THE STUDY OF PREVALENCE AND CLINICAL PROFILE OF VALVULAR HEART DISEASES IN GOVERNMENT GENERAL HOSPITAL, KAKINADA
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 23
Abstract
BACKGROUND Among the cardiovascular diseases acquired, valvular heart disease is one of the common causes of mortality and morbidity in India. An average of 40% of causes is rheumatic valvular heart diseases of all patients admitted with heart diseases. Male preponderance has been noted by most of the physicians in rheumatic heart disease in India. Acquired valvular heart diseases are mitral valve prolapse syndrome, papillary muscle dysfunction, the rupture of chordae tendineae, calcified mitral annulus, calcified aortic stenosis, aortic regurgitation due to syphilis, connective tissue disorders (Marfan’s syndrome, osteogenesis imperfect and systemic lupus erythematosus), atherosclerosis, hypertension and infective endocarditis. Other less common causes are recurrent pulmonary embolism, tuberculosis, cardiac tumours, carcinoid tumours, cardiac surgery for congenital cardiac anomalies and trauma. MATERIALS AND METHODS It is a prospective study on adult patients with valvular abnormalities attending to the Medicine and Cardiology Units of Government General Hospital, Kakinada, between November 2014-May 2017. Total 100 in-patients were included in this study as per inclusion and exclusion criteria. Inclusion Criteria- All patients aged 13 years and above are considered ‘adult’ and are managed by adult medicine. There is no upper age limit. Exclusion Criteria- Patients with congenital valvular heart diseases and cor pulmonale are excluded in the study. RESULTS The incidence of acquired valvular heart disease is higher in the age group of 31-40 years (32%) followed by 21-30 years age group (28%). Our study also revealed relatively higher incidence of acquired valvular heart disease among the age groups of 51-60 years and above 60 years, which is due to a relatively higher incidence of mitral regurgitation due to ischaemic heart disease in this same age group. CONCLUSION Out of 100 cases studied mitral valve involvement was noted in 56 cases indicating the most common valve to be involved is mitral valve. Out of this, 19% cases had mitral stenosis, 25% cases had mitral regurgitation and 12% cases are with MS + MR. Multivalvular lesion constituted 18% of cases and aortic valve involvement occurred in 26% cases. We observed 10% cases of mitral stenosis and 27.2% of aortic valve involved cases.
Authors and Affiliations
Vijay Kumar H, Suneetha K
Keywords
Related Articles
- EP ID EP215273
- DOI 10.18410/jebmh/2017/256
- Views 89
- Downloads 0
CLINICOPATHOLOGICAL CHARACTERISTICS OF SOLITARY NODULE OF THYROID- A CROSS-SECTIONAL STUDY IN A TERTIARY CENTER
BACKGROUND Solitary Thyroid Nodules (STN) occur in 4-7% of the adult population. Owing to increasing incidence of malignancy, it is necessary to differentiate patients with benign STN from malignant ones for early interv...
PTERYGIUM EXCISION IN COMPARISON OF BARE SCLERA TECHNIQUE AND CONJUCTIVAL AUTOGRAFT
INTRODUCTION: Pterygium is a degenerative condition of the subconjuctival tissue which proliferates as vascularized granulation tissue to invade the cornea, destroying the superficial layers of the stroma and bowmans mem...
SOCIAL STIGMA IN PATIENTS OF DEPRESSION AND SOMATIZATION- A NORTH INDIA PERSPECTIVE
BACKGROUND Stigma associated with mental illnesses is one of the most significant challenges faced by a psychiatrist. It can interfere not only with the treatment acceptance and compliance, but also modify the presentati...
A COMPARATIVE STUDY OF TEAM-BASED LEARNING ON THE TRADITIONAL METHOD OF CONDUCTING TUTORIALS IN PHYSIOLOGY FOR FIRST YEAR MBBS STUDENTS
BACKGROUND In medical education, didactic lectures, tutorials, bedside clinics, etc. are some of the teaching-learning method incorporated in the curriculum. Most of the methods are teacher oriented where students are no...
AIR TRAVEL FOR INFANTS WITH CONGENITAL HEART DISEASE
INTRODUCTION: It is well documented that, healthy person can tolerate the cabin environment of a commercial airline which is pressurized to the level of 5000 ft. however this environment brings profound physiological cha...