Can rheumatic heart disease cause fever?

Written by Zhang Yue Mei
Cardiology
Updated on September 28, 2024
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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 Wang Lei
Cardiology
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Can rheumatic heart disease be cured completely?

Rheumatic heart disease is primarily a specific type of valvular heart disease caused by the involvement of rheumatic fever affecting the heart valves. This disease can be alleviated through medication and surgical treatments. For asymptomatic rheumatic heart disease, special treatment is generally unnecessary. It is mainly important to avoid excessive fatigue and increased cardiac load. Additionally, avoiding getting a cold and preventing the activity of rheumatic fever are crucial. For cases of rheumatic heart disease that require surgical treatment, it is necessary to assess the heart's function and the condition of the valves to determine if there is an indication for surgery. Options may include mitral valvuloplasty or prosthetic valve replacement. These treatments can relieve the heart failure caused by this cardiac disease, but it is impossible to cure rheumatic heart disease through surgery.

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Written by Xie Zhi Hong
Cardiology
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The causes of syncope in rheumatic heart disease.

The most common manifestation of rheumatic heart disease involves the mitral valve, leading to severe stenosis and insufficiency of the mitral valve, and decreasing the amount of blood returning to the heart. At this time, there is not enough blood returning to the heart, and naturally, the amount of blood pumped out is reduced. If it is extremely severe, it can lead to fainting; this is the first scenario. The second scenario is rheumatic heart disease affecting the aortic valve, which can also result in insufficient blood being pumped out, causing ischemia and hypoxia in the cerebral arteries, leading to fainting. Another situation is related to heart arrhythmias, which are divided into two types. One type occurs when rheumatic heart disease is very severe, potentially causing atrial fibrillation. Some patients with cardiac bypass might experience ventricular fibrillation, leading to fainting. Additionally, there is a scenario where severe rheumatic inflammation causes dysfunction in the heart's conduction system, leading to conditions similar to sick sinus syndrome or complete atrioventricular block, causing significantly slow heart rhythms, which may also lead to fainting.

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Written by Zhang Yue Mei
Cardiology
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Can rheumatic heart disease be cured?

There are many clinical treatment methods for rheumatic heart disease, which can improve the quality of life and clinical symptoms of patients with rheumatic heart disease through dietary therapy, but cannot cure it, as rheumatic heart disease involves pathological changes in the valves. Currently, surgery is commonly used in the clinic to treat rheumatic heart disease, to improve the patient's quality of life, enhance cardiac comfort, and improve heart function. Therefore, patients with rheumatic heart disease should not overly rely on folk remedies for a cure, need to pay attention to rest, avoid overexertion to prevent increasing the cardiac burden, and treatment should be under the guidance of a doctor, using different medications according to individual characteristics.

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Written by Zhang Yue Mei
Cardiology
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Are the symptoms of rheumatic heart disease severe?

Rheumatic heart disease is a type of organic heart disease where the heart valves are damaged, leading to stenosis and insufficiency. Symptoms vary with the extent of the damage. Mild damage does not significantly alter hemodynamics, and there may be no clinical symptoms, allowing for unrestricted physical activity. Severe damage results in noticeable changes in hemodynamics, presenting with symptoms of heart failure such as coughing, expectoration, cyanosis, palpitations and shortness of breath after activity, swelling of the lower limbs, and indigestion among other signs of heart dysfunction. Early treatment is necessary to prevent worsening of heart failure and to safeguard the patient’s life.

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Written by Zhang Yue Mei
Cardiology
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Can rheumatic heart disease heal itself?

Rheumatic heart disease cannot heal itself, because it is caused by pathological damage to the heart valves, leading to narrowing of the valves and incomplete closure. Through careful treatment and management, clinical symptoms can be alleviated, but it cannot heal itself. Those with rheumatic heart disease must take it seriously, try to reduce the burden on the kidneys, and minimize colds. Eating easily digestible food, reducing the burden on the heart, and adhering to a low-salt, low-fat diet are recommended.