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In developing countries such as Indonesia, rheunmtic heart disease (RHD) is still an itnportant connunity health probletn. Rhewnatic mitral stenosis (RMS) occurs ,nore rapidly and severe RMS could occur at age as early as I5 years old in Àsia-Africa country. The physical emnrination is not accurate enough to predict the severiry of RMS. The aitns of this study are to explore RMS clinical, ECG, CXR, echocardiographic features, and to evaluate the value of ECG or CXR as a diagnostic lool predict the RMS severity compared to echocardiography as a gold standard. Cross-sectional study was done on 28 RMS patients at Child Hea6h Departtnent Dr Cipto Mangunkusumo Hospital. Mean of age was 13.5 years. lJnfortunately 2 patients were excluded fron diagnostic test due to incontplete examination. The severity of RMS based on 2 D echo was classified as nild, noderate and severe in l, t5 and IO patients, respectively. The specificity of RMS severity prediction by RVH and MD on ECG was 75%, and negative predictive value was 90-9%. Sensitivity of CXR in prediction of RMS severity was 8O%, specificity was 81.2%, while negative predictive value was g6-7%. The combination of ECG or CXR gave 9O% sensitivity that would be beneficial to screen RMS patient in rural area. The negative predictive value was 92%. This means that if there is no severe RMS sign on ECG nor CXR, then the RMS is most probably noltrurri.

Profile and prediction of severity of rheumatic mitral stenosis in children