Table 2.

Characteristics of definite RHD cases

Patient	Age	Sex	Residence	Frequency of sore throat and treatment	Auscultation	Echocardiography
1	09 years	M	Dakar-suburb	Rarely	Normal	▸Mitral regurgitation seen in four views with a jet length of >2 cm, maximal velocity of 3.9 m/s and a pan-systolic jet ▸Chordal thickening and of the AMVL measuring 6.5 mm Conclusion: rheumatic mitral insufficiency
2	14 years	M	Dakar-suburb	Rarely	Normal	▸Mitral regurgitation seen in two views with a jet length of >2 cm, maximal velocity of 3.5 m/s and a pan-systolic jet ▸Chordal thickening and of the AMVL Conclusion: rheumatic mitral insufficiency
3	11 years	M	Dakar-suburb	Rarely	Normal	▸Aortic regurgitation seen in two views with a jet length of >1.13 cm, maximal velocity in early diastole of 3.07 m/s and a pan-diastolic jet ▸Coaptation defect and thickening of right anterior aortic cusp, chordal thickening and that of the AMVL measuring 5.6 mm Conclusion: rheumatic aortic insufficiency associated with a borderline disease of MV
4	12 years	M	Dakar-suburb	Rarely	Signs of mitral insufficiency	▸Mitral regurgitation seen in all views with a jet length of >2.7 cm, maximal velocity of 4.9 m/s and a pan-systolic jet ▸Chordal thickening and of the AMVL measuring 7.7 mm Conclusion: rheumatic mitral insufficiency
5	14 years	M	Dakar-suburb	Rarely	Signs of mitral insufficiency	▸  Mitral regurgitation seen in two views with a jet length of >2.85 cm, maximal velocity of 3 m/s and a pan-systolic jet  ▸  Chordal thickening and of the AMVL Conclusion: rheumatic mitral insufficiency
6	14 years	F	Dakar-suburb	Once/year; never given antibiotic treatment	Normal	▸Aortic regurgitation seen in two views with a jet length of 2.85 cm, maximal velocity in early diastole of >3 m/s and a pan-diastolic jet ▸Irregular thickening of right anterior and posterior cusps, restrictive movements of aortic cusps Conclusion: rheumatic aortic insufficiency
7	14 years	F	Dakar-suburb	Twice/year ; oral antibiotics given for 10 days	Normal	▸Mitral regurgitation seen in two views with a jet length of 2.2 cm, maximal velocity of 4.12 m/s and a pan-systolic jet ▸Chordal thickening and of the AMVL Conclusion: rheumatic mitral insufficiency
8	14 years	F	Dakar-suburb	Rarely	Normal	▸Mitral regurgitation seen in two views with a jet length of 3.13 cm, maximal velocity of >3 m/s and a pan-systolic jet ▸Chordal thickening and of the AMVL Conclusion: rheumatic mitral insufficiency
9	12 years	F	Dakar-suburb	▸Once/year ▸Oral antibiotics given for 3 days	Normal	▸Mitral regurgitation seen in three views with a jet length of 2.09 cm, maximal velocity of 4.3 m/s and a pan-systolic jet ▸Chordal thickening and restrictive movement of calcified PMVL Conclusion: rheumatic mitral insufficiency
10	06 years	M	Dakar-suburb	Twice/year; never received antibiotic treatment	Normal	▸Mitral regurgitation seen in two views with a jet length of 2 cm, maximal velocity of >3 m/s and a pan-systolic jet ▸Chordal thickening and of the AMVL Conclusion: rheumatic mitral insufficiency

AMVL, anterior mitral valve leaflet; F, female; M, male; MV, mitral valve; RHD, rheumatic heart disease.