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.

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Published

2015-03-01