Back to Journals » Pediatric Health, Medicine and Therapeutics » Volume 2

Echocardiographic screening of schoolchildren in American Samoa to detect rheumatic heart disease: a feasibility study

Authors Barnes SS, Sim, Marrone, Reddy, O\'Carroll, Sumida, Erdem G

Published 10 February 2011 Volume 2011:2 Pages 21—23


Review by Single anonymous peer review

Peer reviewer comments 3

Shawn S Barnes1 James Sim2 James R Marrone3 Venudhar D Reddy2 Darragh C O’Carroll1 Lauren Sumida1 Guliz Erdem2
1John A Burns School of Medicine, University of Hawaii, Honolulu, Hawaii, USA; 2Department of Pediatrics, John A Burns School of Medicine, University of Hawaii, Honolulu, Hawaii, USA; 3Department of Pediatrics, Lyndon Baines Johnson Tropical Medical Center, Pago Pago, American Samoa

Background: We report a practical and affordable pilot echocardiographic screening model for the detection of rheumatic heart disease (RHD) in Samoan children.
Materials and methods: Following a brief training period, three medical students recruited and screened 58.3% (N = 140) of schoolchildren aged 7–18 years on the remote Pacific island of Ta’u, American Samoa, performing echocardiography with a SonoSite® portable ultrasound machine.
Results: None of the echocardiographic images obtained showed significant abnormality consistent with RHD on their review by two pediatric cardiologists on Oahu, Hawaii.
Conclusions: The implementation of echocardiographic screening in resource-poor regions with high rates of acute rheumatic fever and RHD, such as American Samoa, is feasible with limited training of personnel.

Keywords: pediatric, RHD, Samoa, schoolchildren, screening

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]