Abstract

This observational study of 510 cases of chronic rheumatic valvular diseases was corded out in the Department of Cardiology in the National Center for Control of Rheumatic Fever and Heart Diseases (NCCRFAH1H from Jamiary 2007 to October 2007 with the main objective to find out the patient of distribution of rheumatic valvular lesion in the commtmlly and whether this trend is changing over time or not. All the patients underwent a thorough clinical examinations followed by electrocardiographic, radiographic and finally echocardiographic examinations. Nomdreinnaric cases of Wyatt', lesion and fimaional valvular lesion were excluded from the study. The study revealed that there were 52_5% female and 47.5% male with mean age of presentation of 32.86 x 12.90 years. isolated milral waive involrentelll WAS found in 57.25% cases. isolated aortic valve lesion in 8.8% cases and combined valve lesion in 33.9% rases. Mina) valve lesion van significantly higher in female population and aortic valve lesion in male population. Pure mitral stenasis was found in 22.9% cases.

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