MCHP RHD & Aneurysm Presentation PDF

Summary

This presentation discusses aneurysm and rheumatic heart disease, including their definitions, causes, types, complications, and clinical features. It covers topics such as congenital and acquired causes of aneurysm, common arteries involved, and complications of cerebral, abdominal, and thoracic arteries. The presentation also delves into the definition, etiology, risk factors, and clinical features of rheumatic heart disease, including the Jones criteria. Finally, it addresses complications related to rheumatic heart disease. A great resource for students studying cardiovascular conditions.

Full Transcript

ANEURYSM AND RHEUMATIC HEART DISEASE Learning Objectives  Definition of Aneurysm  Causes, Types and complications of aneurysm  Definition of Rheumatic heart disease  Aetiology and clinical features of rheumatic heart disease ANEURYSM  DEFINITION: Localized...

ANEURYSM AND RHEUMATIC HEART DISEASE Learning Objectives  Definition of Aneurysm  Causes, Types and complications of aneurysm  Definition of Rheumatic heart disease  Aetiology and clinical features of rheumatic heart disease ANEURYSM  DEFINITION: Localized abnormal dilatation of a blood vessel or the heart that may be congenital or acquired TYPES:  TRUE/SACCULAR ANEURYSM- Involves all three layers of an intact arterial wall or thinned out ventricular wall of the heart  TRUE/FUSIFORM ANEURYSM- Circumferential dilation of vessel without rupture  FALSE ANEURYSM: Wall is ruptured and there is a collection of blood covered externally by extravascular tissues  DISSECTION: Blood has entered the wall of the vessel and separated the layers Causes of Aneurysm Congenital Acquired Berry aneurysm Atherosclerosis Marfan Syndrome, Ehler- Syphilis Danlos Syndrome Dissecting hematoma Mycotic aneurysm Common Arteries involved : Complications CEREBRAL ARTERY Cerebral hematoma Ventricular rupture Hydrocephalus Vasospasm and infarction Brain herniation Re bleed Complications ABDOMINAL AORTA Rupture Obstruction Embolism Compression Death Complications THORACIC ARTERY Chest pain Compression causing MI Difficulty in swallowing Hoarseness Respiratory complication s RHEUMATIC HEART DISEASE Rheumatic Heart Disease  Definition  Risk factors  Etiology  Clinical features Rheumatic fever(RF): Definition  Rheumatic fever is an acute, immunologically mediated, multisystem inflammatory disease classically occurring a few weeks after streptococcal pharyngitis. Rheumatic fever(RF): Definition  Acute  Immunologically mediated  Multisystem inflammatory disease  10 days to 6 weeks  Group A streptococcal pharyngitis RHD: Etiology  Group A streptococcal  Pharyngitis  Skin infection RHD: Risk factors  Overcrowding  Lower socioeconomic status  Developing countries  Family history  Reduced access to medical care Rheumatic Heart Disease  Manifestation of Rheumatic Fever(RF)  Fibrotic valvular disease  Affects 1 or more valves  Mitral valve  Cardiac damage RHD- JONES CRITERIA Jones criteria: Major  Migratory polyarthritis  Pancarditis  Subcutaneous nodules  Erythema marginatum  Sydenham Chorea Jones Criteria: Minor  Fever  Arthralgia  Elevated acute phase reactants  Prolonged PR interval(unless carditis is a major criteria) DIAGNOSIS :  2 major Or  1 major + 2 minor Clinical features  Pancarditis  mitral valve insufficiency  heart failure  Arrhythmia  Tachycardia RHD : Complications  Thromboembolism  Infective endocarditis  Mitral stenosis  Cardiac failure THANK YOU

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