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Section Index
Rheumatic Heart Disease
Question: A 23-year-old male was hospitalized two years ago due to tachycardia, lower back and shoulder pain, chest tightness, palpitations, and weakness in the limbs. No clear cause was identified at the time; although the tachycardia improved, other symptoms persisted. His rheumatoid factor and erythrocyte sedimentation rate were elevated. What could be the problem?
Answer: Your condition is quite clear: young people with high ESR and palpitations and shortness of breath can generally be diagnosed with rheumatism combined with rheumatic heart disease, which requires prompt treatment. The first step is anti-rheumatic therapy, with the goal of reducing the ESR to normal levels and stabilizing the rheumatic process, preventing rheumatic myocarditis from progressing into valvular disease.
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