How does one get rheumatic heart disease?

Written by Zhang Yue Mei
Cardiology
Updated on September 14, 2024
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Rheumatic heart disease is a type of organic heart disease caused by the body's abnormal reaction to infection with hemolytic streptococcus, leading to valve damage and the occurrence of rheumatic heart disease. It is directly related to upper respiratory tract infections and tonsillitis. To prevent the occurrence of heart disease, it is important to control infections early. Upon the appearance of upper respiratory tract infections, tonsillitis, or tonsillar suppuration, timely selection of effective antibiotics for treatment can control the infection early and prevent the onset of rheumatic heart disease.

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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 Di Zhi Yong
Cardiology
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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.

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

Rheumatic heart disease is not hereditary and it is not a genetic disease. Rheumatic heart disease is a hypersensitivity disease caused by an infection, especially following a streptococcal infection. This type of infection leads to the body producing antibodies. In some individuals, these antibodies combine with antigens, causing inflammation of the collagen tissue and affecting the heart. This results in inflammatory lesions on the heart valves, causing the valves to become narrowed or fail to close completely, leading to pathological changes known as rheumatic heart disease.

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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 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.)