RHEUMATIC FEVER
VALVULAR HEART
DISEASE
NOTES.
VALVULAR HEART DISEASE
, INTRODUCTION
• Acute rheumatic fever is a systemic
disease of childhood, often recurrent
that follows group A beta hemolytic
streptococcal infection
• It is a diffuse inflammatory disease of
connective tissue, primarily involving
heart, blood vessels, joints, subcuta-
neous tissue and CNS
• Leads later in life to chronic
Rheumatic valvular heart disease
VALVULAR HEART DISEASE
, INTRODUCTION
• STILL OCCASIONAL OUTBREAKS DO
OCCUR
• VERY SIGNIFICANT PUBLIC HEALTH
PROBLEM IN THIRD WORLD COUN-
TRIES
• HAS DECLINED REMARKABLY IN IN-
DUSTRIALIZED WEALTHY NATIONS
VALVULAR HEART DISEASE
, EPIDEMIOLOGY
• IDENTICAL TO GROUP A STREPTO-
COCCAL UPPER RESPIRATORY
TRACT INFECTIONS
• MOST OFTEN IN CHILDREN
• AGE 5-15 YEARS MORE SUSCEPTI-
BLE
• LOW SOCIAL ECONOMIC STATUS
• OVERCROWDING & POOR SANITA-
TION
VALVULAR HEART DISEASE
VALVULAR HEART
DISEASE
NOTES.
VALVULAR HEART DISEASE
, INTRODUCTION
• Acute rheumatic fever is a systemic
disease of childhood, often recurrent
that follows group A beta hemolytic
streptococcal infection
• It is a diffuse inflammatory disease of
connective tissue, primarily involving
heart, blood vessels, joints, subcuta-
neous tissue and CNS
• Leads later in life to chronic
Rheumatic valvular heart disease
VALVULAR HEART DISEASE
, INTRODUCTION
• STILL OCCASIONAL OUTBREAKS DO
OCCUR
• VERY SIGNIFICANT PUBLIC HEALTH
PROBLEM IN THIRD WORLD COUN-
TRIES
• HAS DECLINED REMARKABLY IN IN-
DUSTRIALIZED WEALTHY NATIONS
VALVULAR HEART DISEASE
, EPIDEMIOLOGY
• IDENTICAL TO GROUP A STREPTO-
COCCAL UPPER RESPIRATORY
TRACT INFECTIONS
• MOST OFTEN IN CHILDREN
• AGE 5-15 YEARS MORE SUSCEPTI-
BLE
• LOW SOCIAL ECONOMIC STATUS
• OVERCROWDING & POOR SANITA-
TION
VALVULAR HEART DISEASE
