Rheumatic Heart Disease / Rheumatic fever

Wednesday, August 17, 2011

Does rheumatic heart disease and rheumatic fever?
Rheumatic heart disease (PJR) is a condition where cardiac valve damaged by rheumatic fever.

Rheumatic fever begins with a Sore Throat (also called streptococcal pharyngitis). Strep throat is caused by Group A Streptococcusbacteria. This is the most common bacterial infection of the throat.

Rheumatic fever is an inflammatory disease. It can affect many connective tissues of the body - particularly the heart, joints, brain or skin. Anyone can get acute rheumatic fever, but usually occurs in children five to 15 years. Rheumatic heart disease can last a lifetime.

Incidence of rheumatic fever / rheumatic heart disease is low in the United States and most other developed countries. However, it continues to be the main cause of cardiovascular mortality during the first five decades of life in developing countries.

What are the symptoms of Strep Throat?

Symptoms include (but are not limited to):
sudden onset sore throat
pain on swallowing
fever, usually 101-104 ° F
headache
red throat / tonsillitis
abdominal pain, nausea and vomiting can also occur, especially in children
In some people, strep throat is very mild with only a few symptoms. Also, more frequent sore throats are caused by viruses of the streptococcal infection. Viral throat infection did not increase the risk of rheumatic fever and is not treatable with antibiotics.

What are the symptoms of rheumatic fever?
Symptoms may include:

fever
painful, tender, swollen red joints
pain in one joint is moving to another
heart palpitations
chest pain
shortness of breath
skin rash
fatigue
Small, painless nodules under the skin
Symptoms of rheumatic fever usually appear about three weeks after a strep throat.

How can I prevent rheumatic heart disease?

The best defense against rheumatic heart disease is to prevent rheumatic fever from ever occurring. By treating strep throat with penicillin or other antibiotics, doctors can usually stop acute rheumatic fever from developing.

People who had rheumatic fever are more susceptible to recurrent attacks and heart damage. That is why they will get continuous antibiotic treatment monthly or daily, perhaps for life. If their hearts have been damaged by rheumatic fever, they are also at increased risk for developing infective endocarditis (also known as bacterial endocarditis), infection of the heart lining or valves.

In 2007, the American Heart Association updated guidelines for prevention of endocarditis and concluded that there is no conclusive evidence linking dental, gastrointestinal or genitourinary tract procedures with the development of endocarditis. The use of prophylactic antibiotics before dental procedures is now recommended ONLY for patients with the highest risk of adverse outcome resulting from endocarditis, such as patients with artificial heart valves, previous endocarditis, or those with specific forms of congenital heart disease. The guidelines no longer recommend prophylaxis before dental procedures for patients with rheumatic heart disease unless they also have one of the underlying heart conditions that are listed in atasWhat They do

Antibiotic prophylaxis to prevent endocarditis is not only longer recommended for patients undergoing gastrointestinal or genitourinary procedures.

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