Chronic rheumatic commisdrative valvular disease

There is no way to tell the specifics.

Because you didn't provide the most unambiguous parameters.

Generally speaking, the most serious problem of your mother is mitral stenosis, then if the area of the valve orifice is greater than the square centimeter, it is basically mild stenosis with no obvious symptoms, if it is lower than the square centimeter, then some people may have related symptoms, if there are symptoms, surgery should be considered**, if it is less than the square centimeter, then the situation is very serious, and the hemodynamic changes obviously require immediate surgery**.

As for what kind of surgery it is, then there can be surgery, and generally try to consider valvuloplasty first, that is, to accurately insect the mitral valve junction under cardiopulmonary bypass, separate adhesions, remove calcifications, and remove thrombus in the left atrium. This gives you roughly 8-12 years of remission.

If it is found that the valve and the condition under the valve are very bad, then the valve has to be replaced, but the valve is expensive, and the need for anticoagulation is generally a mechanical valve, so it must be anticoagulated for life. If the biological valve is destroyed after only a few years of life, it is only suitable for the elderly who are expected to live soon. Therefore, valvuloplasty can be performed as much as possible.

In addition, there can also be interventional surgery, percutaneous mitral valve balloon dilation, then similar to mitral valvuloplasty, it does not open the chest through your own blood vessels, and you can get a 6-8 year remission period with balloon dilation, but it is also necessary that your valve condition and subvalvular condition are okay.

In addition, there are also gradually interventional surgeries that can be used to replace valves, but there are still relatively few explorations and they have not been completely pushed away.

I estimate that your mother already has heart failure, so it is estimated that it should be an active operation, and you may miss the timing of the operation if it is late, but you have to look at the specific situation according to the specific situation.

I'm detailed and comprehensive enough, and I'm more cutting-edge and professional.

She belongs to the syndrome of rheumatic heart disease, I think the doctor should also tell you, this is caused by rheumatic heart disease, mitral valve stenosis, then hypertrophy, closed tightly, it should be very serious, because I have already had heart failure once. It's better to deal with it early.

Individually, two ways.

1. Doctors will recommend that you change the membrane, because there are many benefits of changing the membrane, the price is not expensive now, and the technology has reached a mature stage, which can be greatly improved, and the membrane is about 5w, and then 10w is enough for various medical treatments. Because if she doesn't change, it can only get worse and worse, the first time you use the medicine, you may feel that you get better faster, and if you take the medicine again in the future, the effect may become less and less obvious, and every time you get sick, it will be more serious.

2. Conservative**, medicinal, generally recommended by doctors is warfarin. However, the medicinal properties of this medicine are very large, and it must be taken under the advice of the doctor, because it is necessary to test it in the process of eating it again to see if there is bleeding gums, and so on.

In addition, I feel that it still depends on your mother's physical condition and resistance, if the physical condition is very good now, the effect of the operation will be good, if the physical condition is not good, the resistance is low, the operation is also more dangerous, but with time and age, this danger is also increasing.

Severe mitral stenosis and a history of heart failure, pulmonary edema leading to dyspnea, now internal medicine is not the best way, and surgery is necessary.

Answer]: A test point] valvular heart disease.

Analysis] Rheumatic heart valve disease almost all mitral valves are involved and cause mitral stenosis, followed by the aortic valve, resulting in aortic regurgitation, can also cause mitral regurgitation and aortic stenosis, while invasion of pulmonary valve and tricuspid valve is rare, pulmonary valve and tricuspid valve insufficiency is mostly relative, that is, secondary to pulmonary hypertension and right ventricular enlargement.

Rheumatic valvular heart disease is a heart disease caused by an immune response caused by a streptococcal infection. When a person is infected with streptococcus, the immune system produces antibodies to fight the bacteria, but these antibodies can also attack the heart valve tissue, causing the valve to become inflamed and damaged. Over time, the valve can become stiff and thick, eventually leading to narrowing or incomplete closure of the valve, affecting the normal function of the heart.

The process of rheumatic valvular heart disease can be divided into three stages. The first stage is a streptococcal infection, which usually occurs in the throat or **. The second stage is the immune response, when the body is infected with streptococcus, the immune system produces antibodies to fight the bacteria, but these antibodies can also attack the heart valve tissue, causing the valve to become inflamed and damaged.

The third stage is valve damage and stenosis, which over time becomes stiff and thick, eventually leading to narrowing or incomplete closure of the valve, affecting the normal function of the heart. The best way to prevent rheumatic valvular heart disease is to prevent streptococcal infection. This can be achieved by practicing good personal hygiene, such as washing hands frequently and avoiding sharing items with infected people.

If you are already infected with streptococcus, it is also important to receive it promptly**. If you have already been diagnosed with rheumatic valvular heart disease, it is also important to have prompt** and regular check-ups to avoid worsening and reduce complications.

