What does rheumatic heart disease look like?

Written by Liu Ying
Cardiology
Updated on June 16, 2025
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Rheumatic heart disease can cause mitral stenosis, and severe mitral stenosis can present with a "mitral facies," characterized by a ruddy complexion on both cheeks. Normally, the area of the mitral valve orifice is about four to six square centimeters. When the valve area decreases to 1.5 to 2.0 square centimeters, it is considered mild stenosis. Moderate stenosis is from 1.5 to 1.0 square centimeters. Severe stenosis is defined as less than 1.0 square centimeter. For moderate to severe mitral stenosis, if there is progressively worsening dyspnea or pulmonary hypertension, mechanical intervention is required to relieve the mitral stenosis and alleviate symptoms. Interventional and surgical treatments are available, including percutaneous balloon mitral valvuloplasty, mitral valvotomy, and artificial valve replacement. The specific method to be used should be determined by a specialist.

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Written by Wang Lei
Cardiology
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Does rheumatic heart disease require surgery?

Patients with rheumatic heart disease primarily have involvement of valvular lesions, with the most common being accumulation in the mitral valve, leading to mitral stenosis. In the early stage of the disease, mitral stenosis often has no clinical symptoms and can only be detected through physical examinations, such as auscultation, which may reveal mitral valve murmurs. For patients with asymptomatic rheumatic heart disease, conservative treatment is primarily advised, which includes rest and reducing cardiac load to avoid surgery. Additionally, for severe rheumatic heart disease, mitral stenosis can be very serious, affecting the patient's cardiac function and causing symptoms such as chest tightness and fatigue after activity, and even paroxysmal nocturnal dyspnea and inability to lie flat at night. In such cases, surgical treatment is required, such as mitral valvuloplasty or prosthetic valve replacement surgery. Thus, surgery is necessary in the late stages of rheumatic heart disease.

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Written by Fan Yan Fu
Cardiology
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Can people with rheumatic heart disease eat raw onions?

Patients with heart disease must undergo lifestyle modification treatments before some specific treatments, which is a priority. What does improving lifestyle include? It includes appropriate exercise according to the patient's condition, a rational diet, a pleasant mental state, and adequate sleep, which are lifestyle practices adopted by all heart disease patients. A rational diet includes a certain amount of carbohydrates, a variety of fruits, vegetables, and more. As long as these are healthy dietary foods and the patient is not allergic and can tolerate them, they can be consumed. Can patients with rheumatic heart disease eat onions? Yes, they can. First of all, onions are just a type of food. As long as the patient does not have stomach diseases and can tolerate spicy foods, they can eat onions. Onions themselves do not have any special effects; they are simply a vegetable with a spicy taste. They might stimulate appetite, and when appetite is poor, using them may help increase it. Onions do not possess any special effects; they are merely a vegetable and can be consumed if tolerated.

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Written by Jia Qiu Ju
Cardiology
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Rheumatic heart disease requires surgery under what circumstances?

Surgical treatment for rheumatic heart disease includes two methods: interventional surgery and surgical surgery. The indications for interventional surgery are moderate or severe mitral stenosis, a mitral valve area less than 1.5 square centimeters, accompanied by symptoms, cardiac function classification of grade II or higher, or moderate to severe mitral stenosis without symptoms but accompanied by pulmonary hypertension, with a pulmonary artery pressure greater than 50mmHg. Valve morphology suitable for percutaneous intervention means that the valve still has decent flexibility at midnight, with no significant calcification and subvalvular structural disease, no thrombus formation in the left atrium, and no moderate or severe mitral regurgitation. The indications for surgical surgery include moderate or severe mitral stenosis accompanied by symptoms of heart failure, cardiac function between grade III and IV, and patients who are unsuitable for percutaneous mitral valvuloplasty.

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Written by Zhang Yue Mei
Cardiology
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Can rheumatic heart disease cause fever?

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 Zhang Yue Mei
Cardiology
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Which department should I visit for rheumatic heart disease?

Patients with rheumatic heart disease need to visit the department of cardiology for diagnosis and treatment. Rheumatic heart disease involves pathological changes in the heart valves and is considered a serious heart condition that can cause complications such as arrhythmias and heart failure, necessitating regular cardiology visits. For complications that arise, a comprehensive analysis is needed, followed by systemic treatment. These patients should rest regularly, properly use medications, adjust their heart rate, improve heart function, and enhance their quality of life.