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What is rheumatic heart disease?

Rheumatic heart disease (RHD) is a disorder of the heart in which irreversible valve damage and heart failure, along with, organ damage is seen following a streptococcal throat infection. Acute rheumatic fever (ARF) is the precursor of this disease.

What are its main signs and symptoms?

Sometimes RHD can occur without any symptoms and symptoms, if present, may include:

  • When damaged heart valves are infected, fever is an associated symptom.
  • Swelling (oedema).
  • Problems with breathing in lying down position (orthopnoea) and/or breathlessness on exertion.
  • Pain in the chest or heart palpitations.
  • Arousal from sleep feeling the need to sit or stand up (paroxysmal nocturnal dyspnoea).
  • Fainting (syncope).
  • Heart murmur.
  • Stroke.

What are the main causes?

The main cause of RHD is group A streptococci infection, which causes an abnormal autoimmune response in a host who is genetically susceptible. This exaggerated reaction leads to inflammation across multiple tissues in the body.

How is it diagnosed and treated?

The physician will take a detailed history of the symptoms and medical history (evidence of past ARF or streptococcal infection) along with a thorough physical examination. Sometimes, a heart murmur is encountered during this examination, which may suggest RHD. However, in some patients with RHD, a heart murmur may not be heard. The physician might also suggest the following tests:

  • Chest X-ray – For checking heart enlargement or presence of fluid in the lungs.
  • Electrocardiogram (ECG) – For checking heart chambers enlargement or abnormality in the heart rhythm (arrhythmia).
  • Echocardiogram – For checking the heart valves (for damage, infection).

Management of RHD varies as per the severity of the disease and includes:

  • In cases of heart failure, hospital admission is necessary for treatment.
  • For infections, generally seen in the heart valves, antibiotics (mainly penicillin) are also prescribed.
  • For prevention of stroke or when thinning blood is required for replacement of valves, blood-thinning medicines are prescribed.
  • To open up stuck valves, balloon surgery is required where a balloon is inserted through a vein.
  • For repairing or replacing damaged heart valves, heart valve surgery may be required.
  1. Medicines for Rheumatic Heart Disease

Medicines for Rheumatic Heart Disease

Medicines listed below are available for Rheumatic Heart Disease. Please note that you should not take any medicines without doctor consultation. Taking any medicine without doctor's consultation can cause serious problems.

