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Table 3 Clinical characteristics at review and adherence to penicillin prophylaxis

From: Rheumatic heart disease in The Gambia: clinical and valvular aspects at presentation and evolution under penicillin prophylaxis

Characteristics

N

%

Median heart rate, IQR (n = 111) 4 patients with AF

85 [74;92]

 

Normal O2 saturation

110

99.1

Patients with tachycardia (> 100/min if age > 11; > 120 if <  = 11)

10

9

Modified Ross classification

  

 Class 1

35

31.5

 Class 2

69

62.1

 Class 3

6

5.4

 Class 4

1

0.9

Pathological murmur at auscultation

  

 No

9

8.1

 Yes

102

91.9

Chest auscultation

  

 Abnormal

11

9.9

 Normal

98

88.3

 Missing

2

1.8

Oedema lower limbs

  

 No

107

96.4

 Yes (3 grad2, 1 grad3)

4

3.6

Enlarged liver

  

 No

102

91.9

 Yes

9

8.1

Still under penicillin prophylaxis (N = 93)

  

 No

22

23.7

 Yes

71

76.3

Overall estimated adherence to penicillin prophylaxis (N = 87)

  

 Defaulters and poorly adherent

19

21.8

 Regular intake with occasional missed doses

11

12.6

 Fully adherent (rare missed dose)

57

65.5

Clinical evolution since diagnosis (n = 111)

  

 Patient stable without anti-failure treatment (including 7 defaulters)

17

15.3

 Good response to initial anti-failure therapy, now stable

42

37.8

 Slight worsening, with adjustment of initial treatment, now stable;

19

17.1

 Regular worsening with adjustements of antifailure therapy;

10

9

 Serious worsening with repeated hospital admissions;

6

5.4

Cardiac surgery

17

15.3