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Rheumatic heart disease
Is the rheumatoid factor high in rheumatic heart disease?
If the patient has rheumatic heart disease, especially mitral regurgitation or mitral stenosis, this condition can occur. However, the rheumatoid factor may not necessarily be high, as the rheumatoid factor can lead to some cases of rheumatic heart disease, but it is not always elevated. Because this condition cannot be improved even with aggressive treatment, sometimes surgical treatment may still be needed. This is a type of congenital heart disease that can cause these conditions in patients. Rheumatic heart disease is mainly characterized by chest tightness, difficulty breathing, and a booming or mechanical murmur in the precordial area, all of which can occur, but the rheumatoid factor is not necessarily high.
What should I do if rheumatic heart disease causes excessive sweating?
If patients frequently experience heart murmurs in the precordial area due to rheumatic heart disease, accompanied by palpitations, chest tightness, and sweating, it is recommended to treat with infusion therapy and use medication to control the patient's heart function. If the patient's heart function is corrected, the symptoms of sweating will also be alleviated or relieved. It is advised that patients visit a cardiology department and choose hospitalization to improve their symptoms. After treatment, long-term and regular oral medication is still needed, as this disease is prone to recurrence. Regular hospital visits for electrocardiograms and echocardiograms are also necessary. If the symptoms are severe, sometimes surgical treatment may be recommended to relieve the current sweating symptoms.
Can rheumatic heart disease patients exercise?
Patients with rheumatic heart disease should go to the hospital for assessment, undergo cardiac ultrasound, and perform exercise tests. If the exercise test indicates cardiac function is below class II, or if the six-minute walk test reaches above class IV, exercise can be pursued. If patients have concerns, they can exercise under the guidance of a cardiac rehabilitation therapist at the hospital. For patients with cardiac function class III and above, exercise is not recommended. It is advised that they manage heart failure in the hospital or consider exercise only after surgery and when the condition is stable.
What should I do about rheumatic heart disease asthma?
If the patient has rheumatic heart disease, the main symptoms include palpitations, chest tightness, and shortness of breath after activity, as well as swelling in both lower extremities. If wheezing symptoms occur, some cardiotonic drugs can be used in treatment to improve the patient's symptoms. Currently, treatment primarily focuses on symptomatic relief and improving the patient's cardiac and pulmonary functions. During this period, it is important to actively prevent complications. If the patient's symptoms occur abruptly, it is crucial to seek immediate medical attention at a hospital. Sometimes, infusion therapy and low-flow oxygen inhalation are required to effectively alleviate the patient's current symptoms of palpitations, chest tightness, and breathing difficulties.
Is rheumatic heart disease related to dampness?
Rheumatic heart disease often occurs in the southern regions where there is a higher level of humidity. Some patients develop rheumatic heart disease after suffering from rheumatic arthritis or other rheumatic conditions. In Western medicine, it is believed to be due to a series of immune system damages caused by infection with Group A streptococcus, leading to rheumatic inflammation of the heart or damage to the valve functions. This often presents as mitral stenosis, atrial fibrillation, or pericardial effusion. Therefore, according to traditional Chinese medicine theory, rheumatic heart disease is related to humidity.
What should I do about swollen feet caused by rheumatic heart disease?
Patients with rheumatic heart disease who experience swelling in their feet usually suffer from heart failure. First and foremost, it is important to rest and avoid excessive exertion to alleviate the burden on the heart, ensuring adequate sleep and relaxation, maintaining a pleasant mood, consuming easily digestible foods, and following a low-fat, low-salt diet, particularly avoiding high-sodium foods. Eating foods high in sodium can lead to water and sodium retention, which increases the burden on the heart and worsens swelling. In severe cases, it is necessary to use effective diuretic medications under the guidance of a doctor to reduce the cardiac load and eliminate fluid retention.
Does rheumatic heart disease cause joint pain?
Rheumatic heart disease can present with joint pain, especially if the patient has a history of rheumatic arthritis or rheumatoid arthritis, which can be associated with rheumatic heart disease. There is a correlation between the two, but the possibility of rheumatic heart disease cannot be ruled out even if the patient does not have a history of rheumatic diseases. Currently, the treatment is mainly symptomatic. Rheumatic heart disease can include conditions such as mitral stenosis or mitral regurgitation. Murmurs can be heard between the heart chambers, and treatment may involve using medications that strengthen the heart and improve cardiac function.
Do rheumatic heart disease joints feel cold?
Rheumatic heart disease does not cause cold joints during an attack. The main clinical symptoms are primarily heart failure or arrhythmias. However, due to the underlying rheumatic heart disease, there is rheumatic fever. If it is in the acute phase of rheumatic fever, cold joints, swelling, and pain may occur. It is necessary to conduct further tests including rheumatic factor, erythrocyte sedimentation rate, C-reactive protein, etc., to clarify the specific cause of the cold joints. Treatment can be directed towards the symptoms that appear. The main focus during an attack of rheumatic heart disease should be on managing heart failure and arrhythmias, maintaining heart function, reducing the burden on the heart, and controlling common arrhythmias, such as episodes of atrial fibrillation, among others.
What to do about reduced urine output in the late stage of rheumatic heart disease?
Patients with rheumatic heart disease who experience oliguria in the late stage should consider the possibility of heart failure as the cause. Due to heart failure leading to a decrease in cardiac output, renal blood perfusion is reduced, which in turn causes symptoms of oliguria. Additionally, if the patient also has renal function impairment, it will further exacerbate the symptoms of oliguria. It is important for patients with rheumatic heart disease who experience symptoms of oliguria to seek medical attention promptly and receive active treatment as soon as possible. Medications to control heart failure should be administered to increase the heart's contractility and cardiac output, improve renal perfusion, and diuretics should be given to increase urine output. With heart failure under control, the patient's condition can be alleviated. For patients with rheumatic heart disease, if there are indications for surgery, timely surgical treatment should be provided.
How to deal with a cold and fever in rheumatic heart disease?
Patients with rheumatic heart disease who catch a cold and develop a fever may experience a worsening of their existing rheumatic heart disease, with more severe mitral stenosis or regurgitation, and there could also be recurrent attacks of existing heart failure. Therefore, if a person with rheumatic heart disease catches a cold, it is crucial to seek medical treatment early and go for a hospital examination. If it is a viral infection, antiviral treatment should be given, and for bacterial infections, medications to control and kill bacteria should be administered. Furthermore, if there are repeated fevers during the treatment process, physical methods to reduce fever can be used, such as applying a cold cloth or ice pack to the head when the temperature is below 38°C, along with medication therapy using ibuprofen. In short, it is essential to treat colds and fevers early in patients with rheumatic heart disease. (Medication should be used under the guidance of a physician.)