Treatment Options for Rheumatic Heart Disease

Rheumatic heart disease (RHD) requires careful management to maintain heart function and prevent complications. When heart failure has not yet reached the decompensation stage, medications are primarily used to support cardiac performance and manage symptoms. Commonly prescribed drugs include digoxin, a cardiac glycoside that enhances heart contractility, and diuretics such as furosemide and hydrochlorothiazide, which help reduce fluid buildup and ease the heart's workload.

Managing Atrial Fibrillation in RHD

Patients diagnosed with rheumatic heart disease who also develop atrial fibrillation (AFib) are at increased risk of blood clots and stroke. In such cases, anticoagulant therapy becomes essential. Warfarin and aspirin are frequently used to prevent clot formation and reduce cardiovascular risks. The choice of medication and dosage depends on the patient's overall condition and should be monitored closely by a healthcare provider.

Post-Surgical Medication Considerations

Recovery After Valve Surgery

Following surgical intervention, patients often require continued pharmacological support. In the early recovery phase, cardiac glycosides like digoxin and diuretics are commonly prescribed to strengthen heart function and alleviate pressure on the cardiovascular system. For individuals who have undergone mechanical valve replacement, lifelong anticoagulation therapy is necessary to prevent clotting around the artificial valve.

Even in cases involving biological valve replacement, anticoagulation may still be required, particularly if the patient has a history of AFib. The treatment plan should always be tailored to the individual's medical history, current health status, and type of surgical procedure performed.

Consultation with a Medical Professional

It's important to emphasize that all medication decisions should be made in consultation with a licensed physician. Each patient's condition is unique, and only a qualified healthcare provider can determine the most appropriate course of treatment based on clinical evaluation and diagnostic findings.