The "Cairo Accord"- Towards the Eradication of RHD: An Update

Susy Kotit1, David I W Phillips2, Ahmed Afifi1

  • 1Aswan Heart Centre, Aswan, Egypt.

Insights

Rheumatic heart disease (RHD) remains a major global health issue, particularly in low-income nations. This update reviews the Cairo Accord

Area of Science:

  • Cardiology and Global Public Health
  • Pediatric and Young Adult Acquired Heart Disease

Background:

  • Rheumatic heart disease (RHD) is a significant cause of acquired heart disease globally, especially in children and young adults.
  • RHD disproportionately affects low- and middle-income countries, leading to substantial morbidity and mortality.
  • The 2017 Cairo conference spurred the development of
  • The Cairo Accord on Rheumatic Heart Disease
  • to address RHD eradication.

Purpose of the Study:

  • To provide an update on the recommendations outlined in the Cairo Accord on Rheumatic Heart Disease.
  • To discuss recent advancements and progress in the global effort to eradicate acute rheumatic fever (ARF) and RHD.
  • To highlight contributions from initiatives like the Aswan Rheumatic Heart Disease Registry (ARGI).

Main Methods:

  • Review and synthesis of the Cairo Accord recommendations.
  • Analysis of recent policy initiatives and calls to action for RHD eradication.
  • Inclusion of data and insights from the Aswan Rheumatic Heart Disease Registry (ARGI).

Main Results:

  • The Cairo Accord provides a policy framework for RHD eradication.
  • Progress is being made in RHD control efforts globally.
  • The ARGI contributes valuable data to understanding and combating RHD.

Conclusions:

  • Continued international collaboration and policy implementation are crucial for RHD eradication.
  • Sustained efforts are needed to reduce the burden of RHD in vulnerable populations.
  • The Cairo Accord serves as a vital roadmap for global RHD control strategies.

Related Concept Videos

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...
70
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...
129
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...
144
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...
83
Coronary Artery Disease IV: Preventive Measures01:26

Coronary Artery Disease IV: Preventive Measures

Effective preventive measures for coronary artery disease (CAD) focus on controlling modifiable risk factors, including cholesterol abnormalities and lifestyle changes.Cholesterol ManagementFirst, the Mediterranean diet and the American Heart Association advocate for maintaining low-density lipoprotein (LDL) cholesterol levels below 100 mg/dL, with a more stringent recommendation of below 70 mg/dL for individuals at high risk. LDL cholesterol, often termed "bad cholesterol," can lead to the...
425
Myocarditis III: Medical Management01:14

Myocarditis III: Medical Management

Myocarditis: Comprehensive Medical ManagementMyocarditis, the heart muscle inflammation, requires a comprehensive medical management strategy that addresses the underlying cause, provides supportive care, manages symptoms, and reduces cardiac workload.Infections and Autoimmune CausesAdminister appropriate antimicrobial therapy when an infectious agent causes myocarditis. For instance, penicillin treats infections caused by Group A Streptococcus. In cases where autoimmune processes are...
40