Is rheumatic heart disease serious?

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 an abnormal immune response, leading to pathological changes in the heart valves, which pose significant risks to the body. Due to valve insufficiency or stenosis, rheumatic heart disease causes changes in hemodynamics, leading to heart failure and pulmonary edema. These are severe conditions for patients and require timely treatment and correction. If effective dietary therapy is not administered, especially for pulmonary edema, it can be life-threatening.

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Written by Yan Xin Liang
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Is congenital heart disease heart cancer?

Congenital heart disease primarily refers to the abnormal development of the heart and blood vessels during the fetal period, leading to cardiovascular malformations. It is the most common type of heart disease in children, with an incidence rate of about 6-8 per 1,000 live births. Generally, congenital heart disease refers to malformations during the development of the fetal heart. The exact causes of this condition are still not completely understood. However, actively preventing viral infectious diseases in the early stages of pregnancy and avoiding certain high-risk factors associated with the disease play a significant role in preventing congenital heart disease in children. It should be noted that congenital heart disease represents malformations in the development of the heart and is not a form of heart cancer, hence there is no terminology that describes it as such.

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Written by Zhang Yue Mei
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Rheumatic Heart Disease Concept

Rheumatic heart disease is a type of organic heart disease caused by a hypersensitivity reaction in the body due to infection by Streptococcus pyogenes. This leads to pathological changes in the heart valves, including the tricuspid and mitral valves, resulting in stenosis or insufficiency which affects hemodynamics. This condition is known as rheumatic heart disease. Patients with rheumatic heart disease should actively seek treatment under the guidance of a doctor in the early stages to control the occurrence of complications.

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Written by Li Hai Wen
Cardiology
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How to relieve vomiting caused by heart disease?

Treatment for vomiting caused by heart disease must depend on its cause. First, if caused by heart failure, as the symptoms of heart failure worsen, including right-sided heart failure, patients may experience nausea, vomiting, and bloating after eating. The key in these cases is to correct heart failure, perhaps with intravenous diuretic medications or the newer diuretic drug tolvaptan, which can alleviate symptoms of vomiting caused by heart failure. Secondly, digoxin toxicity can cause vomiting if patients with heart failure are taking too much or have been on digoxin for a prolonged period. The primary action in these instances is to discontinue the digoxin medication promptly. Thirdly, if associated with gastritis, treatment would involve medications to stop vomiting and oral omeprazole to protect the stomach lining. (Medications should be taken under medical supervision.)

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Written by Li Hai Wen
Cardiology
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Can a cardiac ultrasound detect thyrotoxic heart disease?

Cardiac ultrasound examinations cannot directly diagnose hyperthyroid heart disease, which often leads to an enlargement of the heart and a reduction in cardiac pumping function. Cardiac ultrasound can detect these structural changes in the heart caused by hyperthyroidism and can assess heart function, but it cannot determine if these are caused by an overactive thyroid. A combination of blood tests for thyroid function or a thyroid ultrasound is needed for a comprehensive diagnosis. If the thyroid ultrasound shows a rich blood flow in the thyroid region, appearing flame-like, or if the blood tests show a significant decrease in thyroid-stimulating hormone, in conjunction with cardiac ultrasound, it can confirm the presence of hyperthyroid heart disease.

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Written by Xie Zhi Hong
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Is hyperthyroid heart disease difficult to treat?

Hyperthyroidism occurs when an excessive amount of T3 and T4 is released by the thyroid gland, leading to hyperactive metabolism throughout the body. This can cause disturbances in autonomic nervous function or receptor hyperactivity, resulting in a series of conditions related to excessive cardiac load and insufficient blood supply. Therefore, the majority of hyperthyroidism-related heart diseases improve after controlling the hyperthyroidism and are relatively easy to treat. However, if the thyroid function is not controlled repeatedly, or if the treatment is not effective, it may lead to severe enlargement of the heart and recurrent arrhythmias, making hyperthyroid heart disease difficult to cure. Nonetheless, such cases are relatively rare, with an incidence of less than 10%.