Do people with rheumatic heart disease need to take medication regularly?

Written by Di Zhi Yong
Cardiology
Updated on December 20, 2024
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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.

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Written by Zhang Yue Mei
Cardiology
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Rheumatic heart disease contraindications

Patients with rheumatic heart disease must avoid emotional excitement, as it can lead to an increased heart rate and an increased burden on the heart. They must also avoid overexertion, as it can exacerbate heart failure, and a high-salt diet, as consuming too much salt can lead to an increased fluid volume, worsening heart burden and potentially inducing or worsening heart failure. Patients with rheumatic heart disease should generally maintain a pleasant mood, rest adequately, avoid overexertion, eat light and easily digestible foods, and have a high-protein diet. They should also avoid cold and prevent colds to avoid worsening the burden on the heart and the symptoms of heart failure.

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Written by Di Zhi Yong
Cardiology
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Rheumatic heart disease can be relieved by massaging which areas?

Since rheumatic heart disease is a type of valvular disease, especially mitral regurgitation or mitral stenosis, these can lead to rheumatic heart disease. Pathological murmurs can also be heard in the precordial area. The treatment of rheumatic heart disease is primarily pharmacological. If the condition is severe, surgical treatment can be used, but massage is not recommended. Because sometimes massage can exacerbate symptoms and does not alleviate the patient's condition, I personally suggest that it is better not to massage. In treating rheumatic heart disease, if the condition is severe, or the defect area is relatively large, sometimes it is advisable to consider surgical treatment for the patient, but pharmacological treatment can also relieve symptoms.

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Written by Xie Zhi Hong
Cardiology
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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.

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Written by Di Zhi Yong
Cardiology
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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.

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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.