Treatment FAQ

if the heart valve is damaged due to strep what is the treatment plan

by Soledad Bosco Published 2 years ago Updated 2 years ago

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Risks inherent in valve replacement surgeries include bleeding, heart attack, infection, and more. This highlights the importance of seeing a doctor if you or your child to develop a sore throat that lasts more than three days. Prompt diagnosis and treatment can help patients avoid RF following a strep throat infection.

Can heart valve replacement surgery cause a strep throat infection?

Treatment for valve disease will include a plan to: 1 Protect your heart from further damage. 2 Assess your need for medication to help manage symptoms. 3 Repair the valve problem if needed. 4 Communicate steps for management, self-care and the importance of follow-up care.

What is the treatment for heart valve disease?

Rheumatic fever, which can result if strep throat is not treated, can damage the heart's valves, causing them to thicken. This can restrict the valves’ ability to open or to close properly, or both. Strep throat is caused by streptococcus bacteria.

Can strep throat cause thicken heart valves?

This condition can eventually lead to heart failure, a potentially fatal event. The condition is caused when the body releases immune cells to fight the strep infection. These antibiotics sometimes attack the tissues of the heart and joints.

Can strep throat lead to heart failure?

What is the best treatment for a heart valve?

How to protect your heart from further damage?

Do you need surgery for a heart valve?

Can a mitral valve be repaired?

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What is the treatment for damaged valves?

A minimally invasive procedure called transcatheter aortic valve replacement (TAVR) may be used to replace a damaged aortic valve. In this procedure, the doctor inserts a long, thin tube (catheter) into an artery in your leg or chest and guides it to the heart valve.

Can strep throat damage the heart valves?

Rheumatic heart disease is a condition in which the heart valves have been permanently damaged by rheumatic fever. The heart valve damage may start shortly after untreated or under-treated streptococcal infection such as strep throat or scarlet fever.

How do they repair a damaged heart valve?

Some of the ways your doctor can fix a damaged valve include: Annuloplasty: A special ring is put around the valve to make it close right. MitraClip: A small cut is made in your groin, and the clip is pushed up to your heart through a thin tube. It clips a small area of the flaps together to limit the leak.

What happens when strep goes to your heart?

In some people, repeated strep infections cause the immune system to react against the tissues of the body including inflaming and scarring the heart valves. This is what is referred to as rheumatic fever. Rheumatic heart disease results then from the inflammation and scarring of heart valves caused by rheumatic fever.

Is RHD treatable?

Rheumatic heart disease (RHD) is a preventable, treatable form of cardiovascular disease that affects over 32 million people around the world and claims 275,000 lives annually.

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.

Can a heart valve be repaired without surgery?

While this condition can lead to serious health problems, it is treatable – even more so these days due to a minimally invasive procedure using the MitraClip. This FDA-approved device allows physicians to fix faulty heart valves without doing open heart surgery.

Can you repair a damaged heart valve?

In heart valve surgery, a surgeon repairs or replaces the damaged or diseased heart valve or valves. Many surgical approaches can be used to repair or replace heart valves, including open-heart surgery or minimally invasive heart surgery.

Can damaged heart valves repair themselves?

Unfortunately, heart valves do not tend to heal themselves. It is true that some infants born with heart murmurs will eventually grow out of the murmur as the heart matures.

How long can you live with rheumatic heart disease?

Those who had mild RHD at diagnosis had the most favorable prognosis, with over 60% remaining mild after 10 years, and 10% being inactive by the end of the 14‐year study period.

Can heart inflammation be cured?

Myocarditis is when your heart muscle becomes inflamed. It often happens due to an infection, typically caused by a virus. Myocarditis can also be caused by bacterial infections, fungal infections, and autoimmune diseases. Many people with myocarditis go on to recover completely.

How long does rheumatic heart disease last?

Inflammation caused by rheumatic fever can last a few weeks to several months. For some people, the inflammation causes long-term complications. One complication of rheumatic fever is permanent damage to the heart (rheumatic heart disease).

What Is Rheumatic Heart Disease?

Rheumatic heart disease is when heart valves become damaged due to a “Group A Streptococcal’ throat infection, more commonly known as strep throat....

Is Rheumatic Heart Disease Common?

