CARDIAC LESION OF RHEUMATIC FEVER

MEMANG  TAK ADA KERJA DAH MUSIM-MUSIM PEPERIKSAAN
MOGA ADA MANFAATNYA

RHEUMATIC PERICARDITIS

• ACUTE 
•  SEROFIBRINOUS PERICARDIATIS
• SCANTY SEROUS EXCUDATE IN PRECARDIAL SAC
• EXCESS FIBRIN DEPOSITS ON VISCERAL AND PARIETAL PERICARDIUM
• CHRONIC PHASE
• MILKY PATCHES
• ADHESION BETWEEN VISCERAL AND PARIETAL PERICARDIUM
• MEDIASTINOPERICARDITIS

RHEUMATIC MYOCARDITIS

SITE-MYOCARDIUM OF THE LEFT SIDE OF THE HEART

• ACUTE-CHARACTERIZED BY
• PRESENCE OF ASCHOFF NODULES
• CARDIAC MUSCLE NEAR THE ASCHOFF NODULES SHOW
• OEDEMA
• SLIGHTLY CELLULAR INFILTRATION
• CHRONIC PHASE
• ASCHOFF MODULES HEAL BY FORMATION OF FIBROUS SCARS
• PROGNOSIS
• RHEUMATIC FEVER MILD 
• LEAD TO LEFT VENTRICULAR FAILURE

RHEUMATIC ENDOCARDITIS

SITE-EFFECT MURAL AND VALVULAR ENDOCARDIUM

·         MURAL ENDOCARDIAL PHASE

• ACUTE
• DEVELOPMENT OF NUMEROUS ASCHOFF NODULES
• CHRONIC PHASE
• PRESENCE OF MAC CALLUM`S PATCH

·      VALVULAR ENDOCARDIAL LESION

o    IT EFFECT MAINLY MITRAL AND AORTIC VALVE

§  MITRAL VALVE ALONE 70%

§  MITRAL VALVE AND AORTIC 25%

§  TRISCUSPID VALVE MAY BE AFFECTED

§  PULMONARY VALVE (RARELY AFFECTED)

·         ACUTE PHASE

o    VALVE CUSPS SWOLLEN

o    FRICTION OF SWOLLEN CUSPS

o    FORMATION OF RHEUMATIC VEGETATIONS

·         CHRONIC PHASE

o    VEGETATION

o    INFLAMESD CUSPS

o    CHORDAE TANDENAE-FIBROSED,THICK SHORT

o    PHASE MAY LEAD TO

§  VALVE STENOSIS

§  VALVE INCOMPETENCE

§  DOUBLE VALVE LESION