Morpho-mechanistic screening criteria for the echocardiographic detection of rheumatic heart disease.
Luke David HunterAnton Frans DoubellAlfonso Jan Kemp PecoraroMark J MonaghanGuy LloydCarl J LombardPhilipus George HerbstPublished in: Heart (British Cardiac Society) (2023)
Our proposed MM approach showed an equal sensitivity to the WHF criteria but with significantly improved specificity. The MM RHD rule-out test excluded RHD-negative cases while identifying all cases within the CRS RHD-positive cohort. This holds promise for the development of a two-step RHD screening algorithm to enable task shifting in RHD endemic regions.