Can rheumatic heart disease cause fever?

Written by Zhang Yue Mei
Cardiology
Updated on September 28, 2024
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Rheumatic heart disease, in the early stages of onset, can present with fever. The main cause of rheumatic heart disease is due to an infection with streptococcus that causes damage to the heart valves. Initially, bacterial infection is the most prominent clinical manifestation, with common diseases like tonsillitis. If effective medication is applied to control the infection at this time, it can reduce the occurrence of rheumatic heart disease. If not treated promptly, it can lead to damage to the heart valves, resulting in rheumatic heart disease.

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Written by Xie Zhi Hong
Cardiology
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What should I do if rheumatic heart disease catches a cold?

Patients with rheumatic heart disease, if they find they have caught a cold, should go to the hospital for an examination as soon as possible, including blood tests and an electrocardiogram. If a viral infection is suspected, antiviral treatment should be administered promptly. If a bacterial infection is suspected, antibiotics should be given promptly to control the infection. This can prevent the cold from turning into a lower respiratory tract infection or pneumonia. Because if a cold is not treated in time, it often can trigger an episode of heart failure in patients with rheumatic heart disease and can also lead to a further aggravation of rheumatic disease. Therefore, patients with rheumatic heart disease should prevent infections, and the use of long-acting penicillin once a month is very necessary.

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Written by Jia Qiu Ju
Cardiology
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Can rheumatic heart disease cause pain throughout the body?

Rheumatic heart disease itself does not cause generalized pain, but during the acute phase of rheumatic fever, generalized joint pain or fever-induced muscle soreness can occur due to the disease. Rheumatic heart disease arises when rheumatic fever affects the heart valves, leading to conditions such as stenosis and insufficiency. This typically affects the mitral and aortic valves but can also involve the tricuspid and pulmonary valves. Clinical symptoms of rheumatic heart disease primarily include heart dysfunction, chronic heart failure, or acute heart failure episodes, and can also present with arrhythmias, predominantly atrial fibrillation, which can lead to an enlargement of the atria and the formation of mural thrombi, resulting in thromboembolic complications.

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Written by Zhang Yue Mei
Cardiology
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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.

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Written by Xie Zhi Hong
Cardiology
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Does rheumatic heart disease cause dizziness?

Patients with rheumatic heart disease primarily exhibit symptoms of rheumatic myocarditis, pericarditis, or lesions of the mitral valve, aortic valve, and tricuspid valve including the pulmonary valve, with mitral stenosis being the most common. Generally, severe heart disease can impair the heart's pumping ability, leading to insufficient blood supply to the brain, causing dizziness. Some individuals with mitral stenosis may experience an enlargement of the atrium, leading to atrial fibrillation. Once atrial fibrillation occurs, the left atrial appendage can form blood clots, increasing the risk of clot detachment. If a clot detaches, it can pass directly through the right ventricle into the cerebral arteries, causing a major artery embolism that results in dizziness. In severe cases, this can lead to sudden death in patients.

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Written by Di Zhi Yong
Cardiology
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Can mild rheumatic heart disease be pregnant?

Generally, for patients with mild rheumatic heart disease, pregnancy is not recommended. Pregnancy can sometimes increase the burden on the heart, leading to heart failure. If this condition is treated in time, or if the patient has relatively good heart function and rheumatic heart disease rarely recurs, pregnancy can still be considered for young female patients. However, for rheumatic heart disease patients experiencing palpitations and chest tightness, it is best not to consider pregnancy. This condition can increase the load on the heart, especially in the late stages of pregnancy, and may further exacerbate heart failure.