Can rheumatic heart disease heal itself?

Written by Zhang Yue Mei
Cardiology
Updated on September 12, 2024
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Rheumatic heart disease cannot heal itself, because it is caused by pathological damage to the heart valves, leading to narrowing of the valves and incomplete closure. Through careful treatment and management, clinical symptoms can be alleviated, but it cannot heal itself. Those with rheumatic heart disease must take it seriously, try to reduce the burden on the kidneys, and minimize colds. Eating easily digestible food, reducing the burden on the heart, and adhering to a low-salt, low-fat diet are recommended.

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Written by Xie Zhi Hong
Cardiology
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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.

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Written by Di Zhi Yong
Cardiology
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Can rheumatic heart disease eat seafood?

For patients with rheumatic heart disease, it is recommended to avoid seafood in their diet. This is because seafood is relatively stimulating and can cause allergic reactions in patients. It is advisable for patients with rheumatic heart disease to follow a light diet, especially consuming easily digestible foods. During this period, the gastrointestinal function of patients is not very good, and there may be some congestion in the gastrointestinal tract, leading to a decrease in appetite. Therefore, it is even more important to eat foods that are easy to digest and pass through the digestive system. It is also important to maintain regular bowel movements. Particularly, spicy and stimulating foods should be avoided. Moreover, regular check-ups of the electrocardiogram and cardiac ultrasound are necessary.

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Written by Di Zhi Yong
Cardiology
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Do people with rheumatic heart disease need to take medication regularly?

Patients with rheumatic heart disease should also maintain a light diet, especially avoiding spicy and irritating foods. It is important to monitor changes in heart rate, blood pressure, and pulse. If the heart rate is too fast or the blood pressure is high, it may sometimes be necessary to use medication for early intervention. Rheumatic heart disease mainly manifests as chest tightness and difficulty breathing, and sometimes it can also present as swelling of the lower limbs. With active treatment, these symptoms can normally be alleviated. It is also important to monitor changes in heart rate and pulse regularly. If there are any incidents or difficulty in breathing, it is necessary to go to the hospital for treatment. During this period, it is still important to educate patients to regularly and routinely take oral medications to improve heart function, which is beneficial.

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Written by Di Zhi Yong
Cardiology
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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.

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Written by Xie Zhi Hong
Cardiology
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Can rheumatic heart disease cause angina?

Rheumatic heart disease most commonly manifests as rheumatic myocarditis, pericardial thickening, or pericardial effusion. The majority of patients also present with mitral valve stenosis and insufficiency, and some also have aortic valve stenosis and insufficiency. When patients have severe aortic valve stenosis or severe aortic valve insufficiency, it leads to insufficient blood supply from the aorta, causing inadequate coronary circulation, which then can lead to angina.