|Diseased Heart Valve|
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- Having strep throat
- Prior case of rheumatic fever
- Pain and swelling in large joints
- Muscle aches
- Shortness of breath
- Chest pain
- Nausea and vomiting
- Hacking cough
- Circular rash
- Lumps under the skin
- Abnormal, sudden movements of arms and legs
Samples may be taken of your bodily fluids and tissues. This can be done with:
- Blood tests
- Throat culture
- You may need to have pictures taken of your heart. This can be done with:
- You may need to have your heart activity measured. This can be done with an electrocardiogram (EKG) .
- Kill the strep bacteria
- Treat the inflammation caused by the rheumatic fever
- Treat any cardiac problems
- Prevent future cases of rheumatic fever
- Aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs)—only if advised by your doctor
- Corticosteroids may be used if NSAIDs are not effective or if there is inflammation of the heart
American Heart Association http://www.heart.org
National Heart, Lung, and Blood Institute http://www.nhlbi.nih.gov
Health Canada http://www.hc-sc.gc.ca
Heart and Stroke Foundation of Canada http://www.heartandstroke.com
Acute rheumatic fever. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated January 7, 2014. Accessed September 26, 2014.
Nausieda PA, Grossman BJ, Koller WC, Weiner WJ, Klawans HL. Sydenham chorea: An update. Neurology. 1980;30(3):331-334.
Rheumatic fever. Texas Heart Institute website. Available at: http://www.texasheart.org/HIC/Topics/cond/rheufev.cfm. Updated August 2014. Accessed September 26, 2014.
Robertson KA, Volmink JA, Mayosi BM, et al. Antibiotics for the primary prevention of acute rheumatic fever. BMC Cardiovasc Disorders. 2005;5(1):11.
Spagnuolo M, Pasternack B, et al. Risk of rheumatic fever recurrences after streptococcal infections: Prospective study of clinical and social factors. N Engl J Med. 1971;285(12):641-647.
- Reviewer: David Horn, MD
- Review Date: 08/2015 -
- Update Date: 09/30/2013 -