Rheumatic Heart Disease Flashcards
What causes RF?
Follows on from a Group A beta-haemolytic Strep infection
Why is RF a disease of poverty ridden countries?
In developed countries, Group A beta-haemolytic Strep infection is usually treated quickly and efficiently so doesn’t progress into RF
This is not the case in developing countries
How many weeks after Group A beta-haemolytic Strep infection will RF follow?
2-3 weeks
When will rheumatic heart disease occur?
It’s progressive after years of RF
Rheumatic Heart Disease only occurs after what?
Acute rheumatic fever
What are the clinical features of RHD which help w diagnosis?
HF
Dyspnoea
Which investigations help with the diagnosis of RHD?
ECG
CXR
Which valves does RHD usually affect?
Left sided valves- mitral and aortic
What is the treatment for group A beta haemolytic streptococcus infection to prevent in becoming RF?
Primary prophylaxis
What is the secondary prevention for RF to reduce the risk of it progressing into RHD?
Continuous antibiotic chemoprophylaxis
What is the treatment of RHD?
Diuretics
Vasodilators: ACEi/ARB
What is the treatment for acute RF to try and reduce risks of it developing into RHD?
Secondary prophylaxis
Which arrhythmia do patients with RHD usually have?
AF- atrial fibrillation
What is the treatment for patients with RHD and AF?
Betablockers/Digoxin
Anticoagulation - warfarin
Which treatment for RHD is effective in patients w symptomatic mitral stenosis?
Balloon mitral valvuloplasty
