title: Acute rheumatic fever in the Central Anatolia Region of Turkey: a 30-year experience in a single center.
abstract: The study was carried out in Dr. Sami Ulus Children's Hospital to investigate and to compare the incidence and findings of acute rheumatic fever patients (ARF) seen in the past 30 years. The medical records of 1,115 patients with ARF admitted to Dr. Sami Ulus Children's Hospital Department of Pediatric Cardiology during 1980-2009 were retrospectively analyzed. Twenty-one percent of those patients were admitted between 1980 and 1989, 44.6% between 1990 and 1999, and 34.2% between 2000 and 2009. The highest incidence was detected in the second decade with a rate of 60.0:100,000. Male/female ratio was 1:18. The age of patients ranged between 2 and 15 years. Carditis was detected in 64.7% of patients, arthritis in 59.1%, and chorea in 14.1%. Mitral regurgitation was the most common echocardiographic finding. Heart failure was detected in 13.8%. Recurrent attacks occurred in 8.1% of patients. The median follow-up was 6.8 years (range, 1.2-10.5 years). The prevalence of chronic rheumatic valvular disease was 58%. Mortality rate was 0.8%.
  
  
  CONCLUSIONS
  Although the incidence of ARF has decreased in the last decade, it still continues to be an important public health problem in Turkish pediatric population.
authors.affiliation: Pediatric Cardiology Department, Dr. Sami Ulus Children's Hospital, Babur Street, 44(06080) Altındag, Ankara, Turkey.
authors.forename: Utku Arman
authors.initials: UA
authors.lastname: Orün
authors.forename: Ozben
authors.initials: O
authors.lastname: Ceylan
authors.forename: Meki
authors.initials: M
authors.lastname: Bilici
authors.forename: Selmin
authors.initials: S
authors.lastname: Karademir
authors.forename: Burhan
authors.initials: B
authors.lastname: Ocal
authors.forename: Filiz
authors.initials: F
authors.lastname: Senocak
authors.forename: Senem
authors.initials: S
authors.lastname: Ozgür
authors.forename: Vehbi
authors.initials: V
authors.lastname: Doğan
authors.forename: Osman
authors.initials: O
authors.lastname: Yılmaz
authors.forename: Mahmut
authors.initials: M
authors.lastname: Keskin
mesh_terms: D000293:Adolescent; D017677:Age Distribution; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D012189:Retrospective Studies; D012213:Rheumatic Fever / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology*; D014421:Turkey / Q000453:epidemiology