conference programme and abstracts book - Sudanjp.org

Pattern of Valvular Involvementin Rheumatic Heart DiseaseSamia HassanRheumatic heart disease remains a leading cause for morbidity and mortality fromcardiac diseases in Sudan. The objectives of this study were to describe the pattern ofvalvular involvement in patients with RHD, correlate the pattern of valvular involvementto the course of the disease and study the correlation between the social impacton the child and family to the pattern and severity of the valvular lesion.A cross - sectional hospital based study was conducted on three days a weak basisfrom the period of 24th of June to 24th of November 2003 in Ahmed Gasim TeachingHospital and Al Shaab Teaching Hospital. One hundred cases with documented RHDwere studied; full history, thorough examination and Doppler echocardiography weredone for each child. The result showed that RHD was confined mainly to rural and periurbanareas (in 94% of cases), with poor housing conditions and overcrowding. Thenumber of persons/room was 6-15 in nearly two thirds of the cases.Most ofthe cases (93%) had mitral valve involvement: in form ofMR in 36 cases, MSin nine cases, MR + AR in 23 cases, MR + MS in 15 cases, MR + MS + AR + AS ineight cases and MS + AS in two cases. There was no significant relationship betweenhistory of rheumatic fever and the severity of valvular involvement (P=0.202), whilethere was strong association between irregularity in prophylaxis and development ofcomplications like pulmonary hypertension (P