Rheumatic heart disease is a condition in which permanent damage to heart valves is caused by rheumatic fever. The heart valve is damaged by a process that generally begins with an infection caused by streptococcus bacteria. In some cases, strep throat or scarlet fever can eventually progress to rheumatic fever.
The following are the most common symptoms for rheumatic fever; however, each individual may experience symptoms differently. Symptoms, which vary greatly, typically begin one to six weeks after a bout of strep throat, although, in some cases, the infection may have been too mild to have been recognized. Symptoms may include:
The symptoms of rheumatic fever may resemble other bone disorders or medical problems. Consult your health care provider for a diagnosis.
Specific treatment for rheumatic heart disease will be determined by your health care provider based on:
Since rheumatic fever is the cause of rheumatic heart disease, the best treatment is to prevent rheumatic fever from occurring. Penicillin and other antibiotics can usually treat strep throat (a streptococcus A bacterial infection) and stop acute rheumatic fever from developing.
Persons who have previously contracted rheumatic fever are often given continuous (daily or monthly) antibiotic treatments, possibly for life, to prevent future attacks of rheumatic fever and lower the risk of heart damage. Antibiotic therapy has sharply reduced the incidence and mortality rate of rheumatic fever or rheumatic heart disease. To reduce inflammation, aspirin, steroids, or nonsteroidal medications may be given. Surgery may be necessary to repair or replace the damaged valve.
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