What should I do about rheumatic heart disease asthma?

Written by Di Zhi Yong
Cardiology
Updated on February 25, 2025
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If the patient has rheumatic heart disease, the main symptoms include palpitations, chest tightness, and shortness of breath after activity, as well as swelling in both lower extremities. If wheezing symptoms occur, some cardiotonic drugs can be used in treatment to improve the patient's symptoms.

Currently, treatment primarily focuses on symptomatic relief and improving the patient's cardiac and pulmonary functions. During this period, it is important to actively prevent complications. If the patient's symptoms occur abruptly, it is crucial to seek immediate medical attention at a hospital. Sometimes, infusion therapy and low-flow oxygen inhalation are required to effectively alleviate the patient's current symptoms of palpitations, chest tightness, and breathing difficulties.

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Written by Wang Lei
Cardiology
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Do patients with rheumatic heart disease fear catching a cold?

Rheumatic heart disease is mainly caused by infections from hemolytic streptococci, leading to heart valve abnormalities and changes in cardiac function and structure. The condition most commonly affects the mitral valve, resulting in mitral regurgitation. Patients often exhibit symptoms of heart failure. Exposure to cold or catching a cold can exacerbate the burden on the heart, leading to increased cardiac load and worsening symptoms of heart failure. Therefore, patients with rheumatic heart disease are particularly susceptible and fearful of catching colds. It is crucial for these patients to stay warm, use medication promptly when symptoms of a cold appear, and avoid vigorous exercise to prevent an increased cardiac load and potential acute heart failure. (Medication should be taken under the guidance of a doctor.)

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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.

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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.

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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 Xie Zhi Hong
Cardiology
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Can rheumatic heart disease with enlarged heart be treated with surgery?

Patients with rheumatic heart disease generally present with valvular insufficiency or severe stenosis. If the patient's heart is enlarged and the ejection fraction significantly decreases, for example, if the left ventricular diastolic diameter is greater than 75, and the ejection fraction is less than 30%, the surgical outcome may be poor. This is particularly the case if there is associated pulmonary arterial hypertension, which may lead to no improvement in condition after surgery, indicating a poor surgical outcome. However, if the patient has severe stenosis or insufficiency of the valve function, not performing surgery could further worsen the condition.