Sore throat complications of the heart

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What is the danger of sore throat: a complication of the heart

A rather unpleasant disease is angina, complications on the heart after which are only one of the consequences affecting the body. After the symptoms of the disease are relieved (the temperature drops, the sore throat disappears, etc.), long-awaited relief occurs.

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However, many do not suspect that the threat is hidden not in the disease itself, but in its consequences. The consequences of tonsillitis may well become apparent after a couple of days have passed after a person has been treated with antibiotics and has recovered. Some consequences may also appear after a two to three week break after the course of treatment.

Complications of angina are divided into two categories:

Their development is influenced by the literacy and timeliness of treatment, the mobility of the immune system, the level of health in general, and the presence of diseases of certain organs. Like all infections, complications usually choose the most weakened and vulnerable areas of the body to appear. A patient may experience a stroke in the form of complications of a sore throat unexpectedly.

Where are local complications located?

The consequences of local tonsillitis can manifest themselves in the form of body reactions that affect nearby organs. For this reason, at the time of correction, it is important to note all changes both in the throat and in nearby areas.

Otitis media is number 1 on the list of possible complications of tonsillitis. In an attack of severe coughing, the infection from the pharynx area is sent to the ear, choosing the cavity of the Eustachian tube (the canal between the pharynx and the middle ear) for movement. The onset of otitis media can be at any stage of the disease: both the peak and the recovery period. However, pain radiating to the ear with pronounced manifestations of tonsillitis does not always mean the onset of otitis media.

At any stage of tonsillitis, lymphadenitis is noted - enlargement of the submandibular lymph nodes. But inflammation through the lymphatic system can penetrate into the neck area and under the collarbones. Lymphadenitis is easily eliminated by conservative therapy, however, if the lymph nodes are suppurated, surgery is indicated.

This complication, although not as common, raises serious concerns. Therefore, it is better not to delay with him. With the catarrhal form, tonsillitis usually does not occur. Severe swelling of the tonsils can spread to the area of ​​the entrance to the larynx, seizing the vocal cords.

Important: rapidly progressing breathing difficulties with this pathology indicate the transition of swelling to the larynx and the emergence of a life-threatening situation for the patient!

Chronic stage of tonsillitis

Frequent episodes of the disease or its severe course are the background for the development of a permanent form of tonsillitis (enlargement of tonsil tissue). In accordance with the degree of enlarged tonsils, the doctor prescribes medication or surgical treatment.

The appearance of a purulent focus on the posterior pharyngeal surface (retropharyngeal abscess) can occur in children under the age of 5-6 years. Because children have lymph nodes in this area, and subsequently they disappear on their own. Local manifestations of complications after tonsillitis in children can be expressed in peritonsillar abscess. In this case, suppuration spreads to the tissues of the neck. Another dangerous complication is mediastinitis, in which the inflammatory process involves the deep parts of the neck and the pus descends to the mediastinum.

What are the common complications?

Complications that arise locally against the background of tonsillitis have less harm than what can be caused by tonsillitis to the body as a whole. After all, a sore throat can target vital organs:

  • kidneys;
  • heart;
  • brain structures;
  • articular apparatus;
  • the entire body (in case of sepsis).

After a sore throat, the heart may begin to show signs of pathology after a couple of weeks from the moment of noticeable recovery. During the period of illness, the body produces antibodies to neutralize the pathogen. In some situations, they can become enemies of their own organs, destroying connective tissue proteins. This autoimmune phenomenon is called rheumatism. Pathology usually manifests itself in patients suffering from the chronic stage of tonsillitis. But in approximately 10% of situations, rheumatism is observed in those who have had this disease for the first time.

Rheumatic consequences on the heart from tonsillitis can cause acquired heart valve defects, developing over a period of three months to a year.

When, after a sore throat, signs appear such as heart pain, arrhythmia, swelling of the extremities with cyanosis, shortness of breath, they serve as a signal of the beginning of the inflammatory process in the myocardium, myocarditis. In severe stages of myocarditis, the following are noted: high t, arrhythmia. As a result, the patient may experience thromboembolism.

Rheumatism is not only damage to the connective tissue cells of the heart. An equally significant symptom of complications from tonsillitis in children and adults is considered to be joint dysfunction.

Rheumatoid joints are characterized by:

  • swelling, redness, wandering pain;
  • wave-like damage to large symmetrical joints (elbows, knees, etc.);
  • feverish condition.

Septic arthritis is considered an extremely rare complication. It detects the presence of bacteria in the damaged joint area. It may occur when the patient refuses to take a course of antibiotic therapy for tonsillitis.

The kidneys are considered the second organ most susceptible to complications after tonsillitis in the adult population. After a week or two after tonsillitis, pyelonephritis (kidney tissue becomes inflamed) or glomerulonephritis (kidney glomeruli become inflamed) may occur. The latter as a complication occurs extremely rarely.

The onset of kidney inflammation can be signaled by symptoms: high temperature (which does not subside from taking antipyretics), pain in the back, severe intoxication. The threat is the transition of inflammation to the stage with pus and the appearance of kidney failure.

