A Sore Throat and Heart Disease
At first glance, a sore throat and heart disease may seem to have little to do with each other. However, sore throats can introduce bacteria into the blood stream, leading to certain types of heart disease, according to the National Institutes of Health.
If you are experiencing serious medical symptoms, seek emergency treatment immediately.
Types
There are two types of heart disease associated with a sore throat. Rheumatic heart disease is a condition in which the valves of the heart become damaged 1. Rheumatic heart disease begins with rheumatic fever caused by strep throat, a sore throat caused by the Streptococcus bacteria 1. Instances of rheumatic fever are rare in the United States, according to the American Heart Association, but it is the leading cause of death in less developed countries 12.
Another type of heart disease associated with a sore throat is bacterial endocarditis. Bacterial endocarditis rarely occurs in people who have healthy heart valves. The American Heart Association explains that streptococcus viridians are responsible for approximately 50 percent of bacterial endocarditis cases 12.
- There are two types of heart disease associated with a sore throat.
- The American Heart Association explains that streptococcus viridians are responsible for approximately 50 percent of bacterial endocarditis cases 1.
Risks
How Long is MRSA Contagious?
Learn More
There is little risk of developing rheumatic heart disease or rheumatic fever in the United States though an untreated strep infection may increase the risk slightly 1. However, certain people are more likely to develop bacterial endocarditis. People who have an artificial heart valve, a previous history of endocarditis, damaged heart valves, congenital heart defects and people who have had a heart transplant have a greater risk for developing the disease.
Symptoms
The American Heart Association explains that symptoms of rheumatic fever often include:
- fever
- painful swollen joints
- heart palpitations
- chest pain
- shortness of breath
- skin rashes
- fatigue
- small painless nodules under the skin 12
Symptoms of bacterial endocarditis may include
- abnormal urine color
- bloody urine
- excessive sweating
- chills
- fatigue
- joint pain
- muscle aches
- splinter hemorrhages under the nails
- night sweats
- according to the National Institutes of Health
Prevention
Diseases Caused by Streptococcus Pyogenes
Learn More
The American Heart Association recommends preventive antibiotics for patients who are at high risk for bacterial endocarditis before they undergo certain dental procedures or surgeries of the respiratory tract or infected skin 12. Patients can help to prevent developing rheumatic heart disease by seeking help for strep throat and completing all antibiotic treatments as prescribed 1.
Treatments
Treatment for rheumatic heart disease and bacterial endocarditis often include admittance to the hospital for long term high dose antibiotics 1. Treatment may last as long as four to six weeks, dependent upon the specific type of bacteria.
Related Articles
References
- American Heart Association: Rheumatic Heart Disease-Rheumatic Fever
- American Heart Association: Infective Endocarditis
- Centers for Disease Control. What causes valvular heart disease? Dec. 9, 2019.
- National Center for Advancing Transitional Science. Rheumatic fever.
- Bryant PA, Smyth GK, Gooding T, Oshlack A, Harrington Z, Currie B, Carapetis JR, Robins-Browne R, Curtis N. Susceptibility to acute rheumatic fever based on differential expression of genes involved in cytotoxicity, chemotaxis, and apoptosis. Infect Immun. February 2014; 82(2):753-761. doi:10.1128/IAI.01152-13
- Muhamed, B. Parks, T. Sliwa, K. Genetics of rheumatic fever and rheumatic heart disease. Nat Rev Cardiol. March 2020. 17, 145–154. doi:org/10.1038/s41569-019-0258-2
- Centers for Disease Control. Rheumatic fever: All you need to know. Nov. 1, 2018.
- Johns Hopkins Medicine. Rheumatic heart disease.
- Rothenbühler M, O'Sullivan C, Stortecky, S. et al. Active surveillance for rheumatic heart disease in endemic regions: A systematic review and meta-analysis of prevalence among children and adolescents. Lancet Glob Health. 2014; 2:e717. doi:10.1016/S2214-109X(14)70310-9.
- Watkins D, Johnson C, Colquhoun S. et al. Global, regional, and national burden of rheumatic heart disease, 1990-2015. N Engl J Med. 2017; 377:713. doi:10.1056/NEJMoa1603693
- Zühlke, L. Engel, M. Karthikeyan, G. et al. Characteristics, complications, and gaps in evidence-based interventions in rheumatic heart disease: The global rheumatic heart disease registry (the REMEDY study). Eur Heart J. 2015; 36:1115. doi:10.1093/eurheartj/ehu449.
Writer Bio
Based in Florida, Martina McAtee has been writing health and fitness articles since 2003. She attended Keiser University, graduating with an Associate of Science in nursing. McAtee is currently working toward a master's degree in nursing from Florida Atlantic University.