Rheumatic Heart Disease: Which Department Should You Visit?

If you suspect you have rheumatic heart disease, it is recommended to consult either a cardiologist in the Department of Cardiology or a cardiac surgeon in the Department of Cardiothoracic Surgery. These specialists can provide comprehensive evaluation and appropriate treatment options tailored to your condition.

Understanding Rheumatic Heart Disease

Rheumatic heart disease typically develops as a complication of untreated or inadequately treated streptococcal infections, such as strep throat or scarlet fever. When these infections lead to rheumatic fever, they can cause inflammation and damage to the heart valves. This damage can result in conditions like valve stenosis (narrowing) or regurgitation (leakage), which impair the heart's ability to pump blood efficiently.

Early Detection and Medical Management

Early diagnosis and treatment are crucial in preventing long-term heart damage. In the initial stages, if the condition is detected early and managed effectively with medications, it may not progress to involve the heart. However, once the heart valves are affected, the damage is often irreversible and may gradually worsen over time.

Medications such as antibiotics can help prevent further episodes of rheumatic fever, while other drugs may be prescribed to manage symptoms and slow the progression of the disease. With proper medical care, many patients can live for years without experiencing severe symptoms.

When Surgery Becomes Necessary

If the damage to the heart valves becomes severe, leading to significant regurgitation or stenosis, patients may begin to experience symptoms of heart failure, such as fatigue, shortness of breath, and swelling in the legs and ankles. In such cases, medical therapy alone may no longer be sufficient.

At this stage, consultation with a cardiac surgeon is essential. Depending on the severity and location of the valve damage, surgical options may include valve repair or replacement. These procedures can significantly improve quality of life and long-term outcomes for patients with advanced rheumatic heart disease.

Conclusion

For individuals dealing with rheumatic heart disease, seeking timely care from the right specialists—either in cardiology or cardiothoracic surgery—is vital. Early intervention can make a significant difference in managing the condition and preventing complications. If you or someone you know is experiencing symptoms related to this condition, don't delay in seeking professional medical advice.