Heart disease

1. Rheumatic heart disease
Made by:
Farhana…

2. RHD (Rheumatic Heart disease) is the chronic
condition/disease resulting from rheumatic fever that
is characterised by swelling and deformity of valves.
Rheumatic fever is an inflammatory disease of the
heart potentially involving all the layers of the heart
i.e endocardium ,myocardium and pericardium.

3. Reason
Rheumatic heart disease is a condition in which
permanent damage to heart valves is caused by
rheumatic fever.
The heart valve is damaged by a disease process that
generally begins with a strep throat caused by bacteria
called Streptococcus, and may eventually cause
rheumatic fever

4. Streptococcal infections
Inflammation of the heart’s tissues & fever
Affects the heart’s valves
resulting in valve leakage and narrowing
As a Compensatory mechanism changes in the
chamber sizes
Thickness of chamber walls occur

5.  Chest pain,
 Excessive fatigue,
 Heart palpitations (when the heart flutters or
misses beats),
 A thumping sensation in the chest,
 Shortness of breath, and
 Swollen ankles, wrists or stomach
Symptoms
 Short-lived skin rashes may occur,
Symptoms of streptococcal pharyngitis that heart valve problems, which are
often the result of rheumatic heart disease, can include:
Headache and fever >38 degrees Celsius
Warm and swollen joints (polyarthritis)

6. Heart failure
Atrial fibrillation
Infective endocarditis
Atrial and ventricular arrhythmias

7. Maintaining activity:
• Maintain bed rest for duration of fever or if signs of active
carditis are present.
• Allow the patient to do the physical exercises which
he/she can manage to do due to his/her easily fatigue.
• Provide diversional activities that prevent exertion.
• Discuss need for tutorial services with parents to help
child keep up with school work.
Treatment of RHD

8. • Counsel patient to maintain good nutrition.
• Counsel patient on hygienic practices.
• Discuss proper handwashing, disposal of tissues, laundering of
handkerchiefs (decrease risk of exposure to microbes).
• Discuss importance of using patient's own toothbrush, soap, and
washcloths when living in group situations
• Counsel patient on importance of receiving adequate rest.
• Instruct patient to seek treatment immediately should
sore throat occur.
• Support patients in long-term antibiotic therapy to
prevent relapse (5 years for most adults

9. Remember, heart is the engine of the body.
Any condition which Can affect the heart ,
can lead to death!!!

10. Thank you