What Is The Cause Of Rheumatic Heart Disease?

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..

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.

Is there a vaccine for rheumatic fever?

There is currently no vaccine for rheumatic fever, but Australian medical scientists are working to develop a Streptococcus vaccine. A vaccine that prevents streptococcal infections would also be expected to prevent rheumatic fever and rheumatic heart disease.

What bacteria causes rheumatic heart disease?

Rheumatic heart disease is a condition in which permanent damage to heart valves is caused by rheumatic fever. The heart valve is damaged by a disease process that generally begins with a strep throat caused by bacteria called Streptococcus, and may eventually cause rheumatic fever.

What is the treatment of rheumatic heart disease?

Antibiotic therapy has sharply reduced the incidence and mortality rate of rheumatic fever/rheumatic heart disease. To reduce inflammation, aspirin, steroids, or non-steroidal medications may be given. Surgery may be necessary to repair or replace the damaged valve.

How long does rheumatic fever last?

Rheumatic fever can last from 6 weeks to more than 6 months. Your long-term health depends on how your heart has been affected by the disease.

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.

What are the symptoms of rheumatic fever in adults?

Symptoms of rheumatic fever can include:Fever.Painful, tender joints (arthritis), most commonly in the knees, ankles, elbows, and wrists.Symptoms of congestive heart failure, including chest pain, shortness of breath, fast heartbeat.Fatigue.Jerky, uncontrollable body movements (called “chorea”)More items…

How long does rheumatic heart disease last?

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.

Who is at risk for rheumatic heart disease?

Who is at risk for rheumatic heart disease? Untreated or under-treated strep infections can increase the risk for rheumatic heart disease. Children who get repeated strep throat infections are at the most risk for rheumatic fever and rheumatic heart disease.

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.

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.

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 does rheumatic fever affect the heart?

How does rheumatic fever damage the heart? This infection causes swelling and muscle damage to the heart. It can also damage the heart valves in a way that keeps the blood from moving through the heart normally. The infection can cause heart valve leaflets to stick together, which narrows the valve opening.

What are the symptoms 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.

How is rheumatic heart disease prevented?

Ideally, ARF and RHD can be prevented. Antibiotic therapy (such as penicillin) to treat Group A Streptococcus throat infection can dramatically reduce the risk of ARF and its complication, rheumatic heart disease. If ARF or RHD do occur, long-term antibiotics can reduce progression to more severe disease.

What are the complications of rheumatic heart disease?

Some complications of rheumatic heart disease include: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.

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.