic imaging criteria for RHD, but concerns remain regarding their complexity and reproducibility. In the intervening years, further measures have been developed to find a balance between simplicity and accuracy. Nonetheless, there remain significant unresolved problems within imaging in RHD, including the development of a practical and sensitive screening tool to identify patients with RHD. The emergence of handheld echocardiography has the potential to revolutionize RHD management in resource-poor settings, but its role as a screening or diagnostic tool is yet to be fully established. The dramatic evolution of imaging modalities over the last few decades has not addressed RHD compared to other forms of structural heart disease. In this review, we examine the current and latest developments concerning cardiac imaging and RHD.

Type: Article
Title: Cardiac imaging in rheumatic heart disease and future developments
Open access status: An open access version is available from UCL Discovery
DOI: 10.1093/ehjopen/oeac060
Publisher version: https://doi.org/10.1093/ehjopen/oeac060
Language: English
Additional information: © The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
Keywords: Rheumatic heart disease, Valvular heart disease, Two-dimensional echocardiography, Three-dimensional echocardiography, Cardiac MRI
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Health Informatics
URI: https://discovery.ucl.ac.uk/id/eprint/10185463
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