Does rheumatic heart disease cause joint pain?

Written by Di Zhi Yong

Cardiology

Updated on February 20, 2025

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Rheumatic heart disease can present with joint pain, especially if the patient has a history of rheumatic arthritis or rheumatoid arthritis, which can be associated with rheumatic heart disease. There is a correlation between the two, but the possibility of rheumatic heart disease cannot be ruled out even if the patient does not have a history of rheumatic diseases. Currently, the treatment is mainly symptomatic. Rheumatic heart disease can include conditions such as mitral stenosis or mitral regurgitation. Murmurs can be heard between the heart chambers, and treatment may involve using medications that strengthen the heart and improve cardiac function.

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Written by Xie Zhi Hong

Cardiology

36sec

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Can rheumatic heart disease cause angina?

Rheumatic heart disease most commonly manifests as rheumatic myocarditis, pericardial thickening, or pericardial effusion. The majority of patients also present with mitral valve stenosis and insufficiency, and some also have aortic valve stenosis and insufficiency. When patients have severe aortic valve stenosis or severe aortic valve insufficiency, it leads to insufficient blood supply from the aorta, causing inadequate coronary circulation, which then can lead to angina.

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Written by Zhang Yue Mei

Cardiology

42sec

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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

51sec

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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 Wang Lei

Cardiology

1min 9sec

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Does rheumatic heart disease require surgery?

Patients with rheumatic heart disease primarily have involvement of valvular lesions, with the most common being accumulation in the mitral valve, leading to mitral stenosis. In the early stage of the disease, mitral stenosis often has no clinical symptoms and can only be detected through physical examinations, such as auscultation, which may reveal mitral valve murmurs. For patients with asymptomatic rheumatic heart disease, conservative treatment is primarily advised, which includes rest and reducing cardiac load to avoid surgery. Additionally, for severe rheumatic heart disease, mitral stenosis can be very serious, affecting the patient's cardiac function and causing symptoms such as chest tightness and fatigue after activity, and even paroxysmal nocturnal dyspnea and inability to lie flat at night. In such cases, surgical treatment is required, such as mitral valvuloplasty or prosthetic valve replacement surgery. Thus, surgery is necessary in the late stages of rheumatic heart disease.

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Written by Di Zhi Yong

Cardiology

47sec

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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.