Rheumatic Valvular Disease in Children

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Ibrahim 2 and S. Methods We recruited patients with documented RHD up to the age of 16 years who were referred to the outpatient clinic at Ahmed Gasim Cardiac Centre and Al Shaab Teaching Hospital during the period between June and November in this descriptive, cross-sectional hospital-based study. Recommendations The following measures need to be carried out together in order to overcome the impact of rheumatic fever and RHD. Use of echocardiography as a screening tool for early detection of subtle cases of RHD Comprehensive application of the control programme in periurban and rural areas with special emphasis on the regular use of secondary prophylaxis Control of volume overload Improvement of housing conditions.

Further studies are needed to detect the factors governing the pattern of valvular involvement. References Schwankhaus JD. Preventing rheumatic heart disease in developing countries. Annals of internal medicine, , Acute rheumatic fever and rheumatic heart disease in a rural central Australian aboriginal community. Medical journal of Australia, , 6 —8. Boon NA, Bloomfield P. The medical management of valvar heart disease. Heart, , — Secular IP. Acute and chronic rheumatic heart disease.

In: Anderson RH et al. Paediatric cardiology, 1st ed. Bernstein D. Rheumatic heart disease. Philadelphia, WB Saunders Company, — Gabriel KM, ed. Cardiac and pulmonary management, 1st ed.

Causes of rheumatic fever

Cunningham MW. Pathogenesis of group A streptococcal infection. Journal of clinical microbiology, , — Eisenberg MJ. Rheumatic heart disease in the developing world: prevalence, prevention and control.


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European heart journal, , 14 1 —8. Padmavati S. Rheumatic fever and rheumatic heart disease in India at the turn of the century. Indian heart journal, , 53 1 —7. Kumar R et al. Indian heart journal, , —8. Jose VJ, Gomathi M. Declining prevalence of rheumatic heart disease in rural school children in India: — Indian heart journal, , — Bassili A et al.

10 Warning Signs Your Heart Isn't Working Properly

Profile of secondary prophylaxis among children with rheumatic heart disease in Alexandria, Egypt. Eastern Mediterranean health journal, , 6 2— 3 — Rheumatic heart disease among Omani school children. Eastern Mediterranean health journal, , 3 1 — Rheumatic heart disease: prevalence and preventive measures in the Indian subcontinent. Al-Munibari AN et al.

Prevalence of rheumatic fever and rheumatic heart disease in Yemen. Rheumatic heart disease in developing countries: the consequence of inadequate prevention. Annals of internal medicine, , —5. Mishra TK et al. A hospital-based study. Indian heart journal, , 55 2 —7. Saeed A. The pattern of rheumatic heart disease in children presenting to Khartoum teaching hospital [Thesis].

Khartoum, University of Khartoum, — Steer AC et al. Rheumatic heart disease in school children in Samoa. Archives of disease in childhood, , Profile of cardiac disease in Ethiopian children. East African medical journal, , 67 2 — Pattern of rheumatic heart disease in adults in Maiduguri—north east Nigeria. Tropical doctor, , 26 2 —9. Vasan RS et al. Echocardiographic evaluation of patients with acute rheumatic fever and rheumatic carditis.

Circulation, , — Cardiac MRI. This is an imaging test that takes detailed pictures of the heart. It may be used to get a more precise look at the heart valves and heart muscle.

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Rheumatic heart disease

Blood tests. Certain blood tests may be used to look for infection and inflammation. Treatment depends in large part on how much damage has been done to the heart valves. In severe cases, treatment may include surgery to replace or repair a badly damaged valve. The best treatment is to prevent rheumatic fever. Antibiotics can usually treat strep infections and keep rheumatic fever from developing. Anti-inflammatory drugs may be used to reduce inflammation and lower the risk of heart damage.

Rheumatic Heart Disease | Conditions & Treatments | UCSF Benioff Children's Hospital

Other medicines may be needed to manage heart failure. People who have had rheumatic fever are often given daily or monthly antibiotic treatments, possibly for life, to prevent recurrent infections and lower the risk of further heart damage. To reduce inflammation, aspirin, steroids, or non-steroidal medicines may be given.

Heart failure. This can occur from either a severely narrowed or leaking heart valve.


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  • Bacterial endocarditis. This is an infection of the inner lining of the heart, and may occur when rheumatic fever has damaged the heart valves. Complications of pregnancy and delivery due to heart damage. Women with rheumatic heart disease should discuss their condition with their healthcare provider before getting pregnant. Ruptured heart valve. This is a medical emergency that must be treated with surgery to replace or repair the heart valve.

    Rheumatic heart disease can be prevented by preventing strep infections or treating them with antibiotics when they do occur. You will need to have ongoing follow-up with your healthcare provider to check the condition of your heart. Depending on the amount of heart damage, you may have some activity restrictions. Your healthcare provider may recommend that you take antibiotics for an extended period to prevent another infection of rheumatic fever. Rheumatic fever is an inflammatory disease that can affect many connective tissues, especially in the heart.

    Untreated or under-treated strep infections put a person at increased risk. People with rheumatic heart disease may have a murmur or rub that may be heard during a routine physical exam. Treatment depends on how much damage has been done to the heart valves. It may even include surgery to replace or repair a badly damaged valve. Since rheumatic fever is the cause of rheumatic heart disease, the best treatment is to prevent rheumatic fever by using antibiotics to treat strep infections.

    Health Home Conditions and Diseases. What causes rheumatic heart disease?