A Hospital Based Study on Clinical Profile in Patients of Rheumatic Heart Disease Attending a Tertiary Care Hospital in Kumaon Region of Uttarakhand.

ABSTRACT

Background: A thorough understanding of the Rheumatic Heart disease is important to aid in the management of patients with RHD. We hereby thus study various presentations, distributions, clinical profile of various types of valvular involvement in patients with RHD, complications of RHD such as heart failure, arrhythmias, chamber dilation, thromboembolic manifestation, pulmonary hypertension etc. Methods: Total 100 patients of age more than 12 years with Rheumatic heart disease attending medicine and cardiology department were enrolled and studied for demographic details, clinical presentation and complications. Results: Most common age of presentation of valvular heart disease was 21-30 years (41%) with females (57%) preponderance. Mitral valve involvement was the most common (72%), while tricuspid & pulmonary valve involvements were rare. Mitral stenosis 33%) was the most common valvular lesion followed by mitral stenosis with mitral regurgitation. Conclusion: Each valvular lesion in Rheumatic heart disease presented with varied demographic characteristics with peculiar clinical presentation and complication rate.