Rheumatic heart disease has virtually been eliminated in developed countries due to widespread access to healthcare and penicillin use. In developi...

What Exactly Causes Rheumatic Heart Disease?

The streptococcal infection that underlies rheumatic heart disease is a ‘group A strep’ known as Streptococcus Pyogenes usually causing a throat in...

What Happens in Rheumatic Fever?

The signs and symptoms of rheumatic fever happen about 3 weeks after the initial streptococcal throat infection. There can be a combination of arth...

Treatment of Rheumatic Fever

The main treatment for rheumatic fever is penicillin. The penicillin is given by injection. Other treatments are often used such as aspirin, steroi...

Treatment of Rheumatic Heart Disease

There is no treatment for rheumatic heart disease; rather, treatment is centered on the complications of rheumatic heart disease. Penicillin taken...

Life Expectancy & Heart Valve Disease: What Should Patients Know?

Get critical information about life expectancy and heart valve disease from Dr. Joanna Chikwe, Chair of Cardiac Surgery at Cedars-Sinai Medical Center.

How Long Can You Live With Heart Valve Disease?

This depends on the type of valve involved and the severity of its involvement. The recent advances in heart surgery and the consideration of surgery in the elderly have increased the chances of survival in these patients. After the successful surgery, the quality of life in most individuals is the same as in a general population of age-matched subjects.

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What is the best treatment for a heart valve?

Generally, once it's determined that a diseased heart valve needs treatment, the available choices are valve repair or replacement: Valve repair — preserves the patient’s valve and leaflets. Sometimes repairs require a minor surgical procedure and other times repairs need a more extensive surgery.

How to protect your heart from further damage?

Protect your heart from further damage. Assess your need for medication to help manage symptoms. Repair the val ve problem if needed. Communicate steps for management, self-care and the importance of follow-up care.

Do you need surgery for a heart valve?

Recovery statistics are very good for people who receive proper treatment. Some people live long and full lives with mild valvular problems and never need surgery. But once a heart valve begins to affect the heart’s ability to pump blood, it's likely to require a repair or replacement.

Can a mitral valve be repaired?

Repair is most often possible for mitral valve regurgitation and tricuspid valve regurgitation. Valve replacement — may include open heart surgery or a minimally invasive procedure such as TAVR (or TAVI). Written by American Heart Association editorial staff and reviewed by science and medicine advisers.

How is heart valve surgery done?

Heart valve surgery is usually performed through a cut (incision) in the chest. Doctors sometimes do minimally invasive heart surgery, which involves smaller incisions than those made for open-heart surgery. In some medical centers, doctors perform robot-assisted heart surgery, a type of minimally invasive heart surgery in which surgeons use robotic instruments to conduct the procedure.

What test is used to diagnose heart valve disease?

In a physical examination, your doctor will likely listen for a heart murmur, as this can be a sign of a heart valve condition. Your doctor may order several tests to diagnose your condition. Tests may include: Echocardiography.

How do surgeons tighten annulus?

Surgeons often tighten or reinforce the ring around a valve (annulus) by implanting an artificial ring. In some cases, doctors use less invasive procedures to repair certain valves using long, thin tubes (catheters). These procedures can involve the use of clips, plugs or other devices.

What tests are used to measure heart rate?

Exercise tests or stress tests. Different exercise tests help measure your activity tolerance and monitor your heart's response to physical exertion. If you are unable to exercise, medications to mimic the effect of exercise on your heart may be used. Cardiac catheterization.

Can a tavr valve be repaired?

Some TAVR valves are self-expanding. If the valve can't be repaired, surgeons may perform heart valve replacement. In heart valve replacement, your surgeon removes the damaged valve and replaces it with a mechanical valve or a valve made from cow, pig or human heart tissue (biological or tissue valve).

Can you get pregnant with heart valve disease?

For women with heart valve disease, talk with your doctor before you become pregnant. Your doctor can discuss with you which medications you can safely take, and whether you need a procedure to treat your valve condition before pregnancy.

Can you have heart valve surgery if you are not experiencing symptoms?

Doctors may suggest heart valve surgery even if you aren't experiencing symptoms, as this may prevent complications and improve outcomes. If you need surgery for another heart condition, your doctor may repair or replace the diseased valve at the same time.

Why does strep throat scar?

