【摘 要】
：
Objective :Rheumatic fever (RF) and its sequel, Rheumatic Heart Disease (RHD) is a disease of significant medical and public health concern.Valvular heart disease (VHD) is the term given to any diseas
【机 构】
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Tabriz University of medical science Iran
【出 处】
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BITs 2rd Annual World Cancer Congress of Cardiology-2010(201
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Objective :Rheumatic fever (RF) and its sequel, Rheumatic Heart Disease (RHD) is a disease of significant medical and public health concern.Valvular heart disease (VHD) is the term given to any disease process involving one or more of the heart valves.The condition can be congenital or acquired, for example as a result of atherosclerosis or rheumatic fever.Methods: This prospective study included 3418 consecutive cardiac surgery patients who underwent valve surgery over the past 5 years in 6 major hospitals.Etiologic and pathologic data of the valves were based on either pathologic reports (for replaced valves) or gross detection of the surgeons (for repaired valves).Results: The mean age of subjects was 43.98±14.45 years.1616(47.27%) of them were male and 1802(52.73%) were female.Approximately 46% (1572) of the patients underwent mitral valve surgery.Mitral valve disease was found to be due to ischemia in 327(9.56), infective endocartidits in 68 (1.99), congenital problems in 71 (2.08) and degenerative etiology in 264(7.72).Rheumatic valve disease was most frequent in patients of 40-49 years old.Conclusions: This study shows that rheumatic valvular disease remains the most frequent valvular pathology among patients undergoing valvular surgery in Iran.The relatively high mean age of patients with rheumatic valvular disease emphasizes the priority of this health problem in Iran which requires particular attention, especially in terms of prevention and also treatment.
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