Echocardiographic Parameters and Complication Profiles Among Adult Patients with Rheumatic Heart Disease at Jimma Medical Center

Figures & data

Table 1 Socio-Demographic Characteristics of Patients with RHD at JMC Cardiac Clinic from January 5 to April 15, 2023 (n=115)

Characteristics	n(%)
Male	29(25.2)
Female	86(74.8)
Current khat chewers	62(53.9)
Alcohol users	10(8.7)
Characteristics	Mean ±SD
Mean age in years	32.31±12.16
Mean BMI	19.67±3.12
Mean systolic blood pressure	114.46±18.41
Mean diastolic blood pressure	74.13±14.59
Waist circumference	78.51±12.75

Table 2 Classification of Valvular Lesions in Adults with Rheumatic Heart Disease at JMC Cardiac Clinic from January 5 to April 15, 2023 (n = 115)

Valvular Lesion	Male, n (%) N = 29	Female, n (%) N = 86	Overall, n (%) N = 115	p value
MR only	4(13.8)	11(12.8)	15(13)	0.619
MS only	0(0)	3(3.5)	3(2.6)	0.30
AR only	0(0)	1(1.2)	1(0.9)	0.99
MS+MR	7(24.1)	18(20.9)	25(21.7)	0.717
AR +AS	0(0)	1(1.2)	1(0.9)	0.99
MR+AS	2(6.9)	6(7)	8(7)	0.98
MR+TR	2(6.9)	6(7)	8(7)	0.98
MR+AR	4(13.8)	5(5.8)	9(7.8)	0.008*
MS+AR	0(0)	8(9.3)	8(7)	0.97
MR+MS+AR	3(10.3)	15(17.4)	18(15.7)	0.36
MR+AR+ TR	5(17.2)	5(5.8)	10(8.7)	0.692
MS+MR+TR	2(6.9)	5(5.8)	7(6.1)	0.50
MR+AR+AS	0(0)	2(1.3)	2(1.6)	0.99

Note: *Association between valvular lesion and sex.

Abbreviations: MR, mitral regurgitation; MS, mitral stenosis; AR, aortic regurgitation; AS, aortic stenosis; TR, tricuspid regurgitation.

Table 3 Severity of Valve Lesion Among Adults with RHD Attending at JMC Cardiac Clinic from January 5 to April 15, 2023 (n=115)

Type of Valve Dysfunction	Severity of Valve Dysfunction
	Total n (%)	Mild	Moderate	Sever
MR	93(80.86)	8(6.95)	44(38.26)	41(35.65)
MS	61(53.04)	12(10.43)	33(28.69)	16(13.91)
AR	49(42,60)	8(6.95)	20(17.39)	21(18.26)
AS	11(9.56)	4(3.47)	3(2.60)	4(3.47)
TR	17(14.78)	4(3.47)	8(6.95)	5(4.34)

Table 4 Echocardiographic Parameters Severity Classification Among Adults with RHD at JMC Cardiac Clinic from January 5 to April 15, 2023 (n = 115)

Echocardiographic Parameters	Severity of Classification	n=115(%)
Left ventricular internal diameter end diastole (LVIDd)	Normal	64(55.7)
	Mildly increased	4(3.5)
	Moderately increased	8(6.9)
	Severely increased	39(33.9)
Left ventricular systolic dimension (LVSd)	Normal	83(72.2)
	Mildly reduced systolic function	5(4.3)
	Moderately reduced systolic function	6(5.2)
	Severely reduced systolic function	21(18.3)
Left ventricular posterior wall end diastole and end systole. (LVPWd)	Normal	87(75.7)
	Mildly increased	1(0.9)
	Moderately increased	8(6.9)
	Severely increased	19(16.5)
Left ventricular Ejection Fraction (EF)	Normal	69(60)
	Mild dysfunction	5(4.4)
	Moderate dysfunction	11(9.6)
	Severe dysfunction	30(26.0)
Tricuspid annular plane systolic exercion(TAPSE)	Normal	82(71.3)
	Decreased	33(28.7)
Fractional shortening (FS)	Normal	59(51.4)
	Mildly reduced	9(7.8)
	Moderately reduced	17(14.8)
	Severely reduced	30(26)
Aortic root diameter	Normal	71(61.7)
	Mild dilated	6(5.2)
	Moderately dilated	14(12.2)
	Severely dilated	24(20.9)
Left atrial diameter	Normal	27(23.5)
	Mild enlarged	4(3.5)
	Moderate enlarged	35(30.4)
	Severe enlarged	49(42.6)
Main pulmonary diameter	Normal	107(93.1)
	Mildly enlarged	8(6.9)
	Moderately enlarged	–
	Severely enlarged	–

Figure 1 Complications related to rheumatic heart disease.

Data Sharing Statement

Data will be accessible from the corresponding author upon request.