In very rare cases, complications such as peritonsillar abscess are observed in children and patients with weakened immune systems, causing the spread of infection through the blood to the brain. Meningitis (inflammation of the meninges) is clinically manifested by weakness, pale and swollen skin, shortness of breath, severe headaches, and fever. A characteristic feature of meningitis is a bluish edging of the lips. Concerns about meningitis are a good reason to call a doctor.

The most dangerous of all consequences after a sore throat. Acute sepsis can develop even when the catarrhal form of the disease is fixed. When the infection spreads through the bloodstream throughout the body, the patient’s health sharply deteriorates, while the tonsils are permeated through with pus.

How to prevent complications from developing?

Any of the above consequences after a sore throat can be avoided if you adhere to certain rules:

  1. By observing bed rest, you can not only improve your health faster, but also prevent complications.
  2. A course of antibiotic treatment is required! It should not be completed before the time prescribed by the doctor, because antibiotics fight directly against the causative agent of the infection itself, which no gargling or traditional methods of treatment will do. Drinking plenty of fluids will help reduce intoxication and harm to the body.
  3. A vitamin course and physical activity before a sore throat develops at the moment of danger will help you cope with the disease more easily and eliminate the occurrence of consequences.
  4. Prevention should also be provided during the recovery period after illness. Repeated inflammation of the throat can become more severe and unpredictable.

Please note that a timely course of antibiotic therapy will help the body overcome the disease and will not leave any chance for the development of secondary infections after a sore throat.

Take care of yourself, react to the slightest changes in the condition of not only the throat, but also other organs.

  • Types and features
  • Treatment of sore throat

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Complications and consequences of angina

The cause of sore throat in the classical sense of this disease is group A hemolytic streptococcus - this opportunistic organism lives for a long time (almost constantly) on the mucous membrane of the upper respiratory tract and pharynx. The disease itself occurs only at a time when the body is affected by provoking factors - hypothermia, weakened immunity caused by stress (physical or psychological), or a viral infection.

This statement is equally true for acute tonsillitis and for the development of exacerbation of chronic tonsillitis, therefore, the detection of a pathogen in a smear from the nasopharynx or pharynx does not require mandatory treatment - if there are no symptoms of inflammation of the tonsils, then local and general immunity of the body is sufficient and treatment is not required . A completely different situation arises in that case. When a patient develops manifestations of any angina, regardless of the form of the disease (catarrhal, follicular, lacunar angina), it is necessary to prescribe antibacterial therapy for a period of at least 5-7 days. The prescribed treatment should not be stopped even if the patient’s condition improves significantly after 2-3 days of antibacterial therapy and bed rest - otherwise there is a high probability of developing complications of the disease.

Local complications and early consequences

Local complications of angina are most often manifested by the development of a paratonsillar abscess - the tissue located behind the pharynx becomes inflamed. With this variant of the development of the disease, the likelihood of severe sepsis is high, and effective treatment will require not only a long course of antibacterial therapy, but also surgical treatment. Local complications of angina develop almost immediately after the manifestations of the underlying disease subside - the “bright period” very rarely lasts more than 2-3 days, and the patient again seeks help from an otolaryngologist. In addition, against the background of complications of sepsis, the development of infective endocarditis – septic damage to the heart valves – is possible. When this disease occurs, streptococcus can be carried by the bloodstream into the heart, settle on its valves, completely destroying them - the outcome of the disease is the formation of acquired heart disease. In this case, the aortic valves, located where the aorta originates from the heart, are most often affected.

Late consequences of previous sore throats

For the patient’s body, the long-term consequences of a sore throat are much more dangerous - it is after this disease (as after scarlet fever, which also occurs against the background of streptococcal infection, the obligatory manifestation of which is damage to the pharyngeal tonsils) that polyarthritis, myocarditis, glomerulonephritis and rheumatism can develop. The cause of all these diseases is the body’s increased sensitivity to the waste products of streptococcus.

When any of these diseases occur, streptococcus itself does not enter the organs, but its metabolic products (toxins) are carried into them by the blood flow, which are fixed on the organ receptors and provoke the development of infectious-allergic inflammation. That is why the symptoms of any of these diseases in the patient do not appear at the time of the disease, but after a fairly long period, called the prodromal period. It begins at the moment when the manifestations of the sore throat itself seem to disappear, but the streptococcus continues to release the products of its metabolism into the blood, resulting in infectious-allergic inflammation. Damage to target organs (heart, kidneys, joints) is explained by the fact that the cell wall of these organs has some common antigens with the cell wall of streptococcus - the body, “deceived” by the disease, begins to destroy its own tissues.

Most often, between the moments of apparent recovery after a sore throat and the moment the first symptoms of its later complications appear, a gap of at least a day occurs. This is exactly the time required for damage to the target organ to occur, and all this time the person will feel completely healthy and not suspect the threat hanging over him. In fact, target organs are affected equally often, but glomerulonephritis, unless a severe version of the disease develops, often goes unnoticed and manifests itself only many years later as symptoms of chronic glomerulonephritis. It is impossible not to pay attention to the signