LeftAortaVentricleLeftAtriumStenotic MitralWalveultimediasEocalopediaofCongenitalHeaitDease"pymightD1996bySeientitieSoftwareSolutions
PATTE37.8C5.8/3.7-T38.1TCTEET:P50CT9429-25:81PROC1ZA/CLGCOFFFREEHANHOSPITALCARDTOLOGYDEPT8.182SBHM/SXMIT:A12CM34HZ
Natural History: In developed countries, 20-25 yearss latentperiod between episodes of rheumatic feverand clinical signs of MS: Once mild symptoms develop, progressionto complete disability is very rapid (5 years)without intervention. Time course morefulminant in developingcountries
Natural History • In developed countries, 20-25 years latent period between episodes of rheumatic fever and clinical signs of MS • Once mild symptoms develop, progression to complete disability is very rapid (5 years) without intervention • Time course more fulminant in developing countries
Management
Management
Medical? Salt reduction. Diuretics: Control of heart rate with digoxin? Anti-arrhythmic drugs. Preventionwithanti- of thromboembolicoagulants
Medical • Salt reduction • Diuretics • Control of heart rate with digoxin • Anti-arrhythmic drugs • Prevention of thromboemboli with anticoagulants