FREQUENCY OF DIFFERENT VALVULAR LESIONS OF RHEUMATIC HEART DISEASE PRESENTING TO A TERTIARY CARE HOSPITAL

Authors

  • Javaid ur Rehman
  • Zahid Irfan Marwat
  • Zahoor Ahmad
  • Islam Shah
  • Asifullah Khattak
  • Sheikh Fahad Falah

Abstract

Background:   Rheumatic Hearth Disease (RHD) is still prevalent in our country and a great source of morbidity. This study was done with an objective to determine relative frequency of different valvular lesions of RHD presenting in a tertiary care hospital. Methods: This cross sectional study was conducted at the Cardiology Department of Hayatabad Medical Complex, Peshawar. A total of 171 cases of RHD were included through consecutive sampling technique. Results: There were 64.33% females. Mean age was 25.6±6.95 years ranging from 15 to 40 years. The different percentage of valvular lesions in RHD were MR (59.06%), MS (46.78%), AR (43.85%) and mixed lesions (38.59%). Conclusion: Rheumatic heart disease is a very common disease in our community and mitral regurgitation is a predominant lesion at presentation   Females are usually affected more than males.Keywords: Rheumatic heart disease, Mitral stenosis, Mitral regurgitation, Aortic regurgitation

References

Messias-Reason IJ, Schafranki MD, Kremsner PG, Kun JF. Ficolin 2 functional polymorphism and risk of rheumatic heart disease. British Society for immunology, Clin Exp Immunol 2009;157;395–9.

Lee JL, Naguwa SM, Cheema GS, Gershwin ME. Acute rheumatic fever and its consequences: a persistent threat to developing nations in the 21st century. Autoimmun Rev 2009;9(2):117–23.

Alkhalifa MS, Ibrahim SA, Osman SH. Pattern and severity of rheumatic valvular lesions in children in Khartoum, Sudan. East Medterr Health J 2008;14(5):1015–21

Sampaio RO, Fae KC, Demarchi LM, Pomerantzeff PM, Aiello VD, Spina GS, et al. Rheumatic heart disease:15 years of clinical and immunological follow up. Vasc Health Risk Manag 2007;3(6):1007–17

Steer AC, Kado J, Jenney AW, BatzloffM, WaqatirewaL, Mulholaand EK et al. Acute rheumatic fever and rheumatic heart disease in Fiji: prospective surveillance. Med J Aust 2009;190(3):133–5

Marijon E, Ou P, Celermajer DS, Ferreira B, Mocumbi AO, Jani D, et al. Prevalence of rheumatic heart disease detected by echocardiographic screening. N Engl J Med 2007;357(5):470–6

Saleh HK. Pattern of rheumatic heart disease in Southern Yemen. Saudi Med J 2007;28(1):108–13.

Faheem M, Hafizullah M, Gul A, Jan H, Khan AM. Pattern of valvular lesions in rheumatic heart disease. J Postgrad Med Inst 2007;21(2):99–103 .

Dajani AS. Rheumatic ferver. In: Braunwald E, Ziper DP, Libby P, editors. Heart disease, a textbook of cardiovascular medicine. 6th ed, Philadelphia: WB Saunders 2001.p. 2192.252

Aurakzai HA, Hameed S, Shahbaz A, Gohar S, Moqueet. Echocardiographic profile of rheumatic heart disease at a tertiary cardiac centre. J Ayub Med Coll Abbottabad 2009;21(3):122–6.

Published

2015-03-01

Issue

Vol. 27 No. 1 (2015): JOURNAL OF AYUB MEDICAL COLLEGE, ABBOTTABAD

Section

ORIGINAL ARTICLE

License

Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License  CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.

USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.

AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.