Heart disease, rheumatic

Cardiac conditions in which prophylaxis is recommended include presence of prosthetic valves, prior infective endocarditis, congenital cardiac abnormalities, rheumatic heart disease or any other valvular dysfunction, hypertrophic... 

A 59-year-old male with a history of rheumatic heart disease is found to have atrial fibrillation (AF for which he is treated with digoxin. Treatment with digoxin converts his AF to a normal sinus rhythm and most likely results in a decrease in which of the following ... 

Human foods that are particularly rich in copper (20 to 400 mg Cu/kg) include oysters, crustaceans, beef and lamb livers, nuts, dried legumes, dried vine and stone fruits, and cocoa (USEPA 1980). In humans, copper is present in every tissue analyzed (Schroeder et al. 1966). A 70-kg human male usually contains 70 to 120 mg of copper (USEPA 1980). The brain cortex usually contains 18% of the total copper, liver 15%, muscle 33%, and the remainder in other tissues — especially the iris and choroid of the eye. Brain gray matter (cortex) has significantly more copper than white matter (cerebellum) copper tends to increase with increasing age in both cortex and cerebellum. In newborns, liver and spleen contain about 50% of the total body burden of copper (USEPA 1980). Liver copper concentrations were usually elevated in people from areas with soft water (Schroeder et al. 1966). Elevated copper concentrations in human livers are also associated with hepatic disease, tuberculosis, hypertension, pneumonia, senile dementia, rheumatic heart disease, and certain types of cancer (Schroeder et al. 1966). 

Acquired valvular dysfunction (e.g., rheumatic heart disease)... 

In view of the probable differences in the vulnerability of different tissues in different individuals, it may well be that the vitamin C needs for best health could vary from individual to individual more than the amount of vitamin C necessary for tissue saturation. It may easily be the case, for example, that some individuals are healthy and free from minor symptoms when their tissues are 50 per cent saturated Others, because of the greater vulnerability of specific tissues may require that their tissues be highly saturated at all times. Dalldorf 49 hints at something like resistant vitamin C deficiency when he says, "Even these large amounts [75 to 100 mg. daily], however, are inadequate to maintain saturation in certain patients" (italics added). He cites that in Hodgkins disease, protracted fever from various causes, active rheumatic heart disease, and tuberculosis, the vitamin C requirement may be "extremely high."... 

This point of view overlooks the fact that every well and normal individual is potentially an ill individual, and the roots of disease may be present in his make-up years before there is any overt disease. A dozen young men used as normal controls may each have metabolic peculiarities that point toward a different metabolic derangement gout, multiple sclerosis, diabetes, anemia, atherosclerosis, hypertension, nephrosis, hypothyroidism, rheumatoid arthritis, rheumatic heart disease, liver cirrhosis, and myasthenia gravis, for example, and yet at the time of their use as controls these young men may show no symptoms of the disease which is to appear later in life. It seems far from safe to assume that because an individual on clinical examination seems well, all of his blood values, for example, are normal and meaningless so far as disease susceptibilities are concerned. 

Although we have discussed briefly the implications of biochemical individuality for alcoholism, for gout, and for arthritis, these are merely examples. A host of other diseases need to be attacked with the same point of view and hold the same promise of success. These include multiple sclerosis, muscular dystrophy, myasthenia gravis, atherosclerosis, essential hypertension, ulcers, diabetes, epilepsy, rheumatic heart disease, nephrosis, liver cirrhosis, congenital heart disease (as well as a host of other malformations which probably involve nutritional deficiencies during fetal life) and even infective diseases such as tuberculosis or poliomyelitis. 

From the results of the variety of studies undertaken, it now appears certain that no one single immunological factor is responsible for the various forms of heart diseases which are seen in populations in subtropical and tropical countries. Thus, in patients with endomyocardial fibrosis (EMF), rheumatic heart disease, or idiopathic cardiomegaly, heart antibodies were present in 42% and thyroid antibodies in 15% serum cryoglobulins were present in 74% of the patients but was more frequent in those patients who had EMF than in any of the other groups (VI). The suggestion was therefore made that patients with EMF were... 

