How do you assess rheumatic heart disease?

How do you assess rheumatic heart disease?

How is rheumatic heart disease diagnosed?

1. Echocardiogram (echo). This test uses sound waves to check the heart’s chambers and valves.
2. Electrocardiogram (ECG). This test records the strength and timing of the electrical activity of the heart.
3. Chest X-ray.
4. Cardiac MRI.
5. Blood tests.

What are the major criteria for rheumatic heart disease?

Major criteria: carditis (clinical and/or subclinical), arthritis (polyarthritis), chorea, Erythema marginatum, and subcutaneous nodules. Minor criteria: olyarthralgia, fever (≥38.5° F), sedimentation rate ≥60 mm and/or C-reactive protein (CRP) ≥3.0 mg/dl, and prolonged PR interval (unless carditis is a major criterion …

Is rheumatic heart disease serious?

Rheumatic heart disease is a chronic, disabling and sometimes fatal disease that is entirely preventable.

What is the most common serious complication of rheumatic heart disease?

The major cause of death and disability from RHD is heart failure. Over time, scarred and damaged heart valves make it impossible for the heart to pump blood effectively. Without a well-functioning heart, fluid builds up in the lungs and body, causing symptoms like breathlessness, swelling and fatigue.

What is the difference between scarlet fever and rheumatic fever?

Scarlet fever is an illness that is caused by a bacterial infection. Rheumatic fever is an inflammatory condition that can develop if scarlet fever is not identified and treated early.

Can heart problems cause high temperature?

Heart disease symptoms caused by heart infection Heart infection signs and symptoms can include: Fever. Shortness of breath. Weakness or fatigue.

Which is the initial indication of valve disease?

The main sign of heart valve disease is an unusual heartbeat sound called a heart murmur. Your doctor can hear a heart murmur with a stethoscope.

What is the modified Duke criteria?

These modified Duke criteria include positive serology for Coxiella burnetii or one single blood culture with this etiology as major criteria, exclusion of minor echocardiography criterion and clear definition of possible IE (only cases with one major and 1 minor criteria or 3 minor criteria) [8].

What is the best medicine for rheumatic heart disease?

The antibiotic treatment that is most effective in preventing further infection is benzathine penicillin G, which is given by intramuscular injection every 3-4 weeks over many years.

Which valve is most commonly affected by rheumatic heart disease?

Rheumatic heart disease most commonly affects the mitral valve (which has only two leaflets; Figure 2) or the aortic valve, but any valve can be affected, and more than one can be involved.

What are the signs and symptoms of rheumatic heart disease?

Symptoms of rheumatic heart disease depend on the degree of valve damage and may include: Shortness of breath (especially with activity or when lying down) Chest pain. Swelling. How is rheumatic heart disease diagnosed? People with rheumatic heart disease will have or recently had a strep infection.

What increases the risk of rheumatic heart disease?

Untreated or under-treated strep infections can increase the risk for rheumatic heart disease. Children who get repeated strep throat infections are at the most risk for rheumatic fever and rheumatic heart disease.

What are the symptoms of rheumatic fever?

Symptoms of rheumatic fever vary and typically begin 1 to 6 weeks after a bout of strep throat. 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.

What are the treatment options for rheumatic heart disease?

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.