背景:风湿性心脏病(RHD)继续对全球健康构成重大负担,特别是在社会经济弱势群体中。我们介绍了一名38岁的女性,患有严重的多瓣膜RHD和巨大的心房,强调管理这种情况的挑战和复杂性。
方法:患者出现逐渐恶化的呼吸困难,右心衰竭的迹象,和严重的瓣膜异常.诊断评估显示二尖瓣狭窄和反流形式的严重混合型二尖瓣疾病,主动脉瓣和三尖瓣受累,导致两心房明显扩大。尽管面临社会经济限制和治疗依从性差,患者接受了成功的手术干预,导致显著的症状改善。
结论:通过这个案例,我们强调早期发现的重要性,综合管理策略,以及解决RHD复杂性的多学科护理。尽管社会经济差距带来了挑战,通过及时的诊断和适当的干预,可以取得积极的结果.此案强调了有针对性的努力,以改善对医疗保健资源的获取并减轻RHD的全球负担。
BACKGROUND: Rheumatic heart disease (RHD) continues to pose a significant burden on global health, particularly in socioeconomically disadvantaged populations. We present the case of a 38-year-old woman with severe multivalvular RHD and giant atria, highlighting the challenges and complexities of managing this condition.
METHODS: The patient presented with progressively worsening dyspnoea, signs of right heart failure, and severe valvular abnormalities. Diagnostic evaluations revealed severe mixed mitral valve disease in the form of mitral stenosis and regurgitation, along with involvement of the aortic and tricuspid valves, leading to significant enlargement of both atria. Despite facing socioeconomic constraints and poor adherence to treatment, the patient underwent successful surgical intervention, resulting in remarkable symptomatic improvement.
CONCLUSIONS: Through this case, we emphasise the importance of early detection, comprehensive management strategies, and multidisciplinary care in addressing the complexities of RHD. Despite the challenges posed by socioeconomic disparities, positive outcomes can be achieved with timely diagnosis and appropriate intervention. This case underscores the need for targeted efforts to improve access to healthcare resources and reduce the global burden of RHD.