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The main symptoms of rheumatic heart disease are mitral stenosis, mitral regurgitation, aortic stenosis, and aortic insufficiency. (1) Mitral stenosis: large hemoptysis is taken in a sitting position, with sedatives such as diazepam, diuretics such as furosemide, etc.; The treatment of acute pulmonary edema is similar to that of pulmonary edema caused by acute left heart failure, except that it is not appropriate to use vasodilators and inotropic drugs that dilate arterioles, and when rapid atrial fibrillation occurs, cediran is needed to reduce ventricular rhythm.
When an acute attack is accompanied by rapid ventricular rhythm, cediran is preferred to lower ventricular rhythm. Right ventricular failure should be followed by a low-salt diet, with diuretics and digoxin as the mainstay**. (2) Mitral regurgitation:
1) Internal Medicine**: Pay attention to the prevention of rheumatic fever and infective endocarditis. Appropriate physical activity and rest, sodium intake and respiratory infection prevention.
In case of heart failure, digitalis preparations, diuretics and vasodilators are used. 2) Surgery**: In order to restore the integrity of the valve closure as a fundamental measure, prosthetic valve replacement should be performed before irreversible left ventricular dysfunction occurs.
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You can go to understand the best method of traditional Chinese medicine, by the old Chinese medicine doctor with many years of clinical experience, will be dialectical treatment according to your mother's condition, according to the disease, the preparation of Chinese medicine.
Heart disease soup, you can go directly to the hospital, and then decide whether to use the method of traditional Chinese medicine after a detailed understanding!
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1. Patients with rheumatic heart disease should eat more heart-healthy foods to alleviate the progression of the disease, such as fruits (apples, avocados, dried fruits, grapefruits, oranges, strawberries), vegetables (cauliflower, carrots, corn, lima beans, onions), seafood (clams, oysters, oysters), fish containing -3-polyunsaturated fatty acids (three-nay fish and blue fish), soybeans, nuts and whole grain chain bread and food.
2. Fish contains linolenic acid, arachidonic acid, linoleic acid and other essential fatty acids and eicosapentaenoic acid and docosahexaenoic acid, which can resist thrombosis, reduce blood viscosity, and lower blood pressure, thereby reducing the risk of rheumatic heart disease. It is recommended to consume fresh freshwater or deep-sea fish at least twice a week.
3. Patients with rheumatic heart disease should pay attention to the intake of protein. A variety of protein foods have been linked to a significant reduction in the risk of rheumatic heart disease, so choosing protein foods such as lean meats, soybeans, nuts, poultry and fish is ideal.
4. In the prevention and treatment of rheumatic heart disease, the most important may be vitamin A, vitamin C, vitamin E, potassium and various phytochemicals and dietary fiber, which are stored in vegetables and fruits, so patients with rheumatic heart disease should eat more vegetables and fruits, such as carrots, pumpkin, yams, peaches, apricots, spinach, cabbage, strawberries, oranges, grapefruits, etc.
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Patients with rheumatic heart disease, if the symptoms are not obvious, can take general**, mainly to avoid excessive heart overload, do not do strenuous activities, reduce mood swings, limit sodium intake, and use digitalis preparations and vasodilators**. If the patient's symptoms are severe, surgery is required**.
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In the case of rheumatic heart disease, it is necessary to pay attention to the prevention of rheumatic fever** and generally treat it with long-acting penicillin. Some asymptomatic valvular lesions do not require any special treatment, but it is important to avoid emotional agitation and excessive exercise. If you have edema or difficulty breathing, you must pay attention to the use of diuretics and limit the intake of water and sodium.
Patients must take care to reduce respiratory infections. If the symptoms are severe, surgery may be considered**.
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The ** principle of rheumatic heart disease is to maintain and.
Enhance the compensatory function of the heart, in combination with heart failure.
Digitalis preparations, diuretics, and vasodilation are required.
Tension agent. Chronic rheumatic heart disease without clinical symptoms.
Patients generally do not require surgery** and are symptomatic and consistent.
Patients with surgical indications may choose to undergo mitral valve closure dilation.
Zhang or prosthetic valve replacement.
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Asymptomatic patients with chronic rheumatic valvular heart disease generally do not require surgery; Symptomatic patients who meet the indications for surgery may be treated with mitral valve closure dilation or prosthetic valve replacement.
Indications for surgery: Patients with no obvious symptoms of cardiac function do not require surgery**.
Patients with cardiac function and grade should undergo surgery**.
Patients with cardiac function should first strengthen the heart and diuresis, and then perform surgery after cardiac function improves.
Patients with atrial fibrillation, pulmonary hypertension, systemic embolism, and functional tricuspid regurgitation should also be operated on, but the risk of surgery increases.
Patients with rheumatic activity or bacterial endocarditis should be treated 6 months after rheumatic activity and endocarditis are fully controlled.
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The clinical symptoms of rheumatic heart disease are mainly heart failure and arrhythmia, which can cause dyspnea, cough, hemoptysis, chest pain, paroxysmal dyspnea at night, edema, etc.
If it is in the active period of rheumatism, it is necessary to actively carry out anti-rheumatism**, if the attack of acute heart failure, sedation, cardiac diuresis, vasodilation, etc. can be applied**, for patients with atrial fibrillation, the ventricular rate of atrial fibrillation should be controlled and anticoagulant preparations should be taken for a long time, and intervention** can also be used for percutaneous mitral valve balloon dilation and surgery for valve replacement surgery**.
Patients with indications for surgery are advised to undergo surgery as soon as possible** to avoid irreversible damage caused by heart failure aggravated by heart enlargement.
In fact, many tertiary hospitals in prefecture-level cities also carry out this kind of cardiopulmonary bypass surgery, including your local Shantou University Affiliated Hospital. It is undeniable that the Provincial Medical Heart Research Institute in Guangdong Province has done the most, and the experience should be no problem. But to go to Guangzhou for medical treatment, you have to be financially prepared. >>>More
TCM answers. There is a difference between congenital heart disease and acquired heart disease, congenital heart disease is caused by various factors during pregnancy to cause stunted development of the baby's heart, and the mother will have an obvious unhealthy state, called congenital heart disease. Acquired heart disease is caused by a variety of factors, such as long-term unhappiness, long-term cold, irregular diet, etc., which lead to the normal operation of heart qi and blood, and gradually lead to the abnormal metabolism of the heart and form a disease, which is called acquired heart disease. >>>More
This is a disease of cardiopulmonary function, and the current method of this disease is still relatively conservative, and it is recommended to keep a calm mind and take medicine to relieve it.
Pay attention to a light diet. Get plenty of rest. ,。
The most important sign of aortic stenosis in rheumatic heart disease: eWindy murmur in systolic second intercostal at the right sternal border. >>>More