It’s a good “autumn” day, and wind heart patients are worried. Whenever the weather is cool, it is the time for wind and heart patients to pass the “hurdle”. In spring and autumn, there is a significant increase in the number of patients seeking treatment at hospitals. In the Union Hospital, there are two wind heart disease patients who have been staying in a ward at the same time for three years in a row, and have become very familiar with each other like sisters. One of them did the valve replacement surgery in the heart surgery department of the Union Hospital this spring, and now lives “iron”, the other one is still worried about how to spend the winter this year. Dong Nianguo, Department of Cardiac Surgery, Wuhan Union Hospital The age of onset of wind heart disease is getting younger and younger. Previously, when it comes to wind heart disease, always think of adults, but now, more and more young children have heart valve problems. A 15-year-old boy, who appeared to be less than 10 years old. After a careful examination, Professor Sun combined the ultrasound results and told the child’s parents that the child had rheumatic heart disease, combined with valve disease, and needed valve replacement surgery as soon as possible. Even in good living conditions, you can get rheumatic heart disease. The original is always the rural people to open surgery to replace the valve, and now every day blowing air conditioning, eating seafood “rich people” also came to God, not to replace the valve can not be. The rheumatic heart disease is caused by bacteria Rheumatic heart valve disease is referred to as rheumatic heart disease, is a chronic heart valve lesion caused by rheumatic fever. Many patients are always puzzled, how can a good heart, a good valve break down? Especially parents ask, how can a child who is young suffer from adult heart disease? Professor Sun explained that this rheumatic heart disease is a metabolic systemic disease of the hemolytic Marie Claire infection during adolescence. Generally, when infants and children have repeated fevers after pharyngitis and pharyngitis, it causes a systemic metabolic immune reactive disease, and after about 10 years, it causes a reaction of the heart valves, and after another 10 years or so, the heart valves will be destroyed and the corresponding symptoms will appear. So it usually strikes in adults, however, recently the age of onset is getting younger. According to Prof. Sun, the number of underage patients receiving surgery at the Department of Cardiac Surgery of the Union Hospital has been increasing recently. The early recognition and early treatment of rheumatic heart disease rheumatic heart disease is actually very good early detection. 1. Patients often have a history of rheumatic diseases, such as laryngitis, tonsillitis, joint pain, etc. 2. Symptoms of cardiac insufficiency: difficulty in breathing, panic, shortness of breath, general weakness, irritability, etc. 3. When the weather is cold, the heart cannot pass, and there is always a breath that cannot be taken. The stairs are all seven yelling and eight wheezing. 3, the most simple medical examination, listen to your heart, look at your face, look at your legs, the general heart will have a spectrum. Different valve diseases, sound and look different, if your face is flushed, especially on both sides of the nose like a rouge, there may be mitral valve problems, if your aortic valve area sounds like the wind is blowing, then most of the aortic problems. And so on, the name is still quite a lot. An experienced doctor can help you save a lot of money. 4. The most common tests, such as electrocardiogram, echocardiogram, X-ray and cardiac catheterization, are basically enough to confirm the diagnosis. The diagnosis can usually be made correctly. Wind heart disease is not scary, doctors can fix it. Many patients think that after suffering from wind heart disease is a dead end, there is no cure, so they live in a state of fear all day long, this state of mind is not conducive to recovery from the disease. In fact, wind heart disease itself is not terrible, many wind heart patients can live, study and work like normal people. The vast majority of patients with wind heart disease can live a normal life span if they pay attention to their daily health care and are actively treated. The risk factor of wind heart disease is actually its complications. According to Prof. Sun, there are many wind heart patients who live exactly the same as normal people now after valve replacement treatment in the 1980s. Change the door to the heart and make life different With the development of cardiac surgery, there are effective treatments for windy heart disease: heart valvuloplasty and heart valve replacement. Simply put, it is a renovation of the heart to make a diseased heart look brand new. Valvuloplasty is the repair of diseased valves under direct vision in extracorporeal circulation to achieve a normal working condition. In some patients, the valve lesion is aggravated again after surgery, and the condition deteriorates again, then valve replacement surgery is required again. Heart valve replacement involves removing the patient’s own diseased valve and replacing it with an artificial valve, thereby eliminating the lesion and curing the patient. As a cardiac surgeon, the most appropriate surgical procedure will be chosen from the patient’s overall situation and condition, with the fundamental principle that everything starts from the