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Rheumatic Heart Disease is a chronic condition caused by rheumatic fever, which damages the heart valves. It primarily affects children and young adults, especially in regions with limited access to healthcare.
It primarily affects children and young adults, especially in regions with limited access to healthcare.
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Rheumatic heart disease (RHD) is diagnosed based on a history of acute rheumatic fever (ARF), clinical signs, echocardiography, and laboratory investigations. It commonly follows untreated or inadequately treated streptococcal pharyngitis.
Diagnosis starts with patient history including recurrent sore throats, fever, joint pains, and chorea. Clinical evaluation may reveal murmurs, signs of heart failure, or arrhythmias.
The revised Jones Criteria is pivotal for diagnosing ARF, which may lead to RHD. It includes major criteria (carditis, arthritis, chorea, subcutaneous nodules, erythema marginatum) and minor criteria (fever, elevated ESR/CRP, prolonged PR interval). Supporting evidence of recent Group A Streptococcus (GAS) infection includes:
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I was admitted in the Hospital on May 5. I was discharged yesterday. I am so obliged to you, Mam I express my thanks and gratitude for the help and support.
We Sincerely Thanks the Management and Staff of Tirath Ram Shah Hospital, Civil Lines New Delhi. Dr. DK Singh, Dr. Anjali, Dr. Shiva (the treating doctors). We came to hospital with 90% lung damage and with 30% oxygen level only, of our mother who is 78 yrs old.
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Dr. Kriti and Dr.Soma has done my treatment really well. Very happy and satisfied with the treatment would love to visit again for the further follow up. Highly recommended.
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We are satisfied with the facilitie . hospital staff and doctors are so helpful. thanks to vikas ji for the support.
Regarding my treatment (of GBS) in this hospital, I would like to express my gratitude towards Dr A. Rohatgi, Dr Ali n others for the treatment they gave me when I was paralysed And the nursing staff - the senior as well as junior sisters were encouraging n helpful. And the ward boys were so supportive. I remember about Tribhuvan, n sisters madam Cicily, Anju, Bincy, Usha etc. in the ward sisters Sonia, Martina, Kavita, Gudiya too took care of me diligently.
I’m ever grateful for this hospital’s kind n dutiful staff
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Good morning Dr. Thank you for your support for arrangement of bed for me at your hospital in such a tough time.
Good morning. Thank you very much for your help and support for the treatment of my sister Mrs. Susheelamma Simon (Ex. Sr. PPS to Secretary, health & family welfare, Government of India.)
I came in this hospital for my dental treatment I have got it done by Dr kriti baweja .she is very humble and kind to me as she gives me the time of coming according to my preferences And she handles me very patiently .she gives her best to my teeth with all her hardwork. She is also very friendly in nature .I am really so thankful to her
With proper treatment, including regular medical care and possibly surgery, many people can live a relatively normal life. However, the prognosis varies depending on the severity of valve damage and access to healthcare.
While the heart valve damage caused by rheumatic heart disease is often permanent, the progression of the disease can be managed, and the symptoms treated. Surgical repair or replacement of damaged valves can improve quality of life.
Rheumatic heart disease itself is not contagious, but the group A streptococcal infections (like strep throat) that lead to it are highly contagious.
No, RHD always follows rheumatic fever. Rheumatic fever is the precursor to valve damage in RHD.
It is diagnosed through a combination of medical history (including past rheumatic fever), physical exam findings, and imaging tests like echocardiograms to assess valve damage.
The heart damage from RHD is usually permanent, but children can lead normal lives with early intervention and regular medical care. Antibiotic prophylaxis and careful monitoring are key to preventing further damage.
Rheumatic fever is an acute inflammatory disease that can develop after a strep infection, while rheumatic heart disease is the long-term damage to the heart valves that occurs after repeated or severe episodes of rheumatic fever.
It is more common in areas with poor healthcare access, overcrowded living conditions, and limited resources to treat strep infections early, which allows rheumatic fever to develop and progress to RHD.
Yes, secondary prevention using long-term antibiotic prophylaxis can prevent further strep infections, reducing the risk of worsening heart valve damage.
Regular follow-ups with a cardiologist are essential. The frequency depends on the severity of the disease but typically ranges from every 6 months to annually, or more frequently if symptoms worsen.
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