The condition is caused when the body releases immune cells to fight the strep infection. These antibiotics sometimes attack the tissues of the heart and joints. This is what causes scarring on heart valves and joint damage. While only 0.3% of people who have strep throat eventually develop RF, it is a concern for children between the ages ...

What is it called when the heart is scarred?

One such tissue, the valves of the heart, are scarred in more than half of RF cases. Scarred valves may become narrower or have difficulty opening and closing properly. This causes the heart to work harder to deliver blood to the body. When valve damage is the result of RF, it is called rheumatic heart disease.

Can robots replace valves?

In minimally invasive operations, robots may be used to replace valves through just a few small incisions. Treatment depends on factors like age, health, the technology available, and the condition of the affected valve. Risks inherent in valve replacement surgeries include bleeding, heart attack, infection, and more. YouTube.

What is the difference between valve regurgitation and valve stenosis?

Valve stenosis refers to the narrowing of the valve, thus, resulting in decreased blood flow to the heart and the body. Valve regurgitation refers to a leak in the valve resulting in blood flowing in the wrong direction. Atrial fibrillation refers to the irregular beating of the heart’s upper chamber (i.e., atria)

Can strep throat cause rheumatic fever?

This is because strep throat infections can have an unexpected cardiovascular health complication – rheumatic fever.

What are the problems with heart valves?

Heart valve problems may include a narrowed valve (stenosis), a leaking valve (regurgitation) or a valve with leaflets that are bulging back (prolapse), as shown in the bottom two images. Normal heart valves and blood flow are shown in the top image. Your heart has four valves that keep blood flowing in the correct direction.

What happens if your heart valves don't work?

Your heart has four valves that keep blood flowing in the correct direction. In some cases, one or more of the valves don't open or close properly. This can cause the blood flow through your heart to your body to be disrupted.

How do you know if you have heart valve disease?

Signs and symptoms of heart valve disease may include: Abnormal sound (heart murmur) when a doctor is listening to the heart beating with a stethoscope. Chest pain. Abdominal swelling (more common with advanced tricuspid regurgitation) Fatigue. Shortness of breath, particularly when you have been very active or when you lie down.

Why does my heart leak backwards?

Regurgitation. The valve flaps don't close properly , causing blood to leak backward in your heart. This commonly occurs due to valve flaps bulging back, a condition called prolapse.

What causes a narrowed valve opening?

This results in a narrowed valve opening and reduced blood flow through the valve. Atresia. In this condition, the valve isn't formed, and a solid sheet of tissue blocks the blood flow between the heart chambers.

Why do heart valves not open?

Sometimes, the valves don't open or close properly, disrupting the blood flow through your heart to your body. Heart valve disease may be present at birth (congenital). It can also occur in adults due to many causes and conditions, such as infections and other heart conditions. Heart valve problems may include:

What are the factors that increase the risk of heart valve disease?

History of certain infections that can affect the heart. History of certain forms of heart disease or heart attack. High blood pressure, high cholesterol, diabetes and other heart disease risk factors.

How to treat a heart valve?

Treatment depends in large part on how much damage has been done to the heart valves. In severe cases, treatment may include surgery to replace or repair a badly damaged valve. The best treatment is to prevent rheumatic fever. Antibiotics can usually treat strep infections and keep rheumatic fever from developing.

How long does it take for a strep throat to show up?

Symptoms of rheumatic fever vary and typically begin 1 to 6 weeks after a bout of strep throat. People with rheumatic heart disease may have a murmur or rub that may be heard during a routine physical exam.

What is rheumatic heart disease?

Rheumatic heart disease is a condition in which the heart valves have been permanently damaged by rheumatic fever. The heart valve damage may start shortly after untreated or under-treated streptococcal infection such as strep throat or scarlet fever. An immune response causes an inflammatory condition in the body which can result in on-going valve damage.

How is rheumatic heart disease diagnosed?

People with rheumatic heart disease will have or recently had a strep infection. A throat culture or blood test may be used to check for strep.

Why does my heart murmur?

The murmur is caused by the blood leaking around the damages valve. The rub is caused when the inflamed heart tissues move or rub against each other. Along with a complete medical history and physical exam, tests used to diagnose rheumatic heart disease may include: Echocardiogram (echo).

Can rheumatic heart disease cause a murmur?

