Rheumatic heart disease

Rheumatic heart disease is outlined aftermath of rheumatic fever, is caused by acute rheumatic fever carditis. left and the main valve of the heart disease. Clinical manifestations of the disease is the corresponding valve in the heart murmur; Ventricle and atrium increased late cardiac dysfunction, and so on. Cause pathogenesis of rheumatic valvular heart disease, also known as chronic rheumatic heart disease, is acute rheumatic carditis after left behind by a heart valve disease mainly of a heart attack. Rheumatic heart valve disease is the most common heart disease, cardiovascular diseases in adults, the disease accounts for about 40%. most of the patients for 20 to 40-year-old young adults, women slightly. Clinical pure mitral valve disease in the most common, accounting for 70 to 80%, mitral valve with aortic valve disease times, accounting for 20-30%. Clinical manifestations of mitral stenosis and mitral insufficiency, aortic stenosis and aortic regurgitation were described. (1) mitral stenosis : young adults view humid history, decompensated heart function can be asymptomatic, decompensated, emerged after shortness of breath, palpitations, paroxysmal dyspnea. Serious respiratory center, hemoptysis, advanced heart failure right there. Obviously mitral faces (two red lips and the zygomatic muscle tremor touched diastolic). (2) mitral regurgitation : decompensated heart function can be asymptomatic, and can be palpitation, dyspnea activities, fatigue, weakness, hemoptysis, such as left ventricular dysfunction. The subsequent right heart failure symptoms, such as liver, lower extremity edema. Obvious signs of muscle can be seen and touched pulsatile enhance the limitations favors strong impulse like spontaneous delivery left heart sector expanded. (3) Aortic Stenosis : there were severe dizziness, have gone so far as syncope, angina, arrhythmias, or sudden death. Late dyspnea, cough, hemoptysis, such as left ventricular dysfunction symptoms, Signs of active flap District heard loud Rough briefing kind systolic murmur, conduction to the neck, accompanied by such systolic tremor. (4) aortic regurgitation : Visibility decompensated heart palpitations, head vibration flu, occasionally angina, there paroxysmal severe dyspnea, cough left heart failure performance. Carotid artery foot and obviously enhanced apical pulse valve, under the left shift, were sexual favors. ECG examination; Chest X-ray; Echocardiography; Right heart catheterization. Treatment (1) mitral stenosis : massive hemoptysis taken seating, and sedatives such as stability, and diuretics such as furosemide; Acute pulmonary edema and acute left heart failure caused by pulmonary edema similar, The difference is small expansion is not appropriate to use the expansion of the main arterial vascular medicine, and a strong heart medicine when there Rapid AF, West needed only to reduce ventricular Portland law. When in acute rapid Room law, the West preferred to reduce ventricular Portland law. Right ventricular failure to low-salt diet, diuretics, digoxin and Treatment. (2) mitral regurgitation : 1) Medical Treatment : attention to the prevention of rheumatic fever and infective endocarditis. Appropriate physical activity and rest, restricting sodium intake and respiratory tract infection prevention and treatment. Merger heart failure, the use of digitalis, diuretics and vasodilators. 2) Surgical treatment : to restore the integrity of the valve closure of the fundamental measures in cases of irreversible left ventricular dysfunction before the purposes of artificial valve replacement surgery. (3) Aortic Stenosis : 1) Medical treatment : prevention rheumatic fever and infective endocarditis, periodic review. Moderate and severe stenosis, limited physical activity, the prevention of angina, heart failure and syncope. Sodium restriction heart failure with digitalis preparations, careful application of diuretics. 2) Surgical treatment : severe aortic stenosis patients with angina, syncope, or heart failure for the surgical treatment of major indications, artificial valve replacement surgery for the treatment of adult aortic valve stenosis of the main methods. (4) aortic insufficiency : 1) Medical treatment : prevention rheumatic fever and infective endocarditis. 2) Surgical treatment : artificial valve replacement surgery for severe aortic regurgitation of the main treatment. Chinese medicine treatment : 1) the heart blood main performance : heart palpitations anxiety, chest tightness not SHU, heartache when, coughing is very hemoptysis, two zygomatic purple, A lip-purple or dark purple tongue body had bruises, treatment principles : Chinese medicine, Jimmy gas Tongluo. 2) the body performance of the major deficiency : palpitation shortness of breath, dizziness, weakness, looking unostentatious, poor sleep, the tongue was pale red, the veins thin and fragile. Treatment principles : the blood Yang Xin Qi and tranquilizer. 3) Heart and Kidney Deficiency main performance : Vertigo palpitations, chest swelling of the liver-wan, cough suffer, and even then not lying. Edema disturbance, hand, foot and not temperature, Tongue lilac, Shen thin veins or the Guitar generation. Treatment principles : Wenyang Lishui, left the body.