scholarly journals Pattern And Prevalence Of Rheumatic Heart Disease By Echocardiographic Evaluation

2004 ◽  
Vol 3 (3) ◽  
pp. 45-46
Author(s):  
RK Shah ◽  
AB Upadhayaya ◽  
LP Tibrewala ◽  
PR Regmi ◽  
KP Acharya ◽  
...  
Keyword(s):  
Heart Disease ◽  
Natural History ◽  
Rheumatic Heart Disease ◽  
Cardiac Disease ◽  
Large Study ◽  
Heart Diseases ◽  
Developed Countries ◽  
Echocardiographic Evaluation ◽  
The World ◽  
Rheumatic Heart

The pattern of cardiac disease differs from one region of the world to that of another. Rheumatic heart disease is still widely prevalent in Nepal. The patterns and natural history is considerably different from what is seen in developed countries. Few studies had been done in Nepal to address pattern of heart diseases. Need of a large study to fill the gap and to show the profile of heart disease is there. This paper aims at providing the profile of heart disease as seen in Bir Hospital.

scholarly journals Pattern and Prevalence of Rheumatic Heart Disease by Echocardiographic Evaluation

2003 ◽  
Vol 2 (2) ◽  
pp. 13-19
Author(s):  
R.K. Shah ◽  
A.B. Upadhayaya ◽  
L.P. Tibrewala ◽  
P.R. Regmi ◽  
K.P. Acharya ◽  
...  
Keyword(s):  
Heart Disease ◽  
Natural History ◽  
Rheumatic Heart Disease ◽  
Cardiac Disease ◽  
Large Study ◽  
Echocardiographic Evaluation ◽  
The World ◽  
Rheumatic Heart

The pattern of cardiac disease differs from one region of the world to that of another. Rheumatic heart disease Is still widely prevalent in Nepal. The patterns and natural history is considerably different from what is seen in developed countries3, Few studies had been done in Nepal to address pattern of heart diseases4. Need of a large study to fill the gap and to show the profile of heart disease is there. This paper aims at providing the profile of heart disease as seen in Bir Hospital.

scholarly journals Maternal outcomes of rheumatic heart disease in pregnancy

2017 ◽  
Vol 6 (3) ◽  
pp. 802
Author(s):  
Hema Priya L. ◽  
Ambarish Bhandiwad ◽  
Nagaraj Desai ◽  
Triveni Kondareddy
Keyword(s):  
Heart Disease ◽  
Birth Weight ◽  
Functional Status ◽  
Rheumatic Heart Disease ◽  
Cardiac Disease ◽  
Heart Diseases ◽  
Tertiary Care ◽  
Heart Disease In Pregnancy ◽  
Rheumatic Heart ◽  
In Pregnancy

Background: Preexisting cardiac disease is seen in 1-3% of pregnancies. In developing countries, sequelae of rheumatic fever often constitute the majority of women with heart disease; whereas in developed countries, it is the congenital heart diseases. The aim of this study was to examine the changing trends and mode of care of women with Rheumatic heart disease in pregnancy over a period of five years in a tertiary care centre.Methods: Patient records over five years were retrieved and maternal and perinatal outcomes were documented. The present study reports the outcomes of 72 women with rheumatic heart disease.Results: The prevalence of heart disease in pregnancy in our study was 1.72%. The prevalence was higher among the rural population, and in lower socio economic strata. 30% of patients were diagnosed during pregnancy. The risk of complications co - related with their functional status at the onset of pregnancy. The mode of termination of pregnancy and indications for LSCS did not vary. However, the risk of complications was greatest during labour and post-partum period. The mean birth weight was 2.7 kg, however, 30% of term neonates were of low birth weight (<2.5 kg).Conclusions: Rheumatic heart disease continues to be a major cause of cardiac disease complicating pregnancy. However, early diagnosis, appropriate management prior to pregnancy, and good functional status at the time of entering pregnancy allowed for a good maternal and neonatal outcome.

scholarly journals CURRENT STA TUS OF RHEUMA TIC FEVER AND RHEUMA TIC HEART DISEASE IN NEPAL

2003 ◽  
Vol 41 (144) ◽  
pp. 514-517 ◽  
Author(s):  
Yuba Raj Limbu ◽  
A Maskey
Keyword(s):  
Heart Disease ◽  
Rheumatic Fever ◽  
Rheumatic Heart Disease ◽  
Age Groups ◽  
Developed Countries ◽  
Preventable Disease ◽  
National Heart ◽  
The World ◽  
Rheumatic Heart

Rheumatic fever (RF) and rheumatic heart disease (RHD) are common inunderdeveloped, deprived and depressed areas of the world. The progression of RHDis rapid in deprived communuties. Prevalence of RF and RHD has sharply declinedin affluent and developed countries, especially after the introduction of antibiotcs.RHD is a preventable disease. RHD is a leading cause of cardiovascular deaths indeveloping countries. The prevalence of RF and RHD varies from place to place. Indeveloping countries, young productive age groups are suffering from this diseasewhile in developed countries it is becoming geriatric disease due to the betterment ofliving standards and prompt awareness upon this disease. Studies and documentationof the current ststus of RF and RHD in Nepal is the present concern.1. Shahid Gangalal National Heart Centre.Address for correspondence : Dr. Yuba Raj Limbu, CardiologyShahid Gangalal National Heart CentreP.O.Box: 11360, Kathmandu, NepalEmail: [email protected] Words: Rheumatic fever, Rheumatic Heart Disease.

scholarly journals Validation of a simplified score for predicting latent rheumatic heart disease progression using a prospective cohort of Brazilian schoolchildren

BMJ Open ◽  
2020 ◽  
Vol 10 (5) ◽  
pp. e036827 ◽  
Author(s):  
Bárbara Martins Bechtlufft ◽  
Bruno Ramos Nascimento ◽  
Craig Sable ◽  
Clara Leal Fraga ◽  
Márcia Melo Barbosa ◽  
...  
Keyword(s):  
Heart Disease ◽  
Public Schools ◽  
Rheumatic Heart Disease ◽  
Heart Diseases ◽  
Diagnostic Category ◽  
Secondary Outcome ◽  
Unfavourable Outcome ◽  
History Of ◽  
Rheumatic Heart

ObjectivesEchocardiographic (echo) screening is an important tool to estimate rheumatic heart disease (RHD) prevalence, but the natural history of screen-detected RHD remains unclear. The PROVAR+ (Programa de RastreamentO da VAlvopatia Reumática) study, which uses non-experts, telemedicine and portable echo, pioneered RHD screening in Brazil. We aimed to assess the mid-term evolution of Brazilian schoolchildren (5–18 years) with echocardiography-detected subclinical RHD and to assess the performance of a simplified score consisting of five components of the World Heart Federation criteria, as a predictor of unfavourable echo outcomes.SettingPublic schools of underserved areas and private schools in Minas Gerais, southeast Brazil.ParticipantsA total of 197 patients (170 borderline and 27 definite RHD) with follow-up of 29±9 months were included. Median age was 14 (12–16) years, and 130 (66%) were woman. Only four patients in the definite group were regularly receiving penicillin.Primary and secondary outcome measuresUnfavourable outcome was based on the 2-year follow-up echo, defined as worsening diagnostic category, remaining with mild definite RHD or development/worsening of valve regurgitation/stenosis.ResultsAmong patients with borderline RHD, 29 (17.1%) progressed to definite, 49 (28.8%) remained stable, 86 (50.6%) regressed to normal and 6 (3.5%) were reclassified as other heart diseases. Among those with definite RHD, 13 (48.1%) remained in the category, while 5 (18.5%) regressed to borderline, 5 (18.5%) regressed to normal and 4 (14.8%) were reclassified as other heart diseases. The simplified echo score was a significant predictor of RHD unfavourable outcome (HR 1.197, 95% CI 1.098 to 1.305, p<0.001).ConclusionThe simple risk score provided an accurate prediction of RHD status at 2-year follow-up, showing a good performance in Brazilian schoolchildren, with a potential value for risk stratification and monitoring of echocardiography-detected RHD.

The World Heart Federation criteria raise the threshold of diagnosis for mild rheumatic heart disease: Three reviewers are better than one

2019 ◽  
Vol 291 ◽  
pp. 112-118 ◽  
Author(s):  
Nicola Culliford-Semmens ◽  
Ross Nicholson ◽  
Elizabeth Tilton ◽  
John Stirling ◽  
Karishma Sidhu ◽  
...  
Keyword(s):  
Heart Disease ◽  
Rheumatic Heart Disease ◽  
The World ◽  
Rheumatic Heart ◽  
Better Than

scholarly journals Fetomaternal Outcome in Pregnancy With Cardiac Disease

2012 ◽  
Vol 23 (1) ◽  
pp. 31-35
Author(s):  
Shahanaj Sharmin ◽  
Shahanara Chowdhury ◽  
Didarul Alam ◽  
Mohiuddin Ahmed ◽  
Fahamida Rashid ◽  
...  
Keyword(s):  
Heart Disease ◽  
Birth Weight ◽  
Pregnant Women ◽  
Rheumatic Heart Disease ◽  
Cardiac Disease ◽  
Cross Sectional Study ◽  
Normal Vaginal Delivery ◽  
College Hospital ◽  
Cross Sectional ◽  
Rheumatic Heart

Aim of our study was to see the maternal and fetal outcomes in women presenting with heart disease during pregnancy and labout. This cross sectional study was carried out in 48 pregnant women with cardiac disease from July 2005 to Dec 2006, in the department of Gynae and Obst at Chittagong Medical College Hospital Chittagong. The Mewan age was 25.40 ±4.46 years. 31(64.6%) patients were from middle class. 27 (56.3%) patients belonged to mulliparous group. 33(68.8%) patients received regular antenatal care, of the 43 (89.7%) patients had rheumatic heart disease and 5(10.5%) had congenital heart disease. Among the rheumatic heart disease, 50% had mitral stenosis. 35(72.9%) patients had in grade-1, 12(25%) had in grade-II, and 1(2.1%) had in grade-III. (64.5%) had normal vaginal delivery, 7(14.5%) had LSCS. 4(8.3%) had heard failure and 1 patient (2.1%) expired due to heart failure, 40(83.3%) were delivered at term, 7(14.6%) had preterm labour and 1(2.1%) had still birth. Regarding birth weight, 17(35.4%) had LBW (Low birth weight), 31(64.6%) had normal birth weight. Rheumatic heart disease is the commonest cardiac lesion among Pregnant women. Fetomaternal morbidity and mortality are strongly correlated with maternal cardiac functional classification. The management of these cases should be multidisciplinary to optimize care of these patients. JCMCTA 2012; 23(1): 31-35

scholarly journals Improvement of Rheumatic Valvular Heart Disease in Patients Undergoing Prolonged Antibiotic Prophylaxis

2021 ◽  
Vol 8 ◽  
Author(s):  
Renato Pedro de Almeida Torres ◽  
Rômulo Francisco de Almeida Torres ◽  
Gabrielle de Crombrugghe ◽  
Scarllet Palacin Moraes da Silva ◽  
Sarah Leticia Veroneze Cordeiro ◽  
...  
Keyword(s):  
Heart Disease ◽  
Rheumatic Fever ◽  
Rheumatic Heart Disease ◽  
Heart Diseases ◽  
Secondary Prophylaxis ◽  
Aortic Valves ◽  
Reference Center ◽  
Group I ◽  
Group Ii ◽  
Rheumatic Heart

Secondary prophylaxis of rheumatic heart diseases is efficient in reducing disease recurrence, heart damage, and cardiac impairment. We aimed to monitor the clinical evolution of a large Brazilian cohort of rheumatic patients under prolonged secondary prophylaxis. From 1986 to 2018, a cohort of 593 patients with rheumatic fever was followed every 6 months by the Reference Center for the Control and Prevention of Rheumatic Fever and Rheumatic Cardiopathy (CPCFR), Paraná, Brazil. In this cohort, 243 (41%) patients did not present cardiac damage (group I), while 350 (59%) were diagnosed with rheumatic heart disease (RHD) (group II) using the latest case definition. Among group II, 233 and 15 patients had impairment of the mitral and aortic valves, respectively, while 102 patients had impairment of both valves. Lesions on the mitral and aortic valves presented a regression in 69.9 and 48.7% of the patients, respectively. Active patient recruitment in the reference center and early detection of oropharyngeal GAS were important factors for optimal adherence to the prophylactic treatment. Patients with disease progression were associated with noncompliance to secondary prophylaxis. No patients undergoing regular prophylaxis presented progression of the rheumatic cardiac disease. Eighteen valvular surgeries were performed, and four (0.7%) patients died. This study confirmed that tailored and active efforts invested in rheumatic heart disease secondary prevention allowed for significant clinical improvement.

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