Identification and Diagnosis of Risk Factors and Symptoms for Rheumatic Heart Disease

2018 ◽  
Vol 9 (3) ◽  
pp. 109-114 ◽  
Author(s):  
Priyanka Venugopal ◽  
Praveen Kumar Gupta
Keyword(s):  
Risk Factors ◽  
Heart Disease ◽  
Rheumatic Heart Disease ◽  
Rheumatic Heart

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

1970 ◽  
Vol 6 (4) ◽  
pp. 41-43 ◽  
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:· 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 22.4±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 5.12±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.

scholarly journals Socioeconomic and Environmental Risk Factors among Rheumatic Heart Disease Patients in Uganda

PLoS ONE ◽  
2012 ◽  
Vol 7 (8) ◽  
pp. e43917 ◽  
Author(s):  
Emmy Okello ◽  
Barbara Kakande ◽  
Elias Sebatta ◽  
James Kayima ◽  
Monica Kuteesa ◽  
...  
Keyword(s):  
Risk Factors ◽  
Heart Disease ◽  
Rheumatic Heart Disease ◽  
Environmental Risk ◽  
Environmental Risk Factors ◽  
Rheumatic Heart

scholarly journals P1363 Risk factors of severe tricuspid regurgitation after left-sided valve surgery

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
R Horita ◽  
K Mahara ◽  
Y Izumi ◽  
M Terada ◽  
K Kishiki ◽  
...  
Keyword(s):  
Risk Factors ◽  
Heart Disease ◽  
Mitral Valve ◽  
Rheumatic Heart Disease ◽  
Tricuspid Regurgitation ◽  
Valve Surgery ◽  
Mitral Valve Stenosis ◽  
Tricuspid Valve Repair ◽  
Icd Implantation ◽  
Rheumatic Heart

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.

scholarly journals The Incidence and Clinical Outcome of Cardiac Tamponade Following an Open Heart Surgery in a Developing Country

2012 ◽  
Vol 2 (1) ◽  
pp. 23-27
Author(s):  
Abdalla Misbah ◽  
Koteswara R. Pothineni ◽  
Eman Elshiekh ◽  
Yassir H. Yousif Ali
Keyword(s):  
Risk Factors ◽  
Heart Disease ◽  
Cardiac Tamponade ◽  
Rheumatic Heart Disease ◽  
Valve Replacement ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Mechanical Valve ◽  
Open Heart ◽  
Rheumatic Heart

Introduction: Pericardial effusion is not uncommon following an open heart surgery, thus, it may progress to cardiac tamponade. This is a retrospective cross-sectional analysis evaluates the incidence, the potential perioperative and surgical risk factors causing cardiac tamponade following an open-heart surgery of patients during the period 2001-2006 at Ahmed Gasim Cardiac Center in Khartoum, North Sudan. Methods: Diagnosis of cardiac tamponade was based on clinical and echocardiographic findings. Univariate analysis was performed to assess possible risk factors related to both, early and late cardiac tamponade. Results: Among the 890 patients who underwent open heart surgery in this study, 47(5%) patients developed tamponade (early 49% or 51%). Early cardiac tamponade was found to be present with significant cardiac compromise and can easily be detected using echocardiography. In contrast the presentation of late cardiac tamponade, atypical and echocardiography was inconclusive. The mean age of patients was 31 ± 12 with slight female predominance. The main indication for the operation was rheumatic heart disease (89%), mainly mechanical valve replacement of the mitral valve. Eight (17%) patients were receiving warfarin preoperatively. Oozing wounds and blocked drains were encountered in 27% and 37%, respectively. About 6% of the patients recollect tamponade after decompression and one in-hospital death directly related to the cardiac tamponade. Conclusion: Significant cardiac tamponade was associated with preexisting rheumatic heart disease, (preoperative warfarin use), mechanical valve replacement in the mitral position, oozing wounds and blocked drain. Echocardiography was reliable in early diagnosis, but not late, hemodynamically significant cardiac tamponade.

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