1. Understand the Cause
Rheumatic fever is a condition that may develop from an illness such as strep throat. Rheumatic fever can lead to permanent damage to the heart. When this occurs, the condition is called rheumatic heart disease. The first step in diagnosing the heart condition is to determine if rheumatic fever is present. Your doctor will base a diagnosis on symptoms such as a rash, joint swelling and pain, fever, pain in the chest and having had a recent strep throat infection.
2. The Heart Valves are Affected
Not everyone who develops rheumatic fever will go on to develop rheumatic heart disease. Some people may not even realize they have developed permanent damage to the heart especially if the damage is mild. However, it's important to recognize symptoms so treatment can begin if needed. Spot symptoms of rheumatic heart disease including shortness of breath, irregular heartbeats and fatigue. The extent of symptoms will vary depending on the part of the heart that is damaged and the severity of the damage.
3. Listen to Your Heart
A physical exam will be the start of the diagnostic process for your doctor. Because damage to the valves can occur with rheumatic heart disease, a heart murmur may be heard. Your doctor will listen to your heart with a stethoscope to determine if a murmur is present. An EKG will also likely be done. This test will provide a readout of how your heart is beating. An abnormal rhythm may be detected.
4. Chest X-Ray May Help Diagnose Rheumatic Heart Disease
A chest x-ray is often one of the first tests done to help make a diagnosis of rheumatic heart disease. It is fast and non invasive. It can also help rule out other medical conditions with similar symptoms. A chest x-ray may show fluid buildup in the heart or an increase in the size of the heart. This may be an indication of rheumatic heart disease.
5. Echocardiogram Will Provide a Picture of the Heart
A technician will place a handheld device on your chest and move it around over your heart. Sound waves are used to help produce a picture of your heart. The doctor will review the test and look at the size and structure of your heart. Signs of damage to the valves and inflammation will be evaluated. The test is painless and relatively quick.
