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Jia Qiu Ju
Cardiology
About me
Associate Chief Physician, engaged in clinical work in cardiovascular medicine for nearly 20 years.
Proficient in diseases
Common cardiovascular diseases, multiple diseases, difficult diseases, emergency and critical illnesses, such as coronary heart disease, acute myocardial infarction, hypertension, chronic heart failure, acute heart failure, arrhythmias, syncope, heart valve disease, myocarditis, cardiomyopathy, pericarditis, pulmonary embolism, aortic dissection, etc.
Voices
Do rheumatic heart disease joints feel cold?
Rheumatic heart disease does not cause cold joints during an attack. The main clinical symptoms are primarily heart failure or arrhythmias. However, due to the underlying rheumatic heart disease, there is rheumatic fever. If it is in the acute phase of rheumatic fever, cold joints, swelling, and pain may occur. It is necessary to conduct further tests including rheumatic factor, erythrocyte sedimentation rate, C-reactive protein, etc., to clarify the specific cause of the cold joints. Treatment can be directed towards the symptoms that appear. The main focus during an attack of rheumatic heart disease should be on managing heart failure and arrhythmias, maintaining heart function, reducing the burden on the heart, and controlling common arrhythmias, such as episodes of atrial fibrillation, among others.
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.
Rheumatic heart disease requires surgery under what circumstances?
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.