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Related Concept Videos

Rheumatic Heart Disease I: Introduction01:23

Rheumatic Heart Disease I: Introduction

Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies01:22

Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies

The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
Mitral Regurgitation I: Introduction01:20

Mitral Regurgitation I: Introduction

Mitral regurgitation is characterized by the backward circulation of blood from the left ventricle to the left atrium during systole, a phase of the cardiac cycle when the heart contracts and pumps blood out of the chambers. This abnormal flow occurs primarily due to the dysfunction of the mitral valve or its supporting structures, which include the mitral leaflets, chordae tendineae, annulus, and papillary muscles.Etiology and Mechanisms:Primary Mitral Regurgitation: This type arises from...
Mitral Stenosis I: Introduction01:22

Mitral Stenosis I: Introduction

Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
Rheumatic Heart Disease IV: Nursing Management01:20

Rheumatic Heart Disease IV: Nursing Management

AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
Rheumatic Heart Disease III: Medical Management01:21

Rheumatic Heart Disease III: Medical Management

Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...

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Related Experiment Video

Updated: May 12, 2026

Evaluation of Right Ventricular Function in Experimental Models of Pulmonary Arterial Hypertension
10:03

Evaluation of Right Ventricular Function in Experimental Models of Pulmonary Arterial Hypertension

Published on: June 27, 2025

Does rheumatic valvular heart disease affect right ventricular performance?

Shantanu Pande1, Aditya Kapoor, Surendra K Agarwal

  • 1Department of Cardiovascular and Thoracic Surgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India. spande@sgpgi.ac.in

Indian Heart Journal
|April 5, 2013
PubMed
Summary
This summary is machine-generated.

Rheumatic valvular heart disease (RVHD) impairs right ventricular (RV) function, but this dysfunction improves after valve surgery. Atrial septal defect (ASD) is linked to normal RV function, with improvements in RV function observed post-operatively.

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Last Updated: May 12, 2026

Evaluation of Right Ventricular Function in Experimental Models of Pulmonary Arterial Hypertension
10:03

Evaluation of Right Ventricular Function in Experimental Models of Pulmonary Arterial Hypertension

Published on: June 27, 2025

Morphological and Functional Assessment of the Right Ventricle Using 3D Echocardiography
07:11

Morphological and Functional Assessment of the Right Ventricle Using 3D Echocardiography

Published on: October 28, 2020

Comprehensive Echocardiographic Assessment of Right Ventricle Function in a Rat Model of Pulmonary Arterial Hypertension
07:38

Comprehensive Echocardiographic Assessment of Right Ventricle Function in a Rat Model of Pulmonary Arterial Hypertension

Published on: January 20, 2023

Area of Science:

  • Cardiology
  • Echocardiography
  • Cardiac Surgery

Background:

  • Right ventricular (RV) function is crucial for clinical outcomes in valvular heart disease.
  • The Tei index is a valuable echocardiographic tool for assessing RV function, despite assessment challenges.

Purpose of the Study:

  • To evaluate global RV function using the Tei index in patients with rheumatic valvular heart disease (RVHD).
  • To determine if RV function abnormalities in RVHD are reversible after surgery.
  • To compare RV function in RVHD patients with those having atrial septal defect (ASD).

Main Methods:

  • Conventional 2-D echocardiography was performed on 15 ASD patients and 18 RVHD patients.
  • Echocardiography was conducted preoperatively, immediately postoperatively, and at follow-up.
  • Patients with atrial fibrillation were excluded.

Main Results:

  • RVHD patients showed impaired RV Tei index preoperatively, which improved significantly after valve surgery (p = 0.03).
  • ASD patients exhibited normal RV Tei index, with improved left ventricular performance post-operatively.
  • Impaired myocardial performance index (MPI) in ASD patients improved within 2 weeks of surgery.

Conclusions:

  • Rheumatic valvular heart disease is associated with significant impairment of right ventricular function.
  • Volume overload in ASD patients is linked to normal RV myocardial performance index (MPI).
  • Surgical intervention for RVHD leads to improved RV function, with sustained benefits observed at follow-up.