Acquired heart diseases in children in Gadarif pediatrics teaching hospital, Gadarif state, Eastern Sudan


  • Samia O. Massaad Department of Anatomy, Faculty of Medicine and Health Sciences, Gadarif University, Sudan
  • Mohammed Ahmed A. Ahmed Department of Pediatrics, Faculty of Medicine and Health Sciences, Gadarif University, Sudan
  • Afra M. Mustafa Gadarif Pediatrics Teaching Hospital, Sudan
  • Sami Eldirdiri Elgaili Salah Department of Surgery, Faculty of Medicine and Health Sciences, Gadarif University, Sudan
  • Saeed M. Omar Department of Medicine, Faculty of Medicine and Health Sciences, Gadarif University, Sudan
  • Rabie A. Babiker Department of Microbiology, Faculty of Medicine and Health Sciences, Gadarif University, Sudan
  • Amar Mohammed Mahjoub Department of Pediatrics, Faculty of Medicine, Sinnar University, Sudan



Acquired heart disease, Children, Gadarif state, Sudan


Background: Acquired heart diseases (AHD) are heterogeneous diseases including rheumatic heart disease (RHD) and other affecting the heart and blood vessels after birth but usually appear clinically after 5 years of age. AHD considered as major cause of   morbidity and mortality. The present study was designed to document the spectrum, the affected age and clinical characteristics of AHDs in children of Gadarif state, eastern Sudan.

Methods: This was a descriptive cross section study conducted in Gadarif pediatrics teaching hospital in period from June to Dec 2019.

Results: A total of 46 children from Gadarif pediatrics teaching hospital with confirmed AHD were enrolled in this study. The females were 27 (58.7%), with a male-to-female ratio of 1.4:1. The mean age was 10.6±3.9 years (age’s ≤16 years old); the most common affected age group was 10-14 years accounted 18 (39.1) cases. RHD was the commonest AHD found in 38 (82.6%) patients, the commonest valvular lesion was mitral regurgitation 31 (73.9%).

Conclusions: RHD was the most common AHD in the children in the present study, there is need to improve the scope of intervention facilities in the Sudan particularly in rural areas to prevent the growing and spread of these diseases.


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Sliwa K, Mocumbi AO. Forgotten cardiovascular diseases in Africa. Clin Res Cardiol. 2010;99:65-74.

Carapetis JR, Steer AC, Mulholland EK, Weber M. The global burden of group a streptococcal disease. Lancet. Infect Dis 2005 in a broad spectrum of heart failure patients. Circulation. 2005;112:3738-44.

Mocumbi AO, Ferreira MB. Neglected cardiovascular diseases in Africa: challenges and opportunities. J Am Coll Cardiol. 2010;55:680-7.

Rayner BL, Goodman H, Opie LH. The chest radiograph.A useful investigation in the evaluation of hypertensive patients. Am. J. Hypertension. 2004;(17):507-10.

Solomon SD, Anavekar N, Skali H. Influence of ejection fraction on cardiovascular outcomes. Circulation. 2005;112(24):738-44.

Animasahun BA, Madise-Wobo AD, Kusimo OY. Nigerian Children with Acquired Heart Disease: The Experience in Lagos. J Teh Univ Heart Ctr. 2017;12(4):160-6.

Wilson ES, Chinyere CU, Queennette D. Childhood acquired heart disease in Nigeria: an echocardiographic study from three centres. Afr Health Sci. 2014;14(3):609-16.

Guilherme L, Ramasawmy R, Kalil J. Rheumatic fever and rheumatic heart disease: Genetics and pathogenesis. Scand J Immunol. 2007;66(2):199-207.

Szczygielska I, Hernik E, Koflodziejczyk B, Gazda A, Maślińska M, Gietka P. Rheumatic fever-new diagnostic criteria. Reumatologia. 2018;56(1):37-41.

Bode Thomas F, Ige OO, Yilgwan C. Childhood acquired heart diseases in Jos, North Central Nigeria. Niger Med J. 2013;54:51 8.

Jaiyesimi F. Cardiovascular disease. In: Stanfield P, Brueton M, Chan M,Parkin M, Waterston T, editors. Diseases of Children in the Subtropics and Tropics. 4th ed. London: Arnold Publishers. 1991;762 83.

Sliwa K, Albertino D, Bongani M. Epidemiology and etiology of cardiomyopathy in Africa. Circulation. 2005;112(23):3577-83.

Khalil S, El-Samani F, Dafalla G. Patterns of cardiovascular disease in Sudan: hospital load and recent Trends. Sudan Med J. 1984;20(4):25-38.

Ali SK. Endomyocardial fibrosis: an under-diagnosed cause of cardiomyopathy in Sudanese children. J Trop Pediatr. 2009;55(5):343-6.

Sulaiman AA. The state of heart disease in Sudan. Cardiovasc J Afr. 2011;22(4):191-6.

Omer MAA et al. studying of heart diseases prevalence, distribution and cofactors in Sudanese population. Int J Res Med Sci. 2016;4(1):206-11.

Elfaki MH. Rheumatic heart disease: a major health problem in Elobeid Hospital, West Sudan. Sudan JMS. 2007;2:189-91.

Nkoke C, Menanga A, Boombhi J, Chelo D, Kingue S. A new look at acquired heart diseases in a contemporary sub-Saharan African pediatric population: the case of Yaoundé, Cameroon. Cardiovasc Diagn Ther. 2015;5:428-34.

Sani UM, Ahmed H, Jiya NM. Pattern of acquired heart diseases among children seen in Sokoto, North Western Nigeria. Niger J Clin Pract. 2015;18:718 25.

Lloyd YT, Rheumatic fever and rheumatic heart disease. In: Allen HD, Driscoll DJ, Shaddy RE, Feltes TF, editors. Moss and Adams’ Heart Disease in Infants, Children and Adolescents Including the Fetus and Young Adult. 7th ed. Philadelphia: Lippincott Williams and Wilkins. 2008;1256 80.

Khalid E, El Banna H, Mahmoud R, Hassan H, El Mahdi L, Ali S. Clinical and echocardiographic features of 370 children with rheumatic heart disease seen in Khartoum. Sudan Med J. 2014;50:151-4.

Ali S, Eldomi S, Abbo B, Abbas R, Bushari T, Al Awad K et al. Echocardiographic screening for rheumatic heart disease in 4515 Sudanese school children: marked disparity between 2 communities. Cardiovasc J Afr. 2018 Sep/Oct 23;29(5):273-277.

Okoromah CAN, Ekure EN, Ojo OO, Animashaun BA, Bastos MI. structural heart disease in children: profile, problems and prospects. Niger Postgrad Med J. 2008;15:82-8.

Tantchou Tchoumi JC, Butera G. Profile of cardiac disease in Cameroon and impact on health care services. Cardiovasc Diagn Ther. 2013;3:236-43.

Wilson SE, Chinyere UC, Queennette D. Childhood acquired heart disease in Nigeria: an echocardiographic study from three centers. Afr Health Sci. 2014;14:609-16.






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