Are the symptoms of rheumatic heart disease severe?

Written by Zhang Yue Mei
Cardiology
Updated on September 23, 2024
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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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Rheumatic heart disease causes

The primary cause of rheumatic heart disease is an abnormal immune response caused by infection with hemolytic streptococcus, which leads to damage of the heart valves. This damage results in narrowing or insufficiency of the valves, altering the hemodynamics within the blood and increasing the burden on the heart, thereby causing a series of clinical symptoms. Early control of streptococcal infections can reduce the occurrence of rheumatic heart disease. Common streptococcal infections include upper respiratory tract infections, acute tonsillitis, and suppurative tonsillitis. Actively using effective antibiotics to control these infections can greatly reduce the incidence of rheumatic heart disease.

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Written by Wang Lei
Cardiology
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Is rheumatic heart disease considered a serious illness?

In the case of rheumatic heart disease, it spans different stages of the disease. In its early stage, it can affect the heart valves to a certain extent. However, this impact may progressively worsen over time. Thus, the initial effects on the heart are not severe. Once it causes mitral valve regurgitation, patients often exhibit clear symptoms, such as chest tightness and shortness of breath after activity, and in severe cases, pulmonary edema, coughing, and expectoration of bloody sputum. Severe cases can lead to nocturnal insomnia and orthopnea, presenting with paroxysmal breathing difficulties. These symptoms indicate cardiac function failure, a serious condition. Therefore, inadequate or delayed treatment can be life-threatening.

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Written by Zhang Yue Mei
Cardiology
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Can patients with rheumatic heart disease eat spicy food?

Patients with rheumatic heart disease should not consume spicy foods, including chili peppers. Chili peppers are considered heat-inducing foods that can cause an increase in heart rate, thereby exacerbating the burden on the heart. They can also irritate the gastrointestinal tract and worsen the clinical symptoms of rheumatic heart disease. Patients with rheumatic heart disease should focus on a diet that is bland, easy to digest, and high in vitamins, fiber, and quality protein. They should avoid spicy and greasy foods, consume fewer nuts, and eat more vegetables, which can help alleviate symptoms and reduce the burden on the heart.

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Written by Wang Lei
Cardiology
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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.)

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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.