Rheumatic involvement of all four heart valves is uncommon and its association with congenital heart disease is very rare. Tetralogy of Fallot is a frequent cyanotic congenital heart disease with a survival beyond middle age. Background of this case report described the rheumatic involvement of all four heart valves (quadrivalvar rheumatic cardiopathy) with stenotic lesions of semilunar valves ...

Rheumatic fever and rheumatic heart disease remain major clinical and public health problems in developing countries where their most devastating effects are on children and young adults in their most productive years. RHD is encountered in 1 to 5.4 per 1,000 in large samples of school children and RF in 0.3 to 0.5 per 1,000 children.1 Rheumatic valvular heart disease accounts for 2.2 per 1000 ...

BACKGROUND One previous, preliminary study reported that the length of the umbilical cord at birth is related to the risk of developing chronic rheumatic heart disease in later life. We sought to replicate this finding. DESIGN Prospective, population-based birth cohort. METHODS We traced 11,580 individuals born between 1915 and 1929 in Uppsala, Sweden. We identified cases with a main or sec...

The infrequent association of bacterial endocarditis with auricular fibrillation and with severe mitral stenosis is noted. The relevant literature is reviewed. Eighty-two cases of bacterial endocarditis superimposed on rheumatic heart disease and 47 examples of bacterial endocarditis without underlying rheumatic valvulitis are studied. Auricular fibrillation and severe mitral stenosis occurred ...

Infective endocarditis is an uncommon heart disease with a variable incidence, mostly related to the ever-increasing development of cardiac surgery and the longer survival of patients with congenital heart disease (CHD). Thirty-seven episodes of infective endocarditis (IE) were evaluated in 36 children (under 15 years of age) admitted to hospitals affiliated to Shiraz University of Medical ...

EPISODES of acute rheumatic fever are believed to be triggered by infections with group-A /3-hemolytic streptococei, 10 to 35 days prior to the rheumatic complication. However, both rheumatic fever and rheumatic heart disease are infrequent in Miami, Florida.1' 2 If the incidence rate of rheumatic disease depends on the frequeney of group A streptococei, the low rheumatic rate in Miamni should ...

In the developing countries of the world, rheumatic fever and rheumatic heart disease remain significant medical and public health problems

JUSTIFICATION Acute rheumatic fever and rheumatic chronic valvular heart disease is an important preventable cause of morbidity and mortality in suburban and rural India. Its diagnosis is based on clinical criteria. These criteria need verification and revision in the Indian context. Furthermore, there are glaring differences in management protocols available in literature. These facts prompted...