• Atencion primaria · Feb 2024

    [Screening for heart disease in kids and adolescents (Prevencar Program)].

    • Marta Zapata Martínez, Manuel Pardo Ríos, Arcadio García Alberola, Julio López-Picazo Ferrer, Cecilia Banacloche Cano, Carlos Iglesias Gómez, M Dolores Pérez Gálvez, Concepción Fernández Redondo, and Juan Ramón Gimeno Blanes.
    • Centro de Salud de Aljucer, Aljucer, Murcia, España; Universidad de Murcia, Murcia, España; Instituto Murciano de la Investigación Biosanitaria (IMIB), Murcia, España. Electronic address: marta.zapata.mar@gmail.com.
    • Aten Primaria. 2024 Feb 1; 56 (2): 102782102782.

    ObjectiveThe objective was to develop a screening for heart disease detection in primary care, to identify pathological electrocardiographic changes and underlying heart disease in adolescents.DesignThe study was carried out for one year using multistage sampling. SITE: Primary care centers in a health area that had digital ECG equipment (12 centers) were selected.ParticipantsInitially, 718 (16.6%) 14-year-old adolescents were recruited and those with a previous diagnosis of heart disease were excluded.InterventionsScreening consisted of including a health questionnaire in the mandatory 14-year-old check-up.Main MeasurementsScreening included a questionnaire, cardiac auscultation, ECG and echocardiography. Abnormality criteria were established to refer for a second evaluation by a cardiologist.ResultsFinally, the sample was made up of 698 adolescents, with a mean age of 13.7±0.5 years, and 354 (50.7%) were boys. A total of 149 (21.3%) were selected for a second review by cardiology: 88 (12.6%) due to a positive questionnaire, 11 (2.2%) due to abnormal cardiac auscultation, and 66 (9.5%) due to ECG findings. Adolescents with evidence of heart disease were 24 (3.4%). Of these, 14 (2.0%) had suggestive alterations and follow-up was recommended, 6 (0.9%) had a definitive diagnosis of heart disease, and 4 (0.6%) had other pathological findings related to the cardiovascular system.ConclusionsThe screening allowed us to identify 1% of adolescents with heart disease and another 2% will remain in follow-up. The ECG detected more pathological cases than the questionnaire.Copyright © 2023 The Authors. Publicado por Elsevier España, S.L.U. All rights reserved.

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