Mitral Stenosis Berat pada Penyakit Jantung Rematik
Rheumatic Heart Disease (RHD) has high morbidity and mortality. Cardiac valve disorders after rheumatic fever are the leading cause of heart failure in children and young adults. A comprehensive understanding of RHD can help early diagnosis and provide optimal management in the future. It has been r...
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| Format: | Article |
| Language: | English |
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Universitas Andalas
2023-10-01
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| Series: | Jurnal Kesehatan Andalas |
| Online Access: | http://jurnal.fk.unand.ac.id/index.php/jka/article/view/2245 |
| _version_ | 1797469353736667136 |
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| author | Cokorda Istri Padmi Suwari Widyawati Desak Gede |
| author_facet | Cokorda Istri Padmi Suwari Widyawati Desak Gede |
| author_sort | Cokorda Istri Padmi Suwari |
| collection | DOAJ |
| description | Rheumatic Heart Disease (RHD) has high morbidity and mortality. Cardiac valve disorders after rheumatic fever are the leading cause of heart failure in children and young adults. A comprehensive understanding of RHD can help early diagnosis and provide optimal management in the future. It has been reported that a 55-year-old man came to the heart clinic of Bhayangkara Hospital Denpasar for routine control of heart disease. The patient has been diagnosed with rheumatic heart disease since 2018. The patient complains of shortness of breath when walking long distances and doing strenuous activities. The patient was diagnosed with CHF FC II ec RHD + MS moderate-severe (Wilkins score 8) + AF NVR (CHA2DS2VASc 3) and treated with heart failure and antiplatelet medication. Mitral stenosis due to RHD produces the typical pathological features seen in Transthoracic echocardiography (TTE), including fibrous thickening and calcification of the valve leaflets, fusion of the commissures, and thickening and shortening of chordae tendineae. Chronic stress overload on the LA due to MS can cause LA dilatation and trigger AF. RHD patients with AF are recommended for anticoagulation for stroke prevention. Patients with acute rheumatic fever clinical features should be evaluated further and given long-term therapy to prevent more severe heart problems.
Keywords: atrial fibrillation, mitral stenosis, rheumatic heart disease |
| first_indexed | 2024-03-09T19:19:10Z |
| format | Article |
| id | doaj.art-850c45bbb5f34eecb3369f22934f7a25 |
| institution | Directory Open Access Journal |
| issn | 2301-7406 2615-1138 |
| language | English |
| last_indexed | 2024-03-09T19:19:10Z |
| publishDate | 2023-10-01 |
| publisher | Universitas Andalas |
| record_format | Article |
| series | Jurnal Kesehatan Andalas |
| spelling | doaj.art-850c45bbb5f34eecb3369f22934f7a252023-11-24T03:29:16ZengUniversitas AndalasJurnal Kesehatan Andalas2301-74062615-11382023-10-01122939910.25077/jka.v12i2.22451248Mitral Stenosis Berat pada Penyakit Jantung RematikCokorda Istri Padmi Suwari0Widyawati Desak Gede1Warmadewa UniversityCardiologist Bhayangkara Hospital Denpasar, BaliRheumatic Heart Disease (RHD) has high morbidity and mortality. Cardiac valve disorders after rheumatic fever are the leading cause of heart failure in children and young adults. A comprehensive understanding of RHD can help early diagnosis and provide optimal management in the future. It has been reported that a 55-year-old man came to the heart clinic of Bhayangkara Hospital Denpasar for routine control of heart disease. The patient has been diagnosed with rheumatic heart disease since 2018. The patient complains of shortness of breath when walking long distances and doing strenuous activities. The patient was diagnosed with CHF FC II ec RHD + MS moderate-severe (Wilkins score 8) + AF NVR (CHA2DS2VASc 3) and treated with heart failure and antiplatelet medication. Mitral stenosis due to RHD produces the typical pathological features seen in Transthoracic echocardiography (TTE), including fibrous thickening and calcification of the valve leaflets, fusion of the commissures, and thickening and shortening of chordae tendineae. Chronic stress overload on the LA due to MS can cause LA dilatation and trigger AF. RHD patients with AF are recommended for anticoagulation for stroke prevention. Patients with acute rheumatic fever clinical features should be evaluated further and given long-term therapy to prevent more severe heart problems. Keywords: atrial fibrillation, mitral stenosis, rheumatic heart diseasehttp://jurnal.fk.unand.ac.id/index.php/jka/article/view/2245 |
| spellingShingle | Cokorda Istri Padmi Suwari Widyawati Desak Gede Mitral Stenosis Berat pada Penyakit Jantung Rematik Jurnal Kesehatan Andalas |
| title | Mitral Stenosis Berat pada Penyakit Jantung Rematik |
| title_full | Mitral Stenosis Berat pada Penyakit Jantung Rematik |
| title_fullStr | Mitral Stenosis Berat pada Penyakit Jantung Rematik |
| title_full_unstemmed | Mitral Stenosis Berat pada Penyakit Jantung Rematik |
| title_short | Mitral Stenosis Berat pada Penyakit Jantung Rematik |
| title_sort | mitral stenosis berat pada penyakit jantung rematik |
| url | http://jurnal.fk.unand.ac.id/index.php/jka/article/view/2245 |
| work_keys_str_mv | AT cokordaistripadmisuwari mitralstenosisberatpadapenyakitjantungrematik AT widyawatidesakgede mitralstenosisberatpadapenyakitjantungrematik |