First Author pada Abstrak “A Descriptive Statistics of Rheumatic Fever and Rheumatic Heart Disease at Tangerang General Hospital in 2014-2019 : A New Local Data”
Ditampilkan sebagai Poster Research Presentation pada 24th ASEAN Federation Cardiology Congress (AFCC) in conjunction with 28th Annual Scientific Meeting of Indoesian Heart Association (ASMIHA)
A Descriptive Statistics of Rheumatic Fever and Rheumatic Heart Disease at Tangerang General Hospital in 2014-2019 : A New Local Data
A. I. Nurudinulloh1, P. R. Indrisia1, D. A. Putra1, S. E. Nauli2, H. Priatna2, P. Rahasto2
1General Practitioner, Tangerang General Hospital
2Department of Cardiology and Vascular Medicine, Tangerang General Hospital
Background
Rheumatic Fever (RF) and Rheumatic Heart Disease (RHD) remains a disease of international importance, despite its decline in incidence in developed countries, they are still major public health problems among children and young adults in developing countries. However, there are few local data in Indonesia that describe RF/RHD both descriptively and inferentially study.
Purpose
To give an overview of the local data on the incidence of RF/RHD in Indonesia, especially in Tangerang–Banten.
Methods
We analyzed 49 patients on ages under 18 y.o. in the time period 2014 – 2019, who were diagnosed with RF/RHD based on the Jones Criteria which was revised by WHO in 2003 and recently by AHA in 2015, and have received Guideline Directed Medical Therapy both primary and secondary prophylaxis.
Results
Patients consist of 44.9% of men and 55.1% of woman. The average age of patients is 11.12 y.o. with the lowest age diagnosed with this disease is 1 y.o. (a rare RHD case). We have found that 32.7% of patients had relapsed (50% of men, 50% of women), 21.7% of patients had Ejection Fraction under 40%, 40.8% of patients had cardiac sequelae (40% of men, 60% of women) consist of Mitral Stenosis moderate-severe (5%), Mitral Regurgitation moderate-severe (100%), and Aortic Regurgitation moderate-severe (25%), and 8.69% of patients had Pulmonary Hypertension. There were 6.3% of patients had severe RHD and had surgical treatment.
Conclusion
These data indicate that RF/RHD events are still found, the rate of relapse is still high, and the problem with cardiac sequel in patients is still found. The prognosis of young Indonesian people diagnosed with RF/RHD is poor; based on this data, early detection and prompt treatment should be done in order to reduce the morbidity.
Keywords: rheumatic fever, rheumatic heart disease
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