People with rheumatic heart disease may have a murmur or rub that may be heard during a routine physical exam. Treatment depends on how much damage has been done to the heart valves. It may even include surgery to replace or repair a badly damaged valve. Since rheumatic fever is the cause of rheumatic heart disease , ...

Can antibiotics be taken for rheumatic fever?

Depending on the amount of heart damage, you may have some activity restrictions. Your healthcare provider may recommend that you take antibiotics for an extended period to prevent another infection of rheumatic fever.

How to treat strep throat?

Use preventive antibiotics for people who had rheumatic fever in the past. Preventive antibiotics help protect people who had rheumatic fever from getting it again.

How to prevent group A strep?

Good Hygiene Helps Prevent Group A Strep Infections. The best way to keep from getting or spreading group A strep infections such as strep throat or scarlet fever is to wash your hands often, especially after coughing or sneezing and before preparing foods or eating.

What happens if rheumatic fever is not treated?

If rheumatic fever is not treated promptly, long-term heart damage (called rheumatic heart disease) may occur. Rheumatic heart disease weakens the valves between the chambers of the heart. Severe rheumatic heart disease can require heart surgery and result in death.

What is the best treatment for rheumatic fever?

Doctors treat symptoms of rheumatic fever with medicines like aspirin to reduce fever, pain, and general inflammation. In addition, all patients with rheumatic fever should get antibiotics that treat group A strep infections. People who develop rheumatic heart disease with symptoms of heart failure may require medicines to help manage this as well.

How long does it take for a strep throat to develop?

Bacteria called group A Streptococcus or group A strep cause strep throat and scarlet fever. It usually takes about 1 to 5 weeks after strep throat or scarlet fever for rheumatic fever to develop. Rheumatic fever is thought to be caused by a response of the body’s defense system — the immune system. The immune system responds to the earlier strep ...

What is the purpose of antibiotics for rheumatic fever?

Preventive antibiotics help protect people who had rheumatic fever from getting it again. Doctors also call this prophylaxis (pro-fuh-LAK-sis) or “secondary prevention.” People may need antibiotic prophylaxis over a period of many years (often until 21 years old). Prophylaxis can include daily antibiotics by mouth or a shot into the muscle every few weeks.

What is a blood test for strep infection?

A blood test to look for antibodies that would show if the patient recently had a group A strep infection

What is the best treatment for a heart valve?

Generally, once it's determined that a diseased heart valve needs treatment, the available choices are valve repair or replacement: Valve repair — preserves the patient’s valve and leaflets. Sometimes repairs require a minor surgical procedure and other times repairs need a more extensive surgery.

How to protect your heart from further damage?

Protect your heart from further damage. Assess your need for medication to help manage symptoms. Repair the val ve problem if needed. Communicate steps for management, self-care and the importance of follow-up care.

Do you need surgery for a heart valve?

Recovery statistics are very good for people who receive proper treatment. Some people live long and full lives with mild valvular problems and never need surgery. But once a heart valve begins to affect the heart’s ability to pump blood, it's likely to require a repair or replacement.

Can a mitral valve be repaired?

Repair is most often possible for mitral valve regurgitation and tricuspid valve regurgitation. Valve replacement — may include open heart surgery or a minimally invasive procedure such as TAVR (or TAVI). Written by American Heart Association editorial staff and reviewed by science and medicine advisers.

Diagnosis

Treatment

Clinical Trials

  • Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
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Lifestyle and Home Remedies

  • You'll have regular follow-up appointments with your doctor to monitor your condition. It's a good idea to make several heart-healthy lifestyle changes, including: 1. Eating a heart-healthy diet.Eat a variety of fruits and vegetables, low-fat or fat-free dairy products, poultry, fish, and whole grains. Avoid saturated and trans fats and excess salt and sugar. 2. Maintaining a healthy weight.Aim t…
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Coping and Support

  • If you have heart valve disease, here are some steps that may help you cope: 1. Take medications as prescribed.Take your medications as directed by your doctor. 2. Get support.Having support from your family and friends can help you cope with your condition. Ask your doctor about support groups that may be helpful. 3. Stay active.It's a good idea t...
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Preparing For Your Appointment

  • If you think you have heart valve disease, make an appointment to see your doctor. Here's some information to help you prepare for your appointment.
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