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 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 Jia Qiu Ju
Cardiology
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Do rheumatic heart disease joints feel cold?

Rheumatic heart disease does not cause cold joints during an attack. The main clinical symptoms are primarily heart failure or arrhythmias. However, due to the underlying rheumatic heart disease, there is rheumatic fever. If it is in the acute phase of rheumatic fever, cold joints, swelling, and pain may occur. It is necessary to conduct further tests including rheumatic factor, erythrocyte sedimentation rate, C-reactive protein, etc., to clarify the specific cause of the cold joints. Treatment can be directed towards the symptoms that appear. The main focus during an attack of rheumatic heart disease should be on managing heart failure and arrhythmias, maintaining heart function, reducing the burden on the heart, and controlling common arrhythmias, such as episodes of atrial fibrillation, among others.

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Written by Xie Zhi Hong
Cardiology
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How to deal with a cold and fever in rheumatic heart disease?

Patients with rheumatic heart disease who catch a cold and develop a fever may experience a worsening of their existing rheumatic heart disease, with more severe mitral stenosis or regurgitation, and there could also be recurrent attacks of existing heart failure. Therefore, if a person with rheumatic heart disease catches a cold, it is crucial to seek medical treatment early and go for a hospital examination. If it is a viral infection, antiviral treatment should be given, and for bacterial infections, medications to control and kill bacteria should be administered. Furthermore, if there are repeated fevers during the treatment process, physical methods to reduce fever can be used, such as applying a cold cloth or ice pack to the head when the temperature is below 38°C, along with medication therapy using ibuprofen. In short, it is essential to treat colds and fevers early in patients with rheumatic heart disease. (Medication should be used under the guidance of a physician.)

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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 Di Zhi Yong
Cardiology
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What should I do about rheumatic heart disease asthma?

If the patient has rheumatic heart disease, the main symptoms include palpitations, chest tightness, and shortness of breath after activity, as well as swelling in both lower extremities. If wheezing symptoms occur, some cardiotonic drugs can be used in treatment to improve the patient's symptoms. Currently, treatment primarily focuses on symptomatic relief and improving the patient's cardiac and pulmonary functions. During this period, it is important to actively prevent complications. If the patient's symptoms occur abruptly, it is crucial to seek immediate medical attention at a hospital. Sometimes, infusion therapy and low-flow oxygen inhalation are required to effectively alleviate the patient's current symptoms of palpitations, chest tightness, and breathing difficulties.