Does rheumatic heart disease require surgery?

Written by Wang Lei
Cardiology
Updated on September 28, 2024
00:00
00:00

Patients with rheumatic heart disease primarily have involvement of valvular lesions, with the most common being accumulation in the mitral valve, leading to mitral stenosis. In the early stage of the disease, mitral stenosis often has no clinical symptoms and can only be detected through physical examinations, such as auscultation, which may reveal mitral valve murmurs. For patients with asymptomatic rheumatic heart disease, conservative treatment is primarily advised, which includes rest and reducing cardiac load to avoid surgery. Additionally, for severe rheumatic heart disease, mitral stenosis can be very serious, affecting the patient's cardiac function and causing symptoms such as chest tightness and fatigue after activity, and even paroxysmal nocturnal dyspnea and inability to lie flat at night. In such cases, surgical treatment is required, such as mitral valvuloplasty or prosthetic valve replacement surgery. Thus, surgery is necessary in the late stages of rheumatic heart disease.

Other Voices

doctor image
home-news-image
Written by Wang Lei
Cardiology
50sec home-news-image

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.)

doctor image
home-news-image
Written by Xie Zhi Hong
Cardiology
59sec home-news-image

Can patients with rheumatic heart disease not drink a lot of water?

The early manifestations of rheumatic heart disease include rheumatic myocarditis or pericarditis, sometimes accompanied by significant pericardial effusion. In later stages, there may be thickening of the pericardium, presenting as constrictive pericarditis. Some patients may also develop severe mitral stenosis, aortic stenosis, or insufficiency. When the disease reaches a certain level of severity, the patient can experience cardiac failure and systemic sodium and water retention. In such cases, it becomes necessary to control water intake. Therefore, in the early stages of rheumatic heart disease when there is no cardiac failure, it is possible to drink more water. However, when patients experience severe cardiac failure, edema, and similar conditions, it is not advisable to drink excessive amounts of water.

doctor image
home-news-image
Written by Di Zhi Yong
Cardiology
50sec home-news-image

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.

doctor image
home-news-image
Written by Xie Zhi Hong
Cardiology
43sec home-news-image

Does rheumatic heart disease cause bloating?

Rheumatic heart disease can cause stomach bloating. The main reason is that if the patient has severe tricuspid regurgitation, it can lead to right heart failure, causing congestion in the gastrointestinal tract. This leads to a decrease in appetite and a feeling of stomach bloating. Additionally, some heart disease patients are treated for heart failure with large amounts of diuretics, causing electrolyte disorders, such as low sodium or low potassium levels. Patients often exhibit symptoms of stomach bloating, and even nausea, vomiting, and increased fatigue. Thus, rheumatic heart disease can cause stomach bloating.

doctor image
home-news-image
Written by Di Zhi Yong
Cardiology
44sec home-news-image

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.