Medicine NamePack SizePrice (Rs.)
DispredDispred 0.1% Eye Drop29.0
EmsoloneEmsolone 10 Mg Tablet21.0
KidpredKidpred Syrup25.0
MethpredMethpred 125 Mg Injection250.0
OmnacortilOmnacortil 10 Mg Tablet Dt9.0
Omnacortil ForteOmnacortil Forte 15 Mg Oral Suspension44.0
Prednisolone Acetate (Alcon Lab)Prednisolone Acetate 1% Drop66.0
Prednisolone Acetate (Aller)Prednisolone Acetate 10 Mg Suspension66.0
PredonePredone 1% Eye Drop29.0
Sol U PredSol U Pred 1 Gm Injection1042.0
WysoloneWysolone 10 Mg Tablet Dt14.0
ActicortActicort 10 Mg Tablet9.0
AdredAdred 20 Mg Tablet27.0
Apred(Acron)Apred 5 Mg Tablet4.0
ApredApred Drops35.0
AquapredAquapred 1% Eye Drops40.0
DefsoneDefsone 30 Mg Tablet299.0
DelsoneDelsone 10 Mg Tablet9.0
ElpredElpred Forte 15 Mg Syrup75.0
EmosolinEmosolin 5 Mg Tablet9.0
GopredGopred 1% Eye Drops37.0
Immupress D30Immupress D30 Tablet180.0
Immupress D6Immupress D6 Tablet40.0
KazipredKazipred Eye Drops36.0
LancepredLancepred 40 Mg Tablet24.0
MednisolMednisol 1 Gm Injection1131.0
MonocortilMonocortil 10 Mg Tablet6.0
Mpa(Chn)Mpa 80 Mg Injection82.0
MpssMpss 1 Gm Injection942.0
NisoloneNisolone 10 Mg Tablet9.0
NoloneNolone 16 Mg Tablet90.0
NucortNucort 0.5 Mg Drop11.0
Pcort (Pharmtak)Pcort 10 Mg Tablet7.0
PcortPcort Eye Drops10.0
P D NP D N Drop17.0
PednisolPednisol 10 Mg Tablet7.0
P LoneP Lone 1% W/V Eye Drop16.0
Pred AcetatePred Acetate Drop66.0
PredcipPredcip 5 Mg Tablet5.0
PreddiPreddi 5 Mg Tablet3.0
Pred FortePred Forte 1% W/V Eye Drop35.0
PredicortPredicort 10 Mg Tablet9.0
PredlyPredly 1% Eye Drop26.0
PrednijPrednij 5 Mg Tablet4.0
Prednij FortePrednij Forte 10 Mg Tablet8.0
PredninPrednin 1% Eye Drops40.0
Prednin APrednin A 1% Eye Drops16.0
PrednisafePrednisafe 1% Eye Drops28.0
Prednisolone Forte (Allergen)Prednisolone Forte Drops98.0
PredniwaPredniwa 1% Eye Drops29.0
PrednolonePrednolone 5 Mg Tablet6.0
PredsPreds 1% Drops19.0
PredsolPredsol 10 Mg Eye Drops35.0
PrendicarePrendicare 16 Mg Tablet116.0
PresolonPresolon 1% Drop10.0
RaycortRaycort 1%W/V Eye Drops66.0
RenisolRenisol 1% Drops8.0
SancortSancort 10 Mg Tablet8.0
SanpredSanpred 1% Eye Drops32.0
SiopredSiopred 1% Drops35.0
SodipredSodipred 1000 Mg Injection880.0
SolonSolon 10 Mg Tablet66.0
SolumarkSolumark 1000 Mg Injection1271.0
XtrapredXtrapred 0.25% Drops17.0
ZenpredZenpred 1 Gm Injection895.0
AnesolinAnesolin 30 Mg Injection60.0
CerucleanCeruclean Drop29.0
Engatt PEngatt P Eye Drops62.0
M PredM Pred 4 Mg Tablet45.0
PrecortPrecort 5 Mg Tablet85.0
PredinsolnePredinsolne Drops93.0
Prednisolone OpthoPrednisolone Optho Suspension43.0
4 Quin Pd4 Quin Pd 0.5% W/V/1% W/V Eye Drop76.92
Apdrops PdApdrops Pd 0.5% W/V/1% W/V Eye Drop26.0
CombaceCombace 0.5%/1% Eye Drops12.91
Mo 4 PdMo 4 Pd Ear Drop90.0
MoxipredMoxipred Eye Drops14.57
Moxigram PMoxigram P Eye Drop13.65
Occumox POccumox P Eye Drop19.75
Aquapred OAquapred O 0.3%/1% Eye Drops45.91
ExopredExopred 0.3%/1% Eye Drop46.8
Ofelder PaOfelder Pa 0.3%/1% Drops18.17
Oflo POflo P 3 Mg/10 Mg Eye Drops11.18
Ofray POfray P 0.3%/1% Eye Drops49.0
OmepredOmepred 0.3%/1% Eye Drops12.9
OploneOplone 0.3%/1% Eye Drops42.2
PredfaxPredfax 0.3%/1% Eye Drops10.36
Preds OPreds O 0.3%/1% Eye Drops42.0
ZypredZypred 0.3%/1% Eye Drop15.0
OcepredOcepred Eye Drop13.36
Gatiquin PGatiquin P 0.3% W/V/1% W/V Eye Drop94.0
PredzyPredzy 3 Mg/10 Mg Eye Drops60.0
Gatsun PGatsun P 0.3%/1% Drops12.84
Siogat PSiogat P 0.3%/1% Eye Drops55.53
Zengat PZengat P Eye Drops13.1
Z PredZ Pred 0.3%/1% Eye Drops51.25
Gate PdGate Pd 3 Mg/10 Mg Eye Drops25.9
Gate P PGate P P 3 Mg/10 Mg Eye Drops28.35
Mlobe PdMlobe Pd Eye Drop90.0
OrecureOrecure Ear Drops59.7
P.ColP.Col Drops25.0
PerfocynPerfocyn Ear Drop13.03
Ossilex AcOssilex Ac Drops21.87

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