scholarly journals A Case: Optimal Treatment of Pregnancy with Rheumatic Heart Disease

2020 ◽  
pp. 1-6
Author(s):  
Rahayu oktaliani ◽  
◽  
Eka D ◽  
Keyword(s):  
Cardiovascular Disease ◽  
Heart Disease ◽  
Maternal Mortality ◽  
Rheumatic Heart Disease ◽  
Optimal Treatment ◽  
Cardiac Complications ◽  
Valvular Lesions ◽  
Rheumatic Heart

The number of women who have a pre-existing cardiovascular disease (CVD) or develop cardiac problems during pregnancy is increasing, and it is the leading cause of non-obstetric mortality during pregnancy. Heart disease complicates approximately 1–3% of pregnancies and is responsible for 10 to 15% of maternal mortality. The rheumatic heart disease remains the number one worldwide cause of maternal cardiac complications in pregnant. It is important that obstetric, anesthesiologists, cardiologist, remain aware of the disease, its complications and management of valvular lesions throughout the birthing process.

scholarly journals A Case: Optimal Treatment of Pregnancy with Rheumatic Heart Disease

2020 ◽  
pp. 1-6
Author(s):  
Rahayu oktaliani ◽  
◽  
Herlam bang ◽  
Eka D ◽  
◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Heart Disease ◽  
Maternal Mortality ◽  
Rheumatic Heart Disease ◽  
Optimal Treatment ◽  
Cardiac Complications ◽  
Valvular Lesions ◽  
Rheumatic Heart

The number of women who have a pre-existing cardiovascular disease (CVD) or develop cardiac problems during pregnancy is increasing, and it is the leading cause of non-obstetric mortality during pregnancy. Heart disease complicates approximately 1–3% of pregnancies and is responsible for 10 to 15% of maternal mortality. The rheumatic heart disease remains the number one worldwide cause of maternal cardiac complications in pregnant. It is important that obstetric, anesthesiologists, cardiologist, remain aware of the disease, its complications and management of valvular lesions throughout the birthing process.

Impact of heart disease on maternal, fetal and neonatal outcomes in a low-resource setting

Heart ◽  
2018 ◽  
Vol 105 (10) ◽  
pp. 755-760 ◽  
Author(s):  
Andrea Beaton ◽  
Emmy Okello ◽  
Amy Scheel ◽  
Alyssa DeWyer ◽  
Renny Ssembatya ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Heart Disease ◽  
Rheumatic Heart Disease ◽  
Pregnancy Outcomes ◽  
Attributable Risk ◽  
Case Finding ◽  
Adverse Pregnancy Outcomes ◽  
Active Case Finding ◽  
Adverse Pregnancy ◽  
Rheumatic Heart

BackgroundThe burden of pre-existing cardiovascular disease and the contribution to adverse pregnancy outcomes are not robustly quantified, particularly in low-income countries. We aimed to determine both the prevalence of maternal heart disease through active case finding and its attributable risk to adverse pregnancy outcomes.MethodsWe conducted a 24-month prospective longitudinal investigation in three Ugandan health centres, using echocardiography for active case finding during antenatal care. Women with and without heart disease were followed to 6 weeks post partum to determine pregnancy outcomes. Prevalence of heart disease was calculated. Per cent attributable risk estimates were generated for maternal, fetal and neonatal mortality.ResultsScreening echocardiography was performed in 3506 women. The prevalence of heart disease was 17 per 1000 women (95% CI 13 to 21); 15 per 1000 was rheumatic heart disease. Only 3.4% of women (2/58) had prior diagnosis. Cardiovascular complications occurred in 51% of women with heart disease, most commonly heart failure. Per cent attributable risk of heart disease on maternal mortality was 88.6% in the exposed population and 10.8% in the overall population. Population attributable risk of heart disease on fetal death was 1.1% and 6.0% for neonatal mortalityConclusionsOccult maternal heart disease may be responsible for a substantial proportion of adverse pregnancy outcomes in low-resource settings. Rheumatic heart disease is, by far, the most common condition, urging global prioritisation of this neglected cardiovascular disease.

