Fibrinoid necrosis refers to the necrosis of myocardial tissue due to deposition of fibrin and inflammatory cells, a characteristic feature of rheumatic fever.
2 Major criteria or 1 major and 2 minor criteria
Carapetis et al
John Lawrenson
It helps in assessing the extent of cardiac involvement in patients with rheumatic fever.
Universities of Stellenbosch and Cape Town
Echo
Making the clinical diagnosis of acute rheumatic fever
Rheumatic fever
Mitral valve
Aortic valve
The Bland, Jones Circulation 1951 was a landmark study that provided important insights into the pathophysiology of rheumatic fever and rheumatic heart disease.
Rheumatic Heart Disease
The focus of the book is on the mitral valve.
Anitschkow cells are enlarged macrophages with a 'caterpillar' or 'owl-eye' appearance found in the myocardium in rheumatic fever.
Carapetis et al
Acute Rheumatic Fever
The outcomes of rheumatic fever in Uganda from 2017 to 2021 were documented in a study by Wirth et al. published in The Lancet Global Health in 2024.
Subclinical RHD
12 years old
The incidence of acute rheumatic fever has decreased in developed countries.
The estimated incidence of rheumatic heart disease (de novo hospital presentations) is 719-727 per 100,000 population.
Shortness of breath with effort, palpitations, inability to move left arm and left leg
Curr Treat Options Cardio Med
300,000 strokes
It is a mechanical heart valve used to replace a diseased or damaged mitral valve.
3 - 7.5%
Chronic valvular heart disease
Rheumatic Fever
Acute Rheumatic Fever
Subclinical RHD
TB
By treating streptococcal throat infections with antibiotics to prevent the development of rheumatic fever.
Rheumatic Fever can lead to Rheumatic Heart Disease in children.
The Global Rheumatic Heart Disease Registry (the REMEDY study) documented characteristics, complications, and gaps in evidence-based interventions in rheumatic heart disease.
Kawasaki Disease
Rheumatic heart disease primarily affects children and young adults who have had untreated strep throat or scarlet fever caused by group A streptococcal infection.
Rheumatic Heart Disease
Nina C. Wunderlich, Roy Beigel, Robert J. Siegel
Rheumatic Heart Disease
Active surveillance for rheumatic heart disease in endemic regions: a systematic review and meta-analysis of prevalence among children and adolescents
S1 loud, P2 loud, 2/4 mid-diastolic murmur at apex, fine crackles on inspiration at lung bases
The REMEDY study
Acute rheumatic fever
Acute rheumatic fever
Unrecognized ARF leading to Recurrence of RHD
Listening
TB
Rheumatic heart disease
JACC: Cardiovascular Imaging, Volume 6, Issue 11, 2013, 1191 - 1205
Volume 2 Issue 12
Unrecognized ARF
At least 10 times more common