Care for rheumatic valvular heart disease.

First, it is necessary to pay close attention to the heart rate and blood pressure, and if there is any change, you must seek medical attention in time, which is the most basic vital sign.

Second, we should pay attention to the reasonable application of drugs, for rheumatic heart valve disease, if there is heart failure and right atrial fibrillation, then we must take drugs to control arrhythmia in a standardized manner.

Third, it is necessary to actively anticoagulate, nourish the myocardium, improve metabolism, and control heart failure.

Fourth, in terms of diet, special attention must be paid to a low-salt and low-fat diet, a high-quality protein diet, a high-fiber, high-vitamin diet, and it is important not to overeat, you can eat less and more meals, and eat more vegetables and fruits appropriately.

Fifth, for rheumatic heart valve disease, proper exercise should also be emphasized. If you want to exercise, you can choose jogging, brisk walking, walking, yoga, and tai chi according to the condition of your heart, which can enhance your physique and improve your body's resistance.

Sixth, we should change bad habits, quit smoking and limit alcohol, develop a good regular work and rest, and don't stay up late.

Why don't you ask the doctor such a professional question? What's the point of coming here?

Rheumatic heart valve disease: severe mitral stenosis, mild aortic stenosis with mild regurgitation, mild tricuspid regurgitation, mitral valve replacement + tricuspid valve repair is recommended, and the possibility of aortic valve replacement is not ruled out. Surgery as soon as possible, the large cardiovascular surgery center in Nanning can.

I hope you find the above reply helpful.

According to the above cardiac ultrasound results, I saw that the last mitral valve orifice area is, this valve orifice area is severely stenosis, the patient should have corresponding symptoms, generally starting with chest tightness and shortness of breath after activity, flushing, activity tolerance decreased significantly, the patient is 49 years old, very young, if you do not intervene ** then the complications are very serious and life-threatening.

The normal mitral valve orifice area is 4-6 cm². If the patient's clinical symptoms are severe, surgery is necessary.

Surgical methods, mitral valve replacement, tricuspid valve plasty surgery. It is a cardiac surgery that requires a thoracotomy. The patient is young, has a mechanical valve, and takes anticoagulant drugs for life after surgery to support valve function.

It is recommended to go to a large comprehensive tertiary hospital, and at the very least, you have to go to the provincial capital.

The success rate of surgery is quite high, of course, it also depends on the patient's condition and underlying diseases (whether there are other important organ lesions).

Problem analysis: Rheumatic heart disease often leads to insufficiency or stenosis of the heart valves, conservative can only control the symptoms, and the more perfect measures are surgical or artificial valve replacement. Suggestions:

In your mother's case, you should consider surgery** to replace the artificial aortic valve, and the mitral valve is mildly insufficiency and does not need to be replaced. Now this kind of surgery can be done in a large tertiary hospital.

Problem analysis: Rheumatic heart valve disease is mostly caused by streptococcal infection, which causes polyvalvular lesions of the heart, resulting in stenosis or valve insufficiency, etc., which affects hemodynamic changes, leads to heart failure and arrhythmia, and seriously affects life.

Suggestions: It is recommended that this disease should pay attention to rest, have progression, control heart failure and arrhythmia at ordinary times, and be hospitalized in the acute stage**.

Hello, rheumatic valvular heart disease: mild mitral stenosis, if there is no discomfort, the left atrial diameter is slightly enlarged, and no intervention is required. If intervention is required, it is balloon dilation, and the total cost is about 20,000 yuan. If you feel uncomfortable, repeat the cardiac ultrasound in time.

I hope the above reply is helpful to you and I wish you good health.

1.Depending on your results, surgery is needed (too late if complications arise).

2.Heart valve replacement.

3.Use it well, there is medical insurance anyway.

4.There are conditions to go to a large hospital (3A) to do this kind of surgery.

Hello, according to the above ultrasound results, this patient is rheumatic heart disease combined with valvular disease: severe aortic stenosis with severe regurgitation, mitral valve moderate stenosis with mild regurgitation, and requires surgery as soon as possible**. The surgical method is "aortic valve replacement", during which the mitral valve is changed or repaired according to the mitral valve exploration.

If it is to replace an aortic valve and repair a mitral valve, the total cost is about 50,000 yuan (imported mechanical valve).

If it is to replace an aortic valve and a mitral valve, the total cost is about 60,000 yuan (imported mechanical valve).

At present, large cardiovascular surgery centers in provincial capitals can carry out heart valve surgery well, and there is no need to travel far.

I hope the above reply is helpful to you, and I wish the patient a speedy **.

At present, oral cardiac diuretic potassium supplementation drugs are taken to limit the amount of water, and the cost is about 6-70,000 yuan after the National Day. You can come to my clinic.