STUDY OF DEMOGRAPHIC PROFILE OF RHEUMATIC MITRAL STENOSIS PATIENTS

Dr.Yogesh S. Gupta; Dr. Shalikram K. Jadhao; Dr. Anupam S. Khare; Dr. Anil Modak

Volume : VII, Issue : XII, December - 2018

STUDY OF DEMOGRAPHIC PROFILE OF RHEUMATIC MITRAL STENOSIS PATIENTS

Dr. Yogesh S. Gupta, Dr. Shalikram K. Jadhao, Dr. Anupam S. Khare, Dr. Anil Modak

Abstract :

Background: Rheumatic fever (RF) and Rheumatic heart disease (RHD) continue to be a major health hazard worldwide. In present study, the demographic profile along with symptomology of Rheumatic Mitral stenosis patients was assessed

Material and Methods: In this cross-sectional study, a total of 70 consecutive patients above age of 12 years of, either previously diagnosed or clinically suspected but undiagnosed Rheumatic mitral valve stenosis, coming to medicine department of a tertiary care hospital were included. All patients were interviewed using a standard questionnaire and detailed history was taken. Patients were subjected to thorough clinical examination, 12 lead electrocardiography, X-ray chest and 2D transthoracic echo cardiography and spectral and colour flow Doppler and diagnosis of Rheumatic Mitral Stenosis (MS) was confirmed.

Results: Out of total 70 subjects, 57.1% subjects (N=40) were females while 42.9% (N=30) were males. Majority of the patients were below 40 years (60%) while only 5.7% were above 60 years of age. Mitral stenosis was more symptomatic at 3^rddecade of age. Most common symptom observed in study subjects was dyspnoea (84.3%), followed by chest pain (62.9%), palpitation (47.1%), pedal oedema (31.4%) and cough (27.1%). 61.43% subjects were previously diagnosed cases of rheumatic MS and 38.57 % subjects were newly detected cases of rheumatic MS

Conclusion:

Mitral stenosis is more common in females in age group of patients above 12 years and commonly affected age group is below 40 years. Dyspnoea and chest pain are commonest symptoms in rheumatic mitral stenosis and most patients are symptomatic at 3^rddecade of age.