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http://ir.mu.ac.ke:8080/jspui/handle/123456789/7792
Title: | Factors that precipitate heart failure among children with rheumatic heart disease |
Authors: | Oyungu, E Nbakwe, E. Esamai, F. |
Keywords: | Rheumatic heart disease Children In-patient care |
Issue Date: | Nov-2011 |
Publisher: | AJOL |
Abstract: | Objective: To identify factors that precipitates heart failure in children with rheumatic heart disease. Design: A descriptive cross-sectional study. Setting: Paediatric wards at the Moi Teaching and Referral Hospital. Subjects: Children with Rheumatic heart disease admitted for in-patient care due to decompensated heart failure. Results: A total of 33 patients were studied, thirty two of whom were in the New York Heart Association (NYHA) class IV and one in class III. Non-compliance to anti- failure therapy was the most common precipitating factor occurring in 87.9% cases. Arrhythmia, recurrent rheumatic fever, pneumonia, infective endocarditis, anaemia and overexertion were identified as other precipitating factors. Seventy percent of the patients did not adhere to secondary prophylaxis against rheumatic fever. Conclusion: Non compliance to anti-failure therapy was the most common precipitating factor. |
URI: | http://ir.mu.ac.ke:8080/jspui/handle/123456789/7792 |
Appears in Collections: | School of Medicine |
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