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14.2.11

RHEUMATIC HEART DISEASE-Rheumatic Carditis a problem of children and teenagers



Carditis involves a high precent (up to 50%) of unmanaged rheumatic fever cases.
It usually fallows recurrent attacks and sometimes a single attack.Some cases are spotted as rheumatic carditis without clinically obvious rheumatic fever before.

Rheumatic heart disease is a problem of children and adolescents,commonly age is 5-15 yeras,and preschoolar children may be uncommonly affected.
Rheumatic Heart Disease is considered a social disease,being attributed to low socioeconomic circumstances.

Predisposing socioeconomic factors:
-poor houses and slums:inhabitans live under poor insanitary conditions and at risk of exposure to repeated source or infection.
--faulty habits of the public: related to spread of infections
-lowered body resistance:due to poor living conditions

Rheumatic Carditis Symptoms:
Cardic and pulmonary manifestations in varied severity.
Rheumatic Carditis lead to complications like:
-atrial fibrillation (cardiac arhythmia)
-embolic involvment of different parts (vascular blockage)
-infective endocarditis (inflammation of the inner layer of the heart)
-calcification of affected valves (calcium deposit).

Prevention of Rheumatic Carditis:
-sanitary housing with good ventilation and spacing.
-sanitary diet and lifestyle.

Control Of Rheumatic Heart Disease:
-adequate nutrition
-complete rest in bed if s diagnosed to prevent complications
-long term chemoprophylaxis to prevent reccurent infections.