Rheumatic Heart disease is caused as a sequel of beta haemolytic streptococcal infection. It affects the mitral valve most commonly. All the four heart valves originate from the same embryonic cell rest. The golden question is why the mitral valve in involved most commonly and not others. The reason is very simple. You have to look at the hydrodynamics of the blood flow through the cardiovascular system. Blood flows in similar fashion through right and left side of the heart. But the pressure in left side is much more than in the right side. It is about 120 mm of Mercury in the left and about 25 mm of mercury in the right side in the heart. So when the left ventricle contracts, blood strike on the mitral valve with much greater force than it strikes the tricuspid valve as the valve closes down. So the antibody/ antibodies in the blood also strike with great force on the mitral valve. So it is most commonly involved. The second most common valve is valve in aortic valve. Here again the pressure is high. About 120 mm of mercury. But there is way out for the blood to flow away. So the pressure is not maintained in sustained way. The strike of the blood against the valve is not as consistent. The third valve to get affected is tricuspid valve. Here the pressure is less as compared to the left side of the heart. The forth valve is pulmonary valve. Here the cavity is not tightly closed. Blood can flow away. So it is least affected.
The most common cause of papillary muscle dysfunction is coronary artery disease, which can lead to myocardial infarction (heart attack) and damage to the papillary muscles. This can result in mitral valve regurgitation due to insufficient closure of the mitral valve leaflets.
Mitral regurgitation is backflow of blood through the mitral valve.
The left atrioventricular valve is also known as the mitral valve.
left atrioventricular valve and left mitral valve
The mitral valve between the left atrium and ventricle.
Mitral valve
Mitral commissurotomy is used to repair mitral stenosis associated with rheumatic disease.
Commonly associated with rheumatic fever, an inflammatory disease caused by inadequate treatment of a streptococcal infection. An autoimmune reaction occurs, leading to inflammation and damage to heart valves.
To correct damage to the mitral, aortic, pulmonary, or tricuspid heart valves caused by a systemic infection, endocarditis, rheumatic heart disease, a congenital heart defect, or mitral and/or aortic valve disease.
Twice as many women as men are affected by mitral valve stenosis. About 60% of patients with mitral valve stenosis have had rheumatic fever.
In mitral stenosis, you put a deflated balloon through radial artery or femoral artery. Take the balloon to mitral valve and then inflate the same to brake the synechiae there, caused by rheumatic carditis. This procedure is called as balloon valvotomy.
The only possible way to prevent mitral valve stenosis is to prevent rheumatic fever. This can be done by evaluating sore throats for the presence of the bacteria that causes strep throat.
You get acute rheumatic fever after about three weeks of acute streptococcal pharyngitis. In rheumatic fever, you get inflamed joints and heart valves involvement. Usually the mitral and aortic valves are affected in rheumatic fever.
The medical billing code for an established patient like Dennis Smith, who has a history of severe mitral stenosis with regurgitation due to rheumatic heart disease, would be classified under the ICD-10 code I34.0 (Mitral stenosis). Additionally, if he is experiencing symptoms or complications, additional codes may be used to capture those specifics. It's always important to ensure accurate coding based on the complete clinical picture and any associated conditions.
Rheumatic heart disease (RHD) is the most common acquired heart disease in children in many countries of the world, especially in developing countries. The global burden of disease caused by rheumatic fever currently falls disproportionately on children living in the developing world, especially where poverty is widespread. RHD is a chronic heart condition caused by rheumatic fever that can be prevented and controlled. Rheumatic fever is caused by a preceding group A streptococcal (strep) infection. Treating strep throat with antibiotics can prevent rheumatic fever. Moreover, regular antibiotics (usually monthly injections) can prevent patients with rheumatic fever from contracting further strep infections and causing progression of valve damage.
The only possible way to prevent mitral valve insufficiency is to prevent rheumatic fever. This can be done by evaluating sore throats for the presence of the bacteria that causes strep throat. Strep throat is easily treated with antibiotics.
There are many causes of mitral valve disorder. It can be caused by Rheumatic fever, untreated high blood pressure, or a previous heart attack.