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Related Concept Videos

Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies01:22

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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...
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Myasthenia gravis is an autoimmune condition affecting neuromuscular transmission, causing generalized weakness in skeletal muscles. Initial diagnoses rely on patients' signs, symptoms, and medical history. The challenge lies in distinguishing myasthenia from other muscular dystrophies. An important diagnostic feature is the significant improvement of symptoms after administering anticholinesterase inhibitors.
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Rheumatic Heart Disease IV: Nursing Management01:20

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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...
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Rheumatic Heart Disease III: Medical Management01:21

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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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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...
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Handgrip strength testing in rheumatic diseases.

Yuliya Fedorchenko1, Umida Khojakulova2, Olena Zimba3,4,5

  • 1Department of Pathophysiology, Ivano-Frankivsk National Medical University, Ivano-Frankivsk, Ukraine.

Rheumatology International
|April 29, 2026
PubMed
Summary
This summary is machine-generated.

Handgrip strength (HGS) is a key indicator of rheumatic disease progression and patient well-being. Standardizing HGS measurement is crucial for effective disease monitoring and management.

Keywords:
Digital healthHandgrip strengthMuscle strengthRehabilitationRheumatic diseases

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Area of Science:

  • Rheumatology
  • Musculoskeletal Health
  • Rehabilitation Medicine

Background:

  • Rheumatic diseases cause significant disability, with hand muscle weakness being a common early sign.
  • Reduced handgrip strength (HGS) reflects systemic inflammation, neuromuscular issues, and functional decline in conditions like rheumatoid arthritis, lupus, and scleroderma.

Purpose of the Study:

  • To review current evidence on HGS testing in rheumatic diseases.
  • To explore measurement devices, clinical significance, and prognostic value of HGS.
  • To discuss integrating HGS into disease monitoring and patient management.

Main Methods:

  • Review of existing literature on handgrip strength assessment in rheumatic diseases.
  • Analysis of measurement devices including mechanical and digital dynamometers, wearables, and smartphone systems.
  • Evaluation of clinical and prognostic implications of HGS measurements.

Main Results:

  • Reduced HGS is linked to increased disease burden and reduced quality of life.
  • Advances in technology enable precise and remote HGS assessments.
  • Heterogeneity in testing and device variability necessitate standardized protocols.

Conclusions:

  • HGS is a sensitive marker for muscular function and frailty in rheumatic diseases.
  • Standardized HGS protocols and device-specific values are needed.
  • Wearable sensors and AI offer future potential for personalized HGS monitoring.