PM474 Tuberculous Pericarditis in an 87 year old male presenting with difficulty of breathing

Abstract

Introduction: RHD which is more prevalent in underdeveloped countries, is one of the common cause of morbidity and mortality among school age children, in Nepal. Objectives: To evaluate the prevalence and pattern of Rheumatic heart disease in School going children aged 5-15 years from eastern Nepal. Methods: It was a cross-sectional observational study conducted in 2006-2007.School children aged 5-15 years were screened using stethoscope as a tool for presence of valvular heart disease. Clinically suspected cases were evaluated with echocardiography to confirm the presence of RHD. Results: A total of 2043 children aged 5-15 years were screened. 23(1.12%) were clinically suspected to have RHD. Out of them 5(21.74%) found to have RHD, one congenital heart disease. Commonest valve involved was mitral valve (100%) and commonest lesion found was Mitral stenosis. Pure mitral stenosis found in 40% cases, Pure Mitral regurgitation in 20%. Mixed involvement of valves seen in 40% cases, MS with MR (20%) and MS with AR (20%) cases. Commonest and only congenital heart disease was ASD. Conclusion: In eastern part of Nepal prevalence of RHD was found to be 2.5/1000 schoolchildrenwithpredominant valve involvedasmitral valve andpredominant lesionMitral stenosis. Disclosure of Interest: None Declared