As was already mentioned, piroxicam also is a nonsteroidal, anti-inflammatory drug. It is used in inflammatory and degenerative diseases of the musculoskeletal system that are accompanied by painful symptoms. It is used for rheumatic heart disease, nonspecific infectious polyarthritis, gouty arthritis, rheumatoid arthritis, osteoarthritis, ankylosing spondylitis, arthrosis, back pain, nenralgia, myalgia, and other diseases associated with inflammation. Synonyms for piroxicam are feldene, dexicam, roxenan, and others. 

Hypersensitivity to hydralazine coronary artery disease mitral valvular rheumatic heart disease. 

Prophylaxis against relapses of rheumatic fever (secondary prevention of rheumatic heart disease) is discussed in Section II of this chapter. In most developed countries, national vaccination programs with vaccines against diphteria and Haemophilus influenzae type b have virtually eliminated the complications of diphteria and acute epiglottitis. 

Since arterial emboli formation involves platelet aggregation and leukocyte and erythrocyte inhltration into the fibrin network, the treatment and prophylaxis of arterial thrombi are more difficult. Arterial embolism is treated more successfully with heparin than with the oral anticoagulants. Anticoagulants are useful for prevention of systemic emboli resulting from valvular disease (rheumatic heart disease) and from valve replacement. 

Kemeny, E., Husby, G., Williams, R.C., Jr., and Zabriskie, J.B. (1994) Tissue distribution of antigen(s) defined by monoclonal antibody D8/17 reacting with B lymphocytes of patients with rheumatic heart disease. Clin Immunol Immunopathol 72 35—43. 

Regelmann, W.E., Talbot, R., Cairns, L., Martin, D., Millet, L.C., Zabriskie, J.B., Braun, D., and Gray, E.D. (1989) Distribution of cells bearing rheumatic antigens in periphetal blood of patients with rheumatic fever/rheumatic heart disease. / Rheumatol 16 ... 

Clinicians from Hong Kong reported a case of potential danshen-warfarin interaction in a 48-year-old female with a history of rheumatic heart disease, atrial fibrillation, and mitral stenosis (11). The patient underwent successful transvenous mitral valvuloplasty for management of her medical conditions, and was discharged with 1 mg warfarin, as well as... 

Rheumatic fever History of rheumatic fever or known rheumatic heart disease Benzathine penicillin Excellent... 

Different types of heart disease, such as rheumatic heart disease, arrhythmia diseases of the circulatory... 

Rheumatic heart disease, pulmonary heart disease, pulmonary emphysema, anemia, nephritis, drugs that inhibit heartbeat and reduce blood pressure, poor nutrition or having a low calorie diet. 

Rheumatic arthritis, rheumatoid arthritis, cervical or lumbar spondylosis, osteoarthritis, sciatica, Raynaud s disease, vasculitis, pulmonary heart disease, rheumatic heart disease, coronary heart disease, migraine, hemiplegia after cerebrovascular accident, paralysis, facial paralysis, facial spasm, skin diseases that are influenced by changes in the weather and are characterized by itchy, weeping, red or dry skin lesions. 

Type III reactions are the result of antigen-antibody (IgG) complexes that accumulate in tissues or the circulation, activate macrophages and the complement system, and trigger the influx of granulocytes and lymphocytes (inflammation). This is sometimes referred to as the Arthrus reaction and includes postinfection sequelae such as rheumatic heart disease. Farmer s lung, a pneumonitis caused by molds has been attributed to both type III and type IV, and some of the late phase response (4-6 hours after exposure) in asthmatics may be the result of Arthrus-type reactions. 

Prevention of streptococcal infections in patients with a history of rheumatic heart disease. Patients may require 20 years of treatment. 

Complex cyanotic congenital heart disease (e.g., single ventricle states) / Surgically constructed systemic pulmonary shunts or conduits J Acquired valvular dysfunction (e.g., rheumatic heart disease)... 

Natural and synthetic steroids are used extensively to treat arthritis and other rheumatoid diseases, including rheumatic heart disease.They are also used in some cases of autoimmune diseases such as systemic lupus erythematosus, severe asthma and in some respiratory diseases, and in some ocular allergy and inflammatory conditions. Steroids can be administered orally, intravenously, or intranasally or be inhaled. 

CVD is attributed to disorders of the heart and blood vessels, and it includes coronary heart disease (heart attacks), stroke, hypertension, peripheral artery disease, rheumatic heart disease, congenital heart disease, and heart failure. On a global perspective, 30% of all deaths are from CVD, which ranks it the number... 

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