Acute Rheumatic Fever and Chronic Rheumatic Heart Disease

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Wife Goes On, Jul 1, 2011 - Medical - 464 pages
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The purpose of this monogram is to describe the whole gamut of Acute Rheumatic Fever (ARF) and Chronic Rheumatic Heart Disease (RHD) and give the methods of management. This book, both in its concept and design, is aimed at giving a comprehensive and complete knowledge about ARF and RHD, to the pediatricians, physicians and the medical students dealing with health problems in the socioeconomically poor community. This book helps the clinicians to approach the diagnostic problems presented by children with ARF and RHD; through proper assessment and integration of the history, physical examination, investigations, especially the modern tool, the echocardiography and learn about the prevention of the disease and its complications. The modern tool, echocardiography, plays an important role in the precise and early diagnosis, hence two chapters on, ECHO in ARF and RHD have been written. The influence of this is likely to be truly spectacular and special, as this will help in bringing many patients, into the net of penicillin prophylaxis and may assist in changing the epidemiological face of the disease. This book with a galaxy of distinguished contributors, will surely be a valuable reference resource for the years to come.
 

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Contents

Lessons Learnt from History of Rheumatic Heart Diseases
1
A 4 Century Review with
31
Can We Change the Epidemiological Trend
47
Etiopathogenesis and Management of Streptococcal Infection
58
Laboratory Diagnosis of Group A Beta Hemolytic Streptococcal Infections
75
Pathology of Chronic Rheumatic Heart Disease
87
ECHO in Acute Rheumatic Fever ARF 1 56 Dilated LA and LA appendage no clot
90
Introduction 2 57 Diastolic doming of AML and hockey stick appearance
91
Thickened Submitral structures 43 88 RHD With MR With Vena Contracta
124
Severe MR with dilated LA LV 44 89 Test skill
125
PanCarditis 45 90 PTMC in juvenile MS 126128
126
What is the impact of ECHO? 46 91 Test skill
129
Subclinical carditis 47 92 RHD with severe MS severe TR severe PH 37 ECHO SCOre 4850 reduced RV function
130
Proceedings of the Jones criteria 51 93 Critical MS
131
Eyes do not see what the mind does not know 52 94 PTMC procedure data
132
How superior is ECHO? 53 95 POSt PTMC MR
133

Diagnosis of carditis 34 58 RHD with eccentric jet of MR
92
Echocardiography 5 59 RHD with central jet of MR
93
ECHO is the key 6 60 Rare Video of CMV VS PTMC
94
ECHO features 7 61 PTMC in pregnancy
95
mode 8 62 PTMC under TTE guidance
96
Mitral Valve in ARF 9 63 Balloon across MV into LV
97
Pancarditis 10 64 Inflated balloon at MV
98
Rheumatic nodules 1112 65 RHD With Critical MS
99
Beaded appearance of mitral valve 1314 66 MMode TS TR
100
ECHO features 15 67 Non suitability for PTMC
101
Physiological mitral regurgitation 1617 68 RHD MVP with mild MR 102103
102
Pathological mitral regurgitation 1822 69 Fall MV with severe MR
104
Trivial AR 23 70 Challenges of PTMC in juvenile MS
105
Physiological MR and AR 24 71 Chordal thickening
106
ECHO SCOre 25 72 MVOA measurement by planimetry
107
Thickened MV and AV 26 73 RHD with thickened non coapting MV
108
Pathological MR 2728 74 Parasternal long axis shows severe MR
109
Physiological regurgitation 29 75 Dilated LA With bulging of IAS
110
Myxomatous MV 30 76 Short axis shows thickened and beaded appearance
111
Chordae tendineae tear With MR 31 77 RHD with IE severe MR in heart failure
112
Aortic Valve Valvulitits 32 78 Vegetation on LV side
113
Need for ECHO Criteria 33 79 Color Doppler shows severe MR with TR
114
Vijayas ECHO score 34 80 Spontaneous ECHO contrast with clot in LAA
115
ECHO SCOre 35 81 Spontaneous ECHO contrast SEC
116
Results 3637 82 TEE showing thrombus on IAS
117
Why still a burning problem? 38 83 Football in the heart 118
118
How specific is Vijayas ECHO criteria? 39 84 RHDSevere MS atrial fibrillation LA clot
120
What is the ECHO SCOre? 40 85 LA body clot
121
Thickened MV and MV With torn chordae 41 86 LA body clot not suitable for PTMC
122
ECHO score diagnostic of ARF with carditis 42 87 RHD MS moderately severe MR with TR
123
Severe MR due to ruptured chordae tendineae 54 96 Post PTMC result
134
Confusion in management can be avoided by ECHO 55 97 Case profile
135
Non coapting MV with severe MR 56 98 MVOA pre and post PTMC
136
What is the impact of ECHO7 57 99 Pre and post PTMC
137
Test your skills 5878 100 PTMC procedure data
138
ECHO is an excellent tool for risk stratification 79 101 RHD with MVP MS and MR 139140
139
Summary 80 102 Test 141142
141
ECHO in assessing the damage and 103 Giant LA
143
for management strategy 81 104 RHD with vegetations on MV and AV
144
105 Mmode in RHD with MS With atrial fibrillation
145
ECHO in Chronic Rheumatic Heart Disease RHD 106 CW of tricuspid stenosis and tricuspid regurgitation
146
Chronic Rheumatic Heart Disease 82 107 Post CMV and later PTMC
147
Normal Mmode 83 108 Giant RA with severe TR
148
Abnormal Mmode in RHD 8485 109 Youngest child with MS in our experience 149150
149
Giant LA with severe MR 86 110 Gangrene of fingers due to septic embolization 53 Giant LA With Severe MR and TR 87 in patient with RHD MR ...
151
Apical four chamber view 88 111 Mobile vegetation on MV with severe MR 152154
152
Thickened MV with split commissures 89 112 Acknowledgment
155
Role of Echocardiography in Rheumatic Heart Disease
179
Consensus and Controversies in the Management
225
Medical Management of Rheumatic Heart Disease and Management During Pregnancy
240
Echocardiographic Screening for Rheumatic Heart Disease
256
How Far are We?
265
Natural History of Rheumatic Fever and Rheumatic Heart Disease
283
NonSurgical Management of Rheumatic Heart Disease
293
Transcatheter Treatment of Rheumatic Mitral Stenosis
302
Surgical Management of Rheumatic Heart Disease
311
Rheumatic Fever Rheumatic Heart Disease Registry and Control Program
324
Index 339
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