How to deal with a cold and fever in rheumatic heart disease?

Written by Xie Zhi Hong
Cardiology
Updated on January 25, 2025
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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 Xie Zhi Hong
Cardiology
1min 7sec home-news-image

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 Wang Lei
Cardiology
1min 9sec home-news-image

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 Xie Zhi Hong
Cardiology
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Can patients with rheumatic heart disease not drink a lot of water?

The early manifestations of rheumatic heart disease include rheumatic myocarditis or pericarditis, sometimes accompanied by significant pericardial effusion. In later stages, there may be thickening of the pericardium, presenting as constrictive pericarditis. Some patients may also develop severe mitral stenosis, aortic stenosis, or insufficiency. When the disease reaches a certain level of severity, the patient can experience cardiac failure and systemic sodium and water retention. In such cases, it becomes necessary to control water intake. Therefore, in the early stages of rheumatic heart disease when there is no cardiac failure, it is possible to drink more water. However, when patients experience severe cardiac failure, edema, and similar conditions, it is not advisable to drink excessive amounts of water.

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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 Jia Qiu Ju
Cardiology
58sec home-news-image

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.