Acute Rheumatic Fever With Carditis In Pregnancy: A Case Report
DOI:
https://doi.org/10.64149/J.Carcinog.24.7s.271-273Keywords:
RF – Rheumatic fever, RHD – Rheumatic heart disease, BP- Blood pressure, MCP- Metacarpophalangeal, NYHA-New York Heart Association class, PPHN-Persistent pulmonary hypertension of the newbornAbstract
Rheumatic fever (RF) is the consequence of a previous group A haemolytic streptococcal infection, which may be
cured or evolve in a serious deformation of the cardiac valves. It is most common among children aged 5-15 years and very rare after age 35 years [1] . In developing countries, rheumatic heart disease (RHD) remains a significant cause of cardiovascular morbidity and mortality [2] . It affects More than 15.6 million people globally and 233,000 die of the disease each year around the world. [3] .
Current data about the incidence of RHD during pregnancy in KSA is lacking , but The general incidence and consequent endocarditis is reported as low (0.006%) [4,5] . even though the low incidence of the disease during pregnancy is of challenging diagnosis and management.
Pregnancy causes a significant hemodynamic changes : 25% increase in cardiac output, 40% increase in plasma volume, increased oxygen requirements, retention of salt and water, weight gain, and alterations in hemodynamic during delivery. Which all can be tolerated by normal heart , but these changes have a different impact for women with RHD [6].
