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Campbell, R.M., Douglas, P.S., Eidem, B.W., Lai, W.W., Lopez, L. and Sachdeva, R. (2014) ACC/AAP/AHA/ASE/HRS/SCAI/SCCT/SCMR/SOPE 2014 Appropriate Use Criteria for Initial Transthoracic Echocardiography in Outpatient Pediatric Cardiology: A Report of the American College of Cardiology Appropriate Use Criteria Task Force, American Academy of Pediatrics, American Heart Association, American Society of Echocardiography, Heart Rhythm Society, Society of Cardiovascular Angiography and Intervention, Society of Cardiovascular Computed Tomography, Society of Cardiovascular Magnetic Resonance, and Society of Pediatric Echocardiography. Journal of the American Society of Echocardiography, 27, 1247-1266. https://doi.org/10.1016/j.echo.2014.10.002

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• TITLE: Spectrum of Heart Diseases in Sanaa, Capital of Yemen Republic

  AUTHORS: Dhaifullah Jayed, Mohamed Ali Al-Huthi, Aziz Al-Zandani, Salah Al-Shuki, Mohamed Al-Dholae, Mohamed Al-Moqri

  KEYWORDS: Congenital Heart Disease, Rheumatic Heart Disease, Hypertensive Heart Disease, Valvular Heart Disease, Sanaa, Yemen

  JOURNAL NAME: Open Access Library Journal, Vol.10 No.1, January 19, 2023

  ABSTRACT: Background: The spectrum of heart diseases varies between and within countries, depending on the stage of epidemiological transition and risk factor profiles, understanding this spectrum requires regional and national data for each region and country. Objective: To assess the spectrum of heart diseases in Sanaa, the Capital of Yemen republic. Methods: This retrospective, descriptive registry reviewed abnormal echocardiographic findings of 6044 patients aged 0 - 100 years, (3264 male patients (54%), and 2780 female patients (46%) from January 2019 to May 2022. Results: Hypertensive heart disease (HHD) (n: 1597, 26.42%), valvular heart disease (VHD) (n: 1356, 22.44%), heart failure with reduced ejection fraction (HFrEF) (n: 1189, 19.67%) and Ischemic heart disease (I.H.D) (n: 1027, 16.99%) were the most frequent comorbidities. Congenital heart diseases (CHDs) were detected in 123 (2%) of the patients, with the most common ones including atrial septal defect (ASD) (n: 38, (30.89%)) and ventricular septal defect (VSD) (n: 28, (22.76%)). Rheumatic heart disease (RHD) was observed in 693 (51.10%) patients, senile valvular degenerative lesions (SVDL) in 366 (26.99%), mitral valve prolapse (MVP) were detected in 297 (21.9%). Mitral insufficiency (n: 965, (71.2%)) was detected as the most frequent VHD, followed by aortic insufficiency (n: 259, (19.1%)), and tricuspid insufficiency (n: 62, (4.6%)), mitral valve stenosis (n: 46, (3.4%)) and aortic stenosis (n: 24, (1.8%)) was the least common VHD. Conclusion: In the present study, we found that HHD was the most common comorbidity, followed by VHD, HFrEF and IHD. Moreover, the most common VHD was mitral insufficiency and the most common CHD was ASD.