condition, everything starts from the treatment, and everything starts from the long term. Professor Sun has been practicing medicine for nearly 30 years and has completed thousands of various heart surgeries, including 130 door repair surgeries and more than a thousand door replacement surgeries. According to Prof. Sun’s experience, as long as conditions permit, door repair is the first choice, which can avoid many troublesome problems such as long-term anticoagulation after surgery, and the cost of surgery is also lower, but most patients are very sick when they visit the doctor, and basically lose the opportunity to repair the door, then the only way is to replace the door. The good thing is that the surgery is now very mature and has a high success rate. Professor Sun said that as long as the patient has the right timing for the surgery and the heart function is stable before the surgery, the success rate of the surgery can reach more than 99%. With regular follow-up after surgery, the 20-year survival rate after surgery can reach more than 90%. After valve replacement, the vast majority of patients have good recovery of cardiac function and can participate in normal work and study with high quality of life, while a few patients have unsatisfactory recovery of cardiac function. This is related to the severe decompensation of cardiac function before surgery and requires pharmacological treatment to improve cardiac function. In addition, lifelong anticoagulation therapy is required to prevent thrombosis caused by the prosthetic valve. Every year, a very small number of patients still have anticoagulation accidents, organism embolism or bleeding, and even death due to serious complications. The surgery of wind heart disease is better to do late than to do it early In the heart to move the knife, or to risk quite a big risk, most patients do not talk about doing, the thought of scaring but, it is because of this misunderstanding, as well as the cost of the problem, resulting in many patients miss the best time for surgery. In our country, patients basically come to surgery only when they have developed to the point where they cannot endure. In fact, it is better to do heart surgery late than early. The more the disease is delayed until the end, the greater the risk of surgery, the higher the cost, and the worse the treatment results. The more you delay the surgery, the greater the risk, the higher the cost, and the worse the outcome. In the end, you will lose the opportunity for routine surgery, and you will have to get a new heart. Just like the patient we mentioned earlier, he was always reluctant to undergo surgery, and was hospitalized year after year on medication to keep him alive, unable to move, but also spent more than 60,000 yuan. After the surgery, he took medication for more than three months, and now everything is fine, he eats well, sleeps well, and is in great health. According to Prof. Sun, if this patient had surgery earlier, he would have had better results and spent less money. Can children with wind heart disease be treated surgically? In children with heart disease, valve replacement should usually be avoided as much as possible. If drug control is not ideal, the valve that is not working can be repaired surgically, and in complicated cases, it can be replaced with an artificially made valve. However, the pediatric period (including adolescence) is often prone to streptococcal infections, which can repeatedly affect the heart and cause new changes in the condition, making the surgery a foregone conclusion. After surgery, children or teenagers have to take medication for a long time, and it is not easy for them to develop good medication habits, which can also lead to poor surgical results, and heart surgery cannot be performed more than once, so it is better to wait until you are 20 years old and have less chance of streptococcal infections, and then have surgery to solve the problem once. Prevention of rheumatic heart disease, experts teach you a few tricks Wind heart disease is completely preventable, there is a set of data shows that with the improvement of living standards, now the incidence of rheumatic heart disease has been reduced, the incidence of 1.45 ‰ before the 90s, the incidence of 0.22 ‰ after the 90s, the incidence of 0.01 ‰ – 0.05 ‰ abroad. 1. Strengthening exercise is the absolute truth. Improve the body’s resistance, so that bacteria have no opportunity to take advantage of. 2．Cultivate good living habits, try to avoid staying in a wet, cold, unventilated environment for a longer period of time, pay attention to indoor cleanliness and reduce the chance of infection, especially in summer, staying in an air-conditioned room for a long time is not a good thing. 3. Pay attention to the treatment of minor illnesses and disasters. Colds, fevers, pharyngitis, tonsillitis, otitis media are all causes of wind heart disease, treatment should not be neglected, must be thoroughly treated. Many patients with wind heart disease have a history of infection, small diseases are not treated seriously, and as a result become a major disease. 4. Early active treatment of wind heart disease. In the earliest stage of wind heart disease, if the treatment is regular, reasonable and complete, it is possible to avoid deformation and damage to the valves. Therefore, once the wind heart disease is diagnosed, do not hesitate to choose a large hospital to receive regular treatment immediately, to prevent the slightest.