Are the symptoms of rheumatic heart disease severe?

Written by Zhang Yue Mei
Cardiology
Updated on September 23, 2024
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Rheumatic heart disease is a type of organic heart disease where the heart valves are damaged, leading to stenosis and insufficiency. Symptoms vary with the extent of the damage. Mild damage does not significantly alter hemodynamics, and there may be no clinical symptoms, allowing for unrestricted physical activity. Severe damage results in noticeable changes in hemodynamics, presenting with symptoms of heart failure such as coughing, expectoration, cyanosis, palpitations and shortness of breath after activity, swelling of the lower limbs, and indigestion among other signs of heart dysfunction. Early treatment is necessary to prevent worsening of heart failure and to safeguard the patient’s life.

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Written by Zhang Yue Mei
Cardiology
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Can rheumatic heart disease be cured?

There are many clinical treatment methods for rheumatic heart disease, which can improve the quality of life and clinical symptoms of patients with rheumatic heart disease through dietary therapy, but cannot cure it, as rheumatic heart disease involves pathological changes in the valves. Currently, surgery is commonly used in the clinic to treat rheumatic heart disease, to improve the patient's quality of life, enhance cardiac comfort, and improve heart function. Therefore, patients with rheumatic heart disease should not overly rely on folk remedies for a cure, need to pay attention to rest, avoid overexertion to prevent increasing the cardiac burden, and treatment should be under the guidance of a doctor, using different medications according to individual characteristics.

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Written by Zhang Yue Mei
Cardiology
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Rheumatic heart disease contraindications

Patients with rheumatic heart disease must avoid emotional excitement, as it can lead to an increased heart rate and an increased burden on the heart. They must also avoid overexertion, as it can exacerbate heart failure, and a high-salt diet, as consuming too much salt can lead to an increased fluid volume, worsening heart burden and potentially inducing or worsening heart failure. Patients with rheumatic heart disease should generally maintain a pleasant mood, rest adequately, avoid overexertion, eat light and easily digestible foods, and have a high-protein diet. They should also avoid cold and prevent colds to avoid worsening the burden on the heart and the symptoms of heart failure.

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Written by Chen Tian Hua
Cardiology
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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.

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Written by Zhang Yue Mei
Cardiology
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Can rheumatic heart disease be inherited?

Rheumatic heart disease is not hereditary and it is not a genetic disease. Rheumatic heart disease is a hypersensitivity disease caused by an infection, especially following a streptococcal infection. This type of infection leads to the body producing antibodies. In some individuals, these antibodies combine with antigens, causing inflammation of the collagen tissue and affecting the heart. This results in inflammatory lesions on the heart valves, causing the valves to become narrowed or fail to close completely, leading to pathological changes known as rheumatic heart disease.

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Written by Zhang Yue Mei
Cardiology
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What to eat to supplement for rheumatic heart disease?

Rheumatic heart disease often occurs in people with lower resistance, making them susceptible to colds and fevers. Their diet should include foods that enhance immune and disease resistance, such as lean meats, fish, and seafood, which are high in protein, along with milk and eggs. Eating fruits that are rich in vitamins and fibers, like apples, avocados, oranges, and dried fruits, as well as consuming more vegetables, can strengthen the body's resistance and provide various vitamins and trace elements needed by the human body.