3. Rheumatic Heart Disease (Part-2) Pathology: Hindi
𝐒𝐮𝐛𝐬𝐜𝐫𝐢𝐛𝐞 𝗙𝐨𝐫 𝗠𝐨𝐫𝐞 𝗜𝐧𝐟𝐨𝐫𝐦𝐚𝐭𝐢𝐨𝐧 𝐨𝐧 𝗛𝐞𝐚𝐥𝐭𝐡 👩⚕ 𝐚𝐧𝐝 𝗠𝐞𝐝𝐢𝐜𝐢𝐧𝐞💉🩺💊 📌𝗜𝗻𝘀𝘁𝗮𝗴𝗿𝗮𝗺 : / clinical.learning Rheumatic Heart Disease (Part-2) - --------------------------------------------------------- Rheumatic Heart Disease (RHD) is the chronic sequela of acute rheumatic fever (ARF), resulting from an abnormal immune response to Group A Streptococcus infection. The hallmark of RHD is the progressive damage to the heart valves, particularly the mitral valve, caused by recurrent inflammation and healing processes. In the acute phase, the myocardium shows characteristic Aschoff bodies, composed of Anitschkow cells (activated macrophages), lymphocytes, and fibroblasts. Over time, chronic inflammation leads to valvular fibrosis, causing the valves to become thickened, calcified, and fused. This pathology results in mitral stenosis (most common), aortic stenosis, or regurgitation, impairing blood flow and causing pressure overload in the heart chambers. Patients experience symptoms like dyspnea, palpitations, chest pain, and signs of congestive heart failure due to compromised cardiac function. RHD predisposes patients to complications such as atrial fibrillation, infective endocarditis, and pulmonary hypertension. Diagnosis is confirmed with echocardiography, showing valve abnormalities, and clinical history consistent with past rheumatic fever. Management involves long-term prophylaxis with penicillin, surgical valve repair or replacement, and symptomatic treatment to prevent progression. Early detection and treatment of streptococcal infections remain key to preventing this debilitating disease. 🫀💉 #RheumaticHeartDisease #PathologyLecture #CardiacHealth #HeartValves #MedicalEducation #MBBSPathology #LearnWithFocus #StudySmart
