Rheumatic Heart Disease

India contributes to 1/3rd of RHD Global Burden in terms of absolute number Rheumatic fever is the cause of rheumatic heart disease, The best treatment is to prevent rheumatic fever by using antibiotics to treat Strep infections. Share your thought & experience.



Yes RHD is an important contributor in health burden in india As a developing country fighting with low socioeconomic status in a substantial number of people in poverty ridden states Nutritional deficiency with low immunity and low educational status increases the infection Most common infection is streptococcal As we know it leaks joints and bites heart hence we see many cases of congenital or aquired heart disease. MS MR AS ASD AND VSD are known valvular heart diseases Rheumatic endocarditis or SABE are creapling conditions Earliest diagnosis and treatment can save many lives Counseling is necessary as ignorance and negligence do land treatable conditions in creapling stage I agree with insight given

Thanx dr Praveen Yograj

RF/RHD is the disease of poverty. India, having more than 1.3 billion population with wide social and economic disparities RF/RHD, will continue to be a major public health problem. Although data on incidence and prevalence on a nationally represented sample are lacking, there is an indication of declining trends especially after 2000 mirroring with improving economic growth of the country. There is a need for establishing population-based surveillance system in the country for monitoring trends, management practices, and outcomes to formulate informed guidelines for initiating contextual interventions for prevention and control of RF/RHD.The detection of RF/RHD in the population is challenging. The RF and RHD are detected based on symptoms, audible murmurs, and echocardiography evidence of structural and functional abnormalities of the affected valves. The ability to detect murmurs and differentiating functional from pathological murmurs depends upon clinical skills of the physician, settings of auscultation, and so on. Thus, auscultation-based methods of screening RF/RHD have their limited sensitivity and specificity. The morphological and Doppler-based detection of RHD in echocardiography study has high sensitivity and specificity in detection being more objective and subject to validation. The echocardiography detects RHD in patients without being clinically evident called subclinical RHD. The prevalence of subclinical RHD is about seven to ten times higher than clinically evident RHD. However, the clinical significance of subclinical RHD needs to be validated in future long-term follow-up studies. The severity and nature of valvular dysfunction in RHD is variable from patient to patient. The hemodynamically insignificant valvular dysfunctions may be asymptomatic and may not be evident on clinical examination, thus escapes detection. Thus, the variable prevalence of RHD reported may be partly related to differences in the methodology adopted for screening


Useful and very informative