title: Late presentation of rheumatic heart disease: a justification for renewal of preventive methods?
abstract: Rheumatic heart disease continues to contribute greatly to the burden of cardiovascular disease in Sub-saharan Africa despite advances in medical care. Evidence suggests that the prevalence is far greater than reported. There is therefore the need to emphasize routine screening for at-risk subjects and to appropriately institute adequate therapy and other preventive measures to avert the late and awry manifestation of the disease as presented in this case. This is a case report of one of numerous cases that may eventually suffer the same fate if urgent preventive measures are not instituted. A 20-year old Nigerian woman with past history of recurrent sore throat and a 10-year history of recurrent easy fatiguability and markedly dilated left atrium and pulmonary hypertension presented when she developed severe pulmonary hypertension. A concerted action at all levels of prevention is needed to reduce the burden of this disease among the young population in developing countries.
authors.affiliation: Cardiology Unit, Dept. of Medicine, Ladoke Akintola University of Technology Teaching Hospital, Osogbo Osun State, Nigeria.
authors.forename: Adeseye Abiodun
authors.initials: AA
authors.lastname: Akintunde
authors.forename: Oladimeji George
authors.initials: OG
authors.lastname: Opadijo