PGR Medical unit III CAUSES OF MR Rheumatic heart disease Endocarditis Mitral valve prolapse Myocardial infarction Cardiomyopathy Coronary artery disease Ischemia or Infarction of papillary muscles ID: 1037099
Download Presentation The PPT/PDF document "VALVULAR HEART DISEASE Dr Shiza Iftikhar" is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
1. VALVULAR HEART DISEASEDr Shiza IftikharPGR Medical unit III
2. CAUSES OF MRRheumatic heart diseaseEndocarditisMitral valve prolapseMyocardial infarctionCardiomyopathyCoronary artery diseaseIschemia or Infarction of papillary muscles
3. Causes of AORTIC REGURGITATIONRheumatic heart diseaseInfective EndocarditisTraumaMarfan syndromeAneurysmAortic dissectionAnkylosing spondylitisBicuspid valve
4. RHEUMATIC FEVERSystemic immune process that is a sequela of beta-hemolytic streptococcal infection of pharynxPeak incidence between 5 and 15 yearsValves involved Mitral valve 75-80% cases Aortic valve 30% Tricuspid and pulmonary valve <5%
5. Jones criteriaMAJOR manifestations 1. Carditis2. Arthritis3. Sydenham chorea4. Polyarthritis5. Subcutaneous nodulesSupporting evidence of preceding streptococcal infectionMINOR manifestationsFeverArthralgiaRaised ESR or CRPPrevious rheumatic feverLeukocytosisFirst-degree AV block
6. Carditis 50-70% of casesMost likely to be evident in children and adolescentsSigns suggestive of carditis pericarditis cardiomegaly heart failure mitral and tricuspid regurgitation murmurs
7. Arthritis35-66% of the casesMigratory polyarthritis involving large joints
8. Sydenham chorea10-30% predominantly in girlsInvoluntary choreoathetoid movements primarily of face, tongue and upper extremities.
9. Subcutaneous nodules0-10%Small (2cm or less), firm , non-tenderAttached to fascia or tendon sheaths
10.
11. ERYTHEMA MARGINATUMLess than 6%Rings or crescents with clear centers
12.
13.
14.
15.
16.
17.
18. Signs of pulm hypertension
19. Management of the patientProp up positioningO2 inhalationIV diuretics
20.
21.
22. THANK YOU