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Rheumatic heart disease
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.
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.
What to do about reduced urine output in the late stage of rheumatic heart disease?
Patients with rheumatic heart disease who experience oliguria in the late stage should consider the possibility of heart failure as the cause. Due to heart failure leading to a decrease in cardiac output, renal blood perfusion is reduced, which in turn causes symptoms of oliguria. Additionally, if the patient also has renal function impairment, it will further exacerbate the symptoms of oliguria. It is important for patients with rheumatic heart disease who experience symptoms of oliguria to seek medical attention promptly and receive active treatment as soon as possible. Medications to control heart failure should be administered to increase the heart's contractility and cardiac output, improve renal perfusion, and diuretics should be given to increase urine output. With heart failure under control, the patient's condition can be alleviated. For patients with rheumatic heart disease, if there are indications for surgery, timely surgical treatment should be provided.
How to deal with a cold and fever in rheumatic heart disease?
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.)
What to do about systemic edema in rheumatic heart disease?
If the patient has rheumatic heart disease, the current treatment mainly focuses on symptomatic treatment. If the patient experiences generalized edema, it may be due to sodium and water retention causing the swelling. In this case, some diuretics can be used to reduce the workload on the heart and improve symptoms. It is recommended that the patient be hospitalized. During this period, some cardiac diuretics can be used to alleviate symptoms. If heart failure is corrected in time, such edema can be reduced. Active symptomatic treatment is still necessary to mitigate the patient's current condition, but during this period, it is also important to monitor changes in the patient's heart rate and blood pressure.
Can people with rheumatic heart disease eat raw onions?
Patients with heart disease must undergo lifestyle modification treatments before some specific treatments, which is a priority. What does improving lifestyle include? It includes appropriate exercise according to the patient's condition, a rational diet, a pleasant mental state, and adequate sleep, which are lifestyle practices adopted by all heart disease patients. A rational diet includes a certain amount of carbohydrates, a variety of fruits, vegetables, and more. As long as these are healthy dietary foods and the patient is not allergic and can tolerate them, they can be consumed. Can patients with rheumatic heart disease eat onions? Yes, they can. First of all, onions are just a type of food. As long as the patient does not have stomach diseases and can tolerate spicy foods, they can eat onions. Onions themselves do not have any special effects; they are simply a vegetable with a spicy taste. They might stimulate appetite, and when appetite is poor, using them may help increase it. Onions do not possess any special effects; they are merely a vegetable and can be consumed if tolerated.
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.
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.
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.