How to deal with a cold and fever in rheumatic heart disease?

Written by Xie Zhi Hong
Cardiology
Updated on January 25, 2025
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Patients with rheumatic heart disease who catch a cold and develop a fever may experience a worsening of their existing rheumatic heart disease, with more severe mitral stenosis or regurgitation, and there could also be recurrent attacks of existing heart failure. Therefore, if a person with rheumatic heart disease catches a cold, it is crucial to seek medical treatment early and go for a hospital examination. If it is a viral infection, antiviral treatment should be given, and for bacterial infections, medications to control and kill bacteria should be administered. Furthermore, if there are repeated fevers during the treatment process, physical methods to reduce fever can be used, such as applying a cold cloth or ice pack to the head when the temperature is below 38°C, along with medication therapy using ibuprofen. In short, it is essential to treat colds and fevers early in patients with rheumatic heart disease. (Medication should be used under the guidance of a physician.)

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Written by Wang Lei
Cardiology
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Can rheumatic heart disease be cured completely?

Rheumatic heart disease is primarily a specific type of valvular heart disease caused by the involvement of rheumatic fever affecting the heart valves. This disease can be alleviated through medication and surgical treatments. For asymptomatic rheumatic heart disease, special treatment is generally unnecessary. It is mainly important to avoid excessive fatigue and increased cardiac load. Additionally, avoiding getting a cold and preventing the activity of rheumatic fever are crucial. For cases of rheumatic heart disease that require surgical treatment, it is necessary to assess the heart's function and the condition of the valves to determine if there is an indication for surgery. Options may include mitral valvuloplasty or prosthetic valve replacement. These treatments can relieve the heart failure caused by this cardiac disease, but it is impossible to cure rheumatic heart disease through surgery.

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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 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 Xie Zhi Hong
Cardiology
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Can rheumatic heart disease patients exercise?

Patients with rheumatic heart disease should go to the hospital for assessment, undergo cardiac ultrasound, and perform exercise tests. If the exercise test indicates cardiac function is below class II, or if the six-minute walk test reaches above class IV, exercise can be pursued. If patients have concerns, they can exercise under the guidance of a cardiac rehabilitation therapist at the hospital. For patients with cardiac function class III and above, exercise is not recommended. It is advised that they manage heart failure in the hospital or consider exercise only after surgery and when the condition is stable.

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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.)