I've been diagnosed with RHD along with severe MS, severe MR, and moderate eccentric AR, but the ejection is normal. I'm feeling pretty worried and a bit confused about what all this means and how I should proceed. Could you give me some guidance on what steps to take next?

Dr Dhankecha Dineshbhai

General Practitioner

• MBBS
• 6+ Yrs

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For the management of Rheumatic Heart Disease (RHD) with severe Mitral Stenosis (MS), severe Mitral Regurgitation (MR), moderate eccentric Aortic Regurgitation (AR) with normal ejection fraction, the following treatment approach can be considered: 1. For symptomatic relief and to improve heart function, you can consider medications such as: - Diuretics like Furosemide (Lasix) to reduce fluid buildup - Beta-blockers like Metoprolol to control heart rate and blood pressure - ACE Inhibitors like Lisinopril to reduce strain on the heart - Anticoagulants like Warfarin to prevent blood clots 2. In severe cases, surgical interventions may be necessary such as: - Mitral valve repair or replacement for severe MS and MR - Aortic valve repair or replacement for moderate AR 3. Regular follow-up with a cardiologist is essential to monitor the condition and adjust treatment as needed. It is important to adhere to the prescribed treatment plan and make lifestyle modifications such as maintaining a healthy diet, regular exercise, and avoiding smoking to manage RHD with severe MS, severe MR, moderate eccentric AR with normal ejection.

Answered 04/07/2025