How to treat heart failure caused by rheumatic heart disease

The symptoms of rheumatic heart disease are not particularly obvious at the beginning, but if the symptoms continue to worsen, it is easy to cause the condition to gradually worsen, and it is easy to be combined with heart failure. Patients often have difficulty breathing, and when doing some light physical labor, they are prone to shortness of breath and extreme fatigue. At this time, timely treatment is required.

How to treat heart failure caused by rheumatic heart disease

1. Pay attention to improving your lifestyle:

Heart failure patients must quit smoking, limit salt and water intake, and limit excessive calorie intake under the consultation, support, and education of a doctor. Many of the clinical manifestations of heart failure result from responses to changes in peripheral circulation and muscle metabolism. Patients who undergo rehabilitation exercises can make significant progress. Although there is no hard data to suggest that rehabilitation exercises prolong life, they can significantly improve quality of life.

2. Adequately address hemodynamics:

How to treat heart failure? There is a large amount of data showing that reducing afterload redistributes the ventricular stroke volume from mitral regurgitation to direct cardiac output, and its effect is like medical mitral valvuloplasty. Therefore, the goal of treatment is to enable the patient to achieve the lowest systolic blood pressure required for cerebral blood supply, brain activity, and urination.

3. Pay attention to restoring adequate myocardial perfusion and energy metabolism:

There are many methods to identify patients with poorly perfused but still viable myocardium (such as resting redistribution thallium imaging, dobutamine stress ultrasound and positron emission tomography). The benefits of revascularization are well established, improving ventricular function and long-term prognosis.

4. Pay attention to maintaining electrical stability:

How to treat heart failure? There is sufficient clinical evidence to illustrate the importance of antiarrhythmic therapy. Doctors must pay close attention to whether patients are at "high risk" for a major electrical event and intervene.

In order to control the symptoms of heart failure, the most important thing is to treat the primary disease - rheumatic heart disease. Heart valve repair or replacement surgery can be performed. Thoracoscopic minimally invasive surgery is the first choice, which has the advantages of less trauma, less bleeding, fewer complications, less pain, and faster recovery. Moreover, unlike open chest surgery, minimally invasive surgery will not leave long and ugly scars after surgery, which is in line with modern people's pursuit of beauty.