SP1-100 Survival analysis and risk factors for valve surgery in Brazilian children and adolescents with rheumatic heart disease

Abstract Background Tricuspid regurgitation (TR) sometimes deteriorate late after left-sided valve surgery. The recent guidelines recommend tricuspid valve repair at the same time as the left-sided valve surgery. However, little is known about the pathophysiology that leads to severe TR after left-sided valve surgery. Purpose To clarify the risk factors of the patients with severe TR after left-sided valve surgery. Methods We retrospectively investigated consecutive 526 patients diagnosed as severe TR from January 2004 to December 2018 at our hospital. Clinical background, echocardiographic parameters were evaluated. Demographic information and clinical data (including age, electrocardiograms, type of left-sided valve surgery, underlying valve diseases and history of pacemaker or ICD implantation) were obtained by chart review. Results Of the 526 patients with severe TR, 107 patients were after a left-sided valve surgery. Patients developed severe TR at a mean of 14.8 ± 8 years after surgery.The surgical indications were as follows: mitral valve stenosis (74 patients, 69%), mitral valve regurgitation (43 patients, 40%), aortic valve stenosis (37 patients, 35%) and aortic regurgitation (28 patients, 26%), respectively. The mean age at diagnosis of severe TR was 74 ± 10 years and 75 were female (70%). Among those patients, 32 patients (30%) had a tricuspid annuloplasty (TAP) with the first left-sided valve surgery. Ninety-five patients (88%) had atrial fibrillation (AF), 75 patients (70%) were diagnosed as rheumatic heart disease, 64 patients (60%) had pulmonary artery hypertension (PH) and 28 patients (26%) had a permanent pacemaker or ICD implantation. There were only 12 patients who had severe TR without AF. Eight of 12 patients without AF had PH, and permanent pacemakers were implanted in remaining 4 patients. Conclusions Almost all patients with severe TR after left-sided valve surgery present with AF and prevalence of rheumatic heart disease were about 70 percent. These two factors may be one of the important risk factors for severe TR after left-sided valve surgery.

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Contemporary outcomes of aortic and mitral valve surgery for rheumatic heart disease in sub-Saharan Africa

Journal of Thoracic and Cardiovascular Surgery ◽

10.1016/j.jtcvs.2020.02.139 ◽

2020 ◽

Cited By ~ 3

Author(s):

Shibikom Tamirat ◽

Amine Mazine ◽

Louis-Mathieu Stevens ◽

Fekede Agwar ◽

Kefelegn Dejene ◽

...

Keyword(s):

Heart Disease ◽

Mitral Valve ◽

Rheumatic Heart Disease ◽

Mitral Valve Surgery ◽

Valve Surgery ◽

Sub Saharan Africa ◽

Sub Saharan ◽

Rheumatic Heart

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Outcomes After Valve Surgery for Rheumatic Heart Disease in Western Australia

Heart Lung and Circulation ◽

10.1016/j.hlc.2018.04.230 ◽

2018 ◽

Vol 27 ◽

pp. S582

Author(s):

Kieran Robinson ◽

Charles Jenkinson ◽

Jamie Rankin ◽

Robert Larbalestier ◽

James Marangou

Keyword(s):

Heart Disease ◽

Rheumatic Heart Disease ◽

Western Australia ◽

Valve Surgery ◽

Rheumatic Heart

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AN EPIDEMIOLOGICAL ANALYSIS OF SOCIOECONOMIC RISK FACTORS AMONG PATIENTS OF RHEUMATIC HEART DISEASE, ISLAMABAD, PAKISTAN

Pakistan Journal of Public Health ◽

10.32413/pjph.v6i4.13 ◽

1970 ◽

Vol 6 (4) ◽

pp. 41-43 ◽

Cited By ~ 1

Author(s):

Zafar Hayat Maken ◽

Faizan Ahmed ◽

Ferogh E- Elahi ◽

Ali Arumghan ◽

Mehar . ◽

...

Keyword(s):

Risk Factors ◽

Heart Disease ◽

Rheumatic Heart Disease ◽

Economic Status ◽

Sampling Technique ◽

Medical Sciences ◽

Cross Sectional ◽

Male Predominance ◽

Significant Burden ◽

Rheumatic Heart

BACKGROUND: Rheumatic Heart Disease (RHD) is a disease of developing countries where it inflects significant burden dis-proportionality. We investigated the role of socio-economic and environmental risk factors for RHD. METHODS:Â· This was descriptive cross-sectional conducted at Pakistan Institute of Medical Sciences Islamabad by including the patients coming to cardiology out door patient department through convenient sampling technique. Study was approved from ethical committee of Pakistan institute of Medical Sciences Islamabad and written consent was taken prior to start the interview. RESULTS: In this study, the average age of patient with rheumatic heart disease was 29.4 years, male predominance of patients was observed. 67% of subjects had income below Rs. 20,000. Average BMI of subjects was 22.4Â±4.04. It was observed that 75.25 % of people lived in houses with an area of less than 5 marla. Average area of house was found to be 5.12Â±2.8 marla. Overcrowding was noticed in 60.8 % of the subjects. CONCLUSION: There is a high prevalence of RHD and Acute Rheumatic Fever (ARF) in Pakistan. The major findings of this study were that Overcrowding, poor hygienic conditions, low socio-economic status, are major risk factors for RHD. In order to address this alarming situation, platforms like Pakistan Pediatric Cardiac Society and Pakistan Pediatric Association need to be mobilized for health promotion regarding awareness of the disease.

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