Can mild rheumatic heart disease be pregnant?

Written by Di Zhi Yong
Cardiology
Updated on May 10, 2025
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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.

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Written by Di Zhi Yong
Cardiology
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What to do about rheumatic heart disease joint pain?

If the patient has a history of rheumatoid arthritis or rheumatic heart disease, symptomatic treatment is primarily used in their treatment. If the patient experiences joint pain, it is suggested that they can use some non-steroidal anti-inflammatory drugs (NSAIDs) to control their symptoms. Another approach is to recommend Chinese herbal medicine treatments, including acupuncture and massage to relieve joint pain. Since rheumatic heart disease mainly manifests as a cardiac condition, particularly when the patient experiences palpitations and chest tightness, it is crucial to actively manage these symptoms using cardioprotective drugs or positive inotropic drugs to improve cardiac function.

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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 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 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 Zhang Yue Mei
Cardiology
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Rheumatic heart disease causes

The primary cause of rheumatic heart disease is an abnormal immune response caused by infection with hemolytic streptococcus, which leads to damage of the heart valves. This damage results in narrowing or insufficiency of the valves, altering the hemodynamics within the blood and increasing the burden on the heart, thereby causing a series of clinical symptoms. Early control of streptococcal infections can reduce the occurrence of rheumatic heart disease. Common streptococcal infections include upper respiratory tract infections, acute tonsillitis, and suppurative tonsillitis. Actively using effective antibiotics to control these infections can greatly reduce the incidence of rheumatic heart disease.