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Diagnosis and treatment RHD PowerPoint Presentation

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Description : Check out this medical PowerPoint presentation titled "Diagnosis and treatment RHD" by Bo Remenyi.

This medical PowerPoint presentation talks about Diagnosis and treatment of Rheumatic Heart Disease (RHD).

RHD stands for Rheumatic Heart Disease, which is a condition that occurs as a result of untreated or inadequately treated streptococcal infections, particularly in children. This disease affects the hearts valves, leading to inflammation and scarring, which can cause the valves to become damaged and not work properly.

Tags : Diagnosis of Rheumatic Heart Disease, treatment of Rheumatic Heart Disease, Cardiothoracic Surgery, cardiology, cardiology PowerPoint presentation

Published on : Mar 19, 2023 | Views : 864 | Downloads : 3

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Slide 1-

Diagnosis and treatment RHD: Bo Remenyi Paediatric Cardiologist Royal Darwin Hospital & NT Cardiac Services
Slide 2-

Movie stars Liddywoo Brooklyn Carlisa Trenton
Slide 3-

Tertiary prevention of RHD Tertiary prevention refers to prevention of morbidity and mortality and therefore prevention of complications of RHD
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Acute valvulitis
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Chronic RHD
Slide 7-

Diagnosis of acute valvulitis
Slide 8-

Diagnosis of chronic RHD
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Tertiary prevention of RHD Prevention of morbidity and mortality by: Prevention of acute rheumatic fever recurrence Heart failure management Anticoagulation management Arrhythmia management Endocarditis prevention Prevention of pregnancy related complications
Slide 10-

Carlisa’s story 16 year old indigenous girl from Edith falls with severe RHD brave, resilient, energetic
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Carlisa’s story with RHD Diagnosed with ARF and severe RHD age 7 1st cardiac surgery - age 7. Mitral and tricuspid valve repair 2nd cardiac surgery – age 8. Re-do mitral valve and tricuspid valve repair 3rd cardiac surgery – age 10. Replacement of mitral valve with bioprosthetic valve ( aortic valve homograft) 4th cardiac surgery – age 13. Mechanical valve placement in mitral position and tricuspid repair T I M E Jan 2007 2007 2008 2010 2013 22/03/2016
Slide 12-

Tertiary prevention of RHD 1. Prevention of acute rheumatic fever recurrence 3-4 weekly Benzathine Penicillin G Modification of environment Secondary prophylaxis plus
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Tertiary prevention of RHD 2. Treatment of heart failure: Heart failure medication Valve repair Valve replacement 1. Medications 2. Repair 3. Replacement
Slide 14-

Tertiary prevention of RHD 2. Treatment of heart failure: The Australian experience with mitral valve repair Mitral Valve repair Australian paediatric cohort – RCH Melbourne
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Tertiary prevention of RHD 2. Treatment of heart failure: The NT experience with valve replacement Mitral Valve replacement Carapetis Asia Pacific Heart J. 1999;8:138-47.
Slide 16-

Tertiary prevention of RHD 3. Prevention of stroke - anticoagulation Anticoagulation management Dilated left atrium Atrial fibrillation Mechanical valve Options: Claxane / Warfarin Why? To prevent: A stroke Mechanical valve blockage World j. ped cong card surgery 2013 4: 155 Survival free of stroke / major bleed
Slide 17-

Monitoring of anticoagulation Haemorrhagic Complications Documented 7.2 major non fatal & 1.3 fatal per 100 patient years in a 2003 meta-analysis of 33 studies 4.2 non-fatal & 0.8 fatal bleeds per 100 patient years within our cohort
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Tertiary prevention of RHD 4. Management of arrhythmias Arrhythmia management Ablation Medication – digoxin Anticoagulation
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Tertiary prevention of RHD 5. Prevention of endocarditis Brushing teeth twice daily Dental review 6 monthly Endocarditis prophylaxis at time of dental procedures
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Tertiary prevention of RHD 6. Prevention of pregnancy related complications
Slide 21-

Pregnancy:Careful planning, careful management Contraception to allow for careful planning Education: risks for mother / risk for baby Advice / decision on anticoagulation Option1: Clexane 0- 13 weeks Warfarin 14-36 weeks Then Clexane Option 2: Warfarin until 36 weeks Then Clexane
Slide 22-

Carlisa’s current status Current medical status: Well, asymptomatic, active Current medical care: 4-weekly benzathine penicillin G injection Daily Warfarin with variable dose Weekly anticoagulation checks / INR testing 3-6 monthly cardiology review 3-6montly echocardiography 6 monthly dental review Family planning
Slide 23-

Tertiary prevention of RHD Prevention of morbidity and mortality by: Prevention of acute rheumatic fever recurrence - 3-4 weekly Benzathine Penicillin G Modification of environment Heart failure management Valve repair Valve replacement Heart failure medication Anticoagulation management Dilated left atrium Atrial fibrillation Mechanical valve Arrhythmia management Ablation Medication – digoxin Anticoagulation Endocarditis prevention Prevention of pregnancy related complications
Slide 24-

Thank you Liddywoo Brooklyn Carlisa Trenton www.takeheart.tv