Rheumatic Heart Disease Symptoms And Their Progression

Rheumatic heart disease often begins without noticeable symptoms, particularly in its early stages. The initial signs may be limited to heart murmurs caused by damaged heart valves. These murmurs, along with enlargement of the atria or ventricles, are typically detected during a physical examination or routine check-up.

Common Symptoms As The Condition Progresses

As the disease advances, more pronounced symptoms may develop. These can include dizziness, fatigue, palpitations, shortness of breath, and even coughing up blood. In more severe cases, individuals may experience varying degrees of difficulty breathing—common indicators of left-sided heart failure.

Signs Of Right-Sided Heart Failure

Physical Symptoms Beyond The Chest

In addition to the symptoms associated with left-sided heart failure, right-sided failure may also occur. This can lead to visible signs such as jugular vein distention, abdominal bloating, swelling in the legs, nausea, and peripheral edema. These symptoms reflect the body's response to impaired blood flow and fluid retention.

Typical Valve Involvement In Rheumatic Heart Disease

Rheumatic heart disease commonly affects the aortic or mitral valves. One of the hallmark features of this condition is mitral valve stenosis, which occurs when the mitral valve becomes narrowed. This narrowing results in a characteristic low-pitched, rumbling diastolic murmur heard best at the apex of the heart—a key diagnostic clue for physicians.