How Is Rheumatic Heart Disease Prevented?

What happens if you have rheumatic heart disease?

Rheumatic fever, an inflammatory disease, can affect many connective tissues, especially in the heart, joints, skin, or brain.

The infection often causes heart damage, particularly scarring of the heart valves, forcing the heart to work harder to pump blood..

How was rheumatic fever treated in the 1940s?

The introduction of antibiotics (sulphonamides and then penicillin in the 1940s) and the trials conducted during the 1940s and in the USA, demonstrated that penicillin treatment for streptococcal pharyngitis has a preventive effect against rheumatic fever.

How common is rheumatic fever in adults?

About three people out of every 10 who have a strep throat infection develop rheumatic fever. One common and potentially dangerous effect of rheumatic fever is damage to the valves of the heart. No single test can confirm a diagnosis of rheumatic fever.

What is the main cause of rheumatic heart disease?

What causes rheumatic heart disease? Rheumatic heart disease is caused by rheumatic fever, an inflammatory disease that can affect many connective tissues, especially in the heart, joints, skin, or brain. The heart valves can be inflamed and become scarred over time.

What are the signs of rheumatic heart disease?

The symptoms of heart valve problems – which are often the result of rheumatic heart disease – can include:chest discomfort or pain.irregular or rapid heartbeats (heart palpitations)shortness of breath.fatigue or weakness.light-headedness, dizziness or near fainting.swelling of the stomach, feet, or ankles.

Who does rheumatic heart disease affect?

Rheumatic heart disease is the most commonly acquired heart disease in people under age 25. Rheumatic heart disease and claims over 291,000 lives each year – the large majority in low- or middle-income countries.

Can you have rheumatic fever without knowing?

Rheumatic fever usually occurs about two to four weeks after a strep throat infection, and can be so mild you don’t even know you have it. The symptoms vary and may include: Fever. Painful and tender joints, most often the ankles, knees, elbows or wrists.

How long can you live with rheumatic heart disease?

The relative survival was 96.9% (95% CI 96.1–97.5%) at one year and 81.2% (95% CI 79.2–83.0%) at five years (S3 Fig). The risk of death among RHD/ARF patients increased with age over and above background rates; there was also increased risk for both male and iTaukei patients (S4 Table).

What food should not to eat if you have rheumatic heart disease?

Also avoid tobacco, alcohol, chocolate, sugar, butter, red meat, fats (particularly animal fats and hydrogenated oils), fried foods, processed and refined foods, soft drinks, spicy foods, and white flour products, such as white bread. Drink at least eight 8-ounce glasses of water every day.

Can you live a long life with heart disease?

Simply put, if you take care of yourself and make the necessary changes, you can live a long, full life in spite of your heart disease diagnosis. It could add years, even decades, to your life. On the other hand, if you pursue a high-risk lifestyle you could find yourself in serious trouble.

Is rheumatic heart disease preventable?

Rheumatic heart disease is a chronic, disabling and sometimes fatal disease that is entirely preventable.

Is rheumatic heart disease permanent?

Rheumatic heart disease is a condition that causes permanent damage to the heart valves. It can develop after a child has rheumatic fever. Rheumatic fever is the body’s response to a strep infection of the throat or tonsils or “strep throat.” Rheumatic fever may also follow scarlet fever.

How long can you live with rheumatic fever?

Symptoms usually pass within a few months but can last up to 2 years. They are not normally permanent. Other symptoms include a red, blotchy, skin rash, which appears in 1 in 10 cases. Less common are nosebleeds, abdominal pain, bumps and lumps, or nodules, under the skin, and a high fever over 102 degrees Fahrenheit.

Is rheumatic heart disease hereditary?

It is not clear why some people who are infected with group A Streptococcus bacteria go on to develop rheumatic fever, while others do not; however, it appears that some families may have a genetic susceptibility to develop the condition.

What antibiotics treat rheumatic fever?

The mainstay antibiotic is IM benzathine benzylpenicillin. Oral phenoxymethylpenicillin and erythromycin are also used as alternatives. These three antibiotics, in the required dosage forms are on the current EMLc. No additional antibiotic agents have been identified to date.

Can rheumatic fever be cured?

The goals of treatment for rheumatic fever are to destroy remaining group A streptococcal bacteria, relieve symptoms, control inflammation and prevent the condition from returning. Treatments include: Antibiotics. Your child’s doctor will prescribe penicillin or another antibiotic to eliminate remaining strep bacteria.

Can rheumatic fever cause problems later in life?

In some cases, the inflammation causes long-term complications. Rheumatic fever can cause permanent damage to the heart (rheumatic heart disease). It usually occurs 10 to 20 years after the original illness, but severe cases of rheumatic fever can cause damage to the heart valves while your child still has symptoms.

How Rheumatic fever is caused?

Bacteria called group A Streptococcus or group A strep cause strep throat and scarlet fever. It usually takes about 1 to 5 weeks after strep throat or scarlet fever for rheumatic fever to develop. Rheumatic fever is thought to be caused by a response of the body’s defense system — the immune system.

How is rheumatic fever prevented?

Primary prevention of acute rheumatic fever is accomplished by proper identification and adequate antibiotic treatment of group A β-hemolytic streptococcal (GAS) tonsillopharyngitis.

What are the complications of rheumatic heart disease?

What are possible complications of rheumatic heart disease?Heart failure. This can occur from either a severely narrowed or leaking heart valve.Bacterial endocarditis. This is an infection of the inner lining of the heart. … Complications of pregnancy and delivery due to heart damage. … Ruptured heart valve.

Which valve is most commonly affected by rheumatic heart disease?

Rheumatic heart disease most commonly affects the mitral valve (which has only two leaflets; Figure 2) or the aortic valve, but any valve can be affected, and more than one can be involved.