Non communicable diseases: Basics of Cardiovascular diseases and Rheumatic Heart Disease for 3rd MBBS UG students based on Park textbook of community medicine.

1. NCD
CARDIOVASCULAR DISEASES-1
Dr Mamta G
MBBS, MD PSM, PGDHHM, PGDG
CVD BASICS and RHD

2. 70% of all deaths are due to NCDs
75% of these deaths occur in LMICs

3. Cardio-vascular diseases
-diseases of the heart and the vascular system.
• ischaemic heart disease (IHD)
• hypertension
• cerebrovascular disease (stroke)
• congenital heart disease
• Rheumatic heart disease (RHD) in many developing countries

5. Global burden

7. WHAT ARE THE SYMPTOMS???

13. Prevention- INDIVIDUAL OR COMMUNITY???

14. Primary prevention- before the event.
• POPULATION WIDE interventions
• INDIVIDUAL high risk approach

15. Secondary prevention- after the event.
• MEDICINE
• SURGERY

16. Rheumatic Heart Disease

17. Rheumatic Heart disease- Case from Uganda
https://www.youtube.com/watch?v=nnK5umj8_Yo&t=1s

18. Rheumatic fever
• Febrile disease
• Affecting connective tissues particularly in the heart and joints
• Initiated by infection of the throat by group A beta haemolytic streptococci.
• Rheumatic fever often leads to RHD
• Consequences of RHD: continuing damage to the heart; increasing
disabilities; repeated hospitalization, and premature death usually by the
age of 35 years or even earlier.
• RHD is one of the most readily preventable chronic disease.

19. Epidemiology

21. India- RHD
5 per 1000 in 5-15 age group = 1 in every 200 children

23. Polyarthralgia- big joints

25. Nodules

26. Chorea
https://i.makeagif.com/media/12-18-2014/nTO1gi.gif

28. Juvenile
Mitral
Stenosis

29. Diagnosis- Revised Jones criteria

34. Burden of RHD
https://www.youtube.com/watch?v=3Bi1xlPhD7w

36. Refreshments for your brain

37. A
B
A is _____________
B is _____________

38. C
Most commonly affected heart valve in RHD is ?

39. 75% of all NCD deaths occur in …………………
D

40. Four major modifiable risk factors of NCDs-
E

41. Four major NCDs- F

42. Answers-
A- Penicillin
B- Joints
C- Mitral
D- LMICs
E- Smoking, alcohol, Unhealthy diet, lack of physical activity
F- Diabetes, CVD, Stroke, Cancer