RHEUMATIC HEART DISEASE
Acute rheumatic fever (ARF) is a consequence of inadequate treatment of skin or pharyngeal infection with group a streptococcus (GAS). ARF requires secondary prophylaxis of penicillin to prevent recurring episodes, as well as to prevent the possibility of developing the most serious consequence of rheumatic heart disease (RHD). It is estimated that at least 15 million people are currently living with RHD. Each year approximately 282,000 new cases develop and 233, 000 deaths may be attributed to the disease. 1.World Health Organization. A Review of the Technical Basis for the Control of Conditions Associated with Group A Streptococcal Infections. Geneva: World Health Organization; 2005. pp. 1-46. 2.Carapetis JR. Rheumatic heart disease in developing countries. N Engl J Med. 2007;357:439-441. doi: 10.1056/NEJMp078039. [PubMed] [Cross Rea 3.Seckeler MD, Hoke TR. The worldwide epidemiology of acute rheumatic fever and rheumatic heart disease. Clin Epidemiol. 2011;3:67-84.
CONGENITAL HEART DEFECTS
A congenital heart defect is a problem with the structure of the heart. It is present at birth. Congenital heart defects are the most common type of birth defect. The defects can involve the walls of the heart, the valves of the heart, and the arteries and veins near the heart. They can disrupt the normal flow of blood through the heart. The blood flow can slow down, go in the wrong direction or to the wrong place, or be blocked completely.
CARDIAC REHABILITATION PROGRAM
Cardiac rehab is a program designed specifically for you and your medical needs. It includes exercise, lifestyle changes, education, and emotional support. It can help improve your health and enable you to live a more active life. Cardiac rehab can also help you return to work safely and in a timely manner. You may start a cardiac rehab program while you are still in the hospital after having treatment for a heart attack or other heart problem, soon after leaving the hospital, or at any other time to help prevent future heart problems, improve the quality of your life, and make you healthier. Your doctor will give you an exercise prescription that gives you and your cardiac rehab team guidelines for the frequency, duration, and intensity of exercise. The prescription will be based on your medical condition and your fitness level.