“Rheumatic Heart Disease” by Emmanuel Rusingiza, MD, for OPENPediatrics

“Rheumatic Heart Disease” by Emmanuel Rusingiza, MD, for OPENPediatrics

Please visit: www.openpediatrics.org

OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children’s Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user.

For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu

Please note: OPENPediatrics does not support nor control any related videos in the sidebar, these are placed by Youtube. We apologize for any inconvenience this may cause.

My name is Emmanuel Rusingiza. I’m a pediatric cardiologist at Kigali University Teaching Hospital, Rwanda. I’m going to talk about the diagnosis and management of rheumatic heart disease.

Types of Valvular Diseases.

Rheumatic heart disease is the result of damage to the heart valve which appear after repeated episodes of acute rheumatic fever. Although initial attacks can lead directly to rheumatic heart disease, early diagnosis of rheumatic heart disease is very important. So that secondary prophylaxis can be started as soon as possible to help prevent the progression of the valve disease.

Echocardiography is an essential tool to confirm the diagnosis and to detect any progression of the valvular disease.

So now what are the types of rheumatic heart disease? The types of valvular rheumatic heart disease are the following. The mitral valve is the most affected in over 90% of cases of rheumatic heart disease. The next common affected valve is the aortic valve. And usually disease of the aortic valve is associated with the disease of the mitral valve.

The tricuspid and pulmonary valves are rarely directly affected. But the tricuspid regurgitation may appear in advanced mitral valve disease especially when there is severe pulmonary hypertension.

So the valvular lesions include the mitral regurgitation, which is found most commonly in children and young adults. The mitral stenosis, which represents longer term chronic changes to the mitral valve more commonly seen in adults. All the children can present both mitral stenosis and mitral regurgitation. Aortic regurgitation is not uncommon. And aortic stenosis is almost never seen as an isolated lesion.

Recommended


Joint Pain Causes Diet

Joint Pain Pregnancy

Joint Pain Remedies

Joint Pain Remedies Homeopathic