How to treat heart failure caused by rheumatic heart disease?

Written by Xie Zhi Hong
Cardiology
Updated on July 03, 2025
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Patients with rheumatic heart disease who experience heart failure must identify the causes of the heart failure, such as whether the patient has been overworked, excited, or has an infection. If such causes exist, they should be first eliminated, followed by treatments including diuresis, cardiac stimulation, and heart rate control. The most important thing is to address the complications caused by rheumatic heart disease, such as surgical treatment for mitral stenosis or mitral insufficiency, or relieving constrictive pericarditis caused by rheumatic pericarditis, all of which are methods to treat heart failure.

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Does rheumatic heart disease cause joint pain?

Rheumatic heart disease can present with joint pain, especially if the patient has a history of rheumatic arthritis or rheumatoid arthritis, which can be associated with rheumatic heart disease. There is a correlation between the two, but the possibility of rheumatic heart disease cannot be ruled out even if the patient does not have a history of rheumatic diseases. Currently, the treatment is mainly symptomatic. Rheumatic heart disease can include conditions such as mitral stenosis or mitral regurgitation. Murmurs can be heard between the heart chambers, and treatment may involve using medications that strengthen the heart and improve cardiac function.

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Is rheumatic heart disease considered a serious illness?

In the case of rheumatic heart disease, it spans different stages of the disease. In its early stage, it can affect the heart valves to a certain extent. However, this impact may progressively worsen over time. Thus, the initial effects on the heart are not severe. Once it causes mitral valve regurgitation, patients often exhibit clear symptoms, such as chest tightness and shortness of breath after activity, and in severe cases, pulmonary edema, coughing, and expectoration of bloody sputum. Severe cases can lead to nocturnal insomnia and orthopnea, presenting with paroxysmal breathing difficulties. These symptoms indicate cardiac function failure, a serious condition. Therefore, inadequate or delayed treatment can be life-threatening.

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Written by Zhang Yue Mei
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Is rheumatic heart disease hereditary?

Rheumatic heart disease is not hereditary, and it is not a genetic disease; it is not directly related to genetics. It is mainly due to an abnormal immune response caused by streptococcal infection, which leads to damage to the heart valves, resulting in stenosis and insufficiency of the heart valves. It is possible to prevent the occurrence of rheumatic heart disease. Very rare rheumatic streptococcal infections can be reduced by using effective antibiotics to control the streptococcal infection. Common diseases that cause streptococcal infections include tonsillitis and upper respiratory tract infections. Once tonsillitis or an upper respiratory tract infection occurs, effective antibiotics should be used to control the infection as soon as possible.

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What should I do if rheumatic heart disease causes excessive sweating?

If patients frequently experience heart murmurs in the precordial area due to rheumatic heart disease, accompanied by palpitations, chest tightness, and sweating, it is recommended to treat with infusion therapy and use medication to control the patient's heart function. If the patient's heart function is corrected, the symptoms of sweating will also be alleviated or relieved. It is advised that patients visit a cardiology department and choose hospitalization to improve their symptoms. After treatment, long-term and regular oral medication is still needed, as this disease is prone to recurrence. Regular hospital visits for electrocardiograms and echocardiograms are also necessary. If the symptoms are severe, sometimes surgical treatment may be recommended to relieve the current sweating symptoms.

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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.