Documente Academic
Documente Profesional
Documente Cultură
HEART
DISEASE
1
2
DEFINITION
Heart Diseases in Children A Pediatrician’s Guide. Sawsan Mokhtar M. Awad and Daniel E. Felten. Springer, 2011.
3
ETIOLOGY
A gram-positive coccus
Group A streptococci elaborate the
cytolytic toxins streptolysins S and O
4
PREVALENCE
These criteria are not absolute; the diagnosis of rheumatic fever can be
made in a patient with chorea alone if the patient has had documented
group A streptococcal pharyngitis.
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M I T R A L VA LV E S T E N O S I S I S A VA LV U L A R
H E A RT D I S E A S E C H A R A C T E R I Z E D B Y T H E
13 N A R R O W I N G O F T H E O R I F I C E O F T H E M I T R A L VA LV E
O F T H E H E A RT ( 6 5 - 7 0 % O F PAT I E N T S )
A O RT I C VA LV E S T E N O S I S ( A S ) I S A T Y P E O F
VA LV U L A R H E A RT D I S E A S E C H A R A C T E R I Z E D B Y A N
14 A B N O R M A L N A R R O W I N G O F T H E A O RT I C VA LV E
O P E N I N G ( 2 5 % O F PAT I E N T S )
15
Throat culture
Rapid antigen detection test
Antistreptococcal antibodies
Acute phase reactants
Heart reactive antibodies
Rapid detection test for D8/17
17
CHEST
RADIOGRAPHY
Cardiomegaly and increased broncho-vascular markings reflecting
pulmonary venous congestion may be noted
18
DOPPLER-ECHOCARDIOGRAM
Red Book Online Visual Library, 2009. Image 124_34. Available at:
http://aapredbook.aappublications.org/visual.
Prevention and management strategies for acute rheumatic fever and rheumatic heart
disease as they relate to pathogenesis
Steer, A. C. and Carapetis, J. R. (2009) Prevention and treatment of rheumatic heart disease
in the developing world
Nat. Rev. Cardiol. doi:10.1038/nrcardio.2009.162
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23 SURGICAL CARE