Prediction of Residual Valvular Lesions in Rheumatic Heart Disease: Role of Adhesion Molecules

2012 ◽  
Vol 34 (3) ◽  
pp. 583-590 ◽  
Author(s):  
Mona Hafez ◽  
Sohier Yahia ◽  
Waleed Eldars ◽  
Heba Eldegla ◽  
Mohamed Matter ◽  
...  
Keyword(s):  
Heart Disease ◽  
Adhesion Molecules ◽  
Rheumatic Heart Disease ◽  
Valvular Lesions ◽  
Rheumatic Heart

scholarly journals A STUDY ON CARDIOVASCULAR DISEASE PATTERN OF ADMITTED CASES IN NEWLY EMERGED NATIONAL HEART CENTRE

2003 ◽  
Vol 41 (141) ◽  
pp. 284-8 ◽  
Author(s):  
Yuba Raj Limbu ◽  
A Maskey ◽  
Man Bahadur K.C. ◽  
R Malla ◽  
D Sharma ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Rheumatic Heart Disease ◽  
Cardiac Arrhythmia ◽  
Hypertensive Heart Disease ◽  
Cardiovascular Death ◽  
Cor Pulmonale ◽  
Disease Pattern ◽  
Rheumatic Heart

Cardiovascular disease is one of the global leading causes of death . Although indeveloped countries overall cardiovascular death is declining due to long term declineof rheumatic heart disease (RHD), cerebro vascular and hypertensive heart disease,heart disease is still the leading cause of death. In developing countries prevalence ofcoronary heart disease (CHD) is in increasing trend and cardiovascular disease patternis changing. Cardiovascular disease pattern of this region is revealed in this study.Total 300 study subjects, admitted from May 2000 to April 2001, 174 (58%) male and126 (42%) female and age ranged from 5 to 83 years were analyzed retrospectively.Proportionate distribution of all admitted cases was calculated and arranged inaccording with sequence order.Rheumatic heart disease was found the commonest, which constituted 27.3%, followedby coronary heart disease (21.7%) and hypertension (20.7%) respectively. Chronicobstructive pulmonary disease (COPD) with cor pulmonale (7.7%) was fourth insequence order then respectively came diabetes mellitus (DM) coexisted with CHD orhypertension, dilated cardiomyopathy (DCM), cardiac arrhythmia without organicheart disease, congenital heart disease, infective endocarditis, rheumatic fever,pericardial effusion etc. Readmission rate within one year was 12.3% and mortalityrate was 2.7%. Conclusion: Rheumatic heart disease is the commonest heart diseasefollowed by coronary heart disease and hypertension. COPD with cor pulmonale,diabetes coexisted with CHD or hypertension, DCM and cardiac arrhythmia withoutorganic heart disease are also common heart diseases.Key Words: Cardiovascular diseases, Disease pattern.

Cardiovascular Disease in Developing Countries Rheumatic Heart Disease

Cardiology ◽  
1984 ◽  
pp. 657-670
Author(s):  
S. Padmavati ◽  
Vineeta Vishvbandhu ◽  
Vijay Gupta ◽  
K. Prakash
Keyword(s):  
Cardiovascular Disease ◽  
Developing Countries ◽  
Heart Disease ◽  
Rheumatic Heart Disease ◽  
Rheumatic Heart

Pattern of Rheumatic Heart Disease in Adults in Maiduguri — North East Nigeria

1996 ◽  
Vol 26 (2) ◽  
pp. 67-69 ◽  
Author(s):  
A C Onwuchekwa ◽  
E C Ugwu
Keyword(s):  
Developing Countries ◽  
Heart Disease ◽  
Rheumatic Heart Disease ◽  
Early Recognition ◽  
North East ◽  
Medical Facilities ◽  
Mitral Incompetence ◽  
The University ◽  
Valvular Lesions ◽  
Rheumatic Heart

The pattern of rheumatic heart disease in 84 adolescent and adult patients seen over a 9 year period (1982–1990) at the University of Maiduguri Teaching Hospital (UMTH) is presented. Over 70% were in the second and third decades of life. Pure mitral incompetence and mixed mitral valve disease were the commonest valvular lesions. This pattern appears similar to those in other developing countries. Congestive cardiac failure was the commonest complication. Declining economic fortunes of the developing countries, over crowding, malnutrition and inadequate medical facilities may further perpetuate the condition. Early recognition and the management of rheumatic carditis and early valvular lesions will reduce the morbidity and mortality.

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