Rheumatic heart disease requires surgery under what circumstances?

Written by Jia Qiu Ju
Cardiology
Updated on January 04, 2025
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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 Di Zhi Yong
Cardiology
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Do people with rheumatic heart disease need to take medication regularly?

Patients with rheumatic heart disease should also maintain a light diet, especially avoiding spicy and irritating foods. It is important to monitor changes in heart rate, blood pressure, and pulse. If the heart rate is too fast or the blood pressure is high, it may sometimes be necessary to use medication for early intervention. Rheumatic heart disease mainly manifests as chest tightness and difficulty breathing, and sometimes it can also present as swelling of the lower limbs. With active treatment, these symptoms can normally be alleviated. It is also important to monitor changes in heart rate and pulse regularly. If there are any incidents or difficulty in breathing, it is necessary to go to the hospital for treatment. During this period, it is still important to educate patients to regularly and routinely take oral medications to improve heart function, which is beneficial.

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Written by Di Zhi Yong
Cardiology
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What should I do if I have dizziness and nausea due to rheumatic heart disease?

If a patient with rheumatic heart disease experiences dizziness, fatigue, nausea, and vomiting, these symptoms require active management. The current treatment for rheumatic heart disease primarily focuses on symptomatic treatment. It also involves the use of medications that improve heart function and reduce cardiac load. This helps in controlling heart rate, blood pressure, and pulse changes, thereby alleviating symptoms. If a patient presents with dizziness, nausea, and vomiting, it could sometimes be due to insufficient cerebral arterial blood supply or ischemic cerebrovascular disease. In such cases, a head CT scan should be performed for a more definitive diagnosis. Treatment may include the use of vasodilators and other medications to improve circulation and provide symptomatic relief.

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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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What to eat to supplement for rheumatic heart disease?

Rheumatic heart disease often occurs in people with lower resistance, making them susceptible to colds and fevers. Their diet should include foods that enhance immune and disease resistance, such as lean meats, fish, and seafood, which are high in protein, along with milk and eggs. Eating fruits that are rich in vitamins and fibers, like apples, avocados, oranges, and dried fruits, as well as consuming more vegetables, can strengthen the body's resistance and provide various vitamins and trace elements needed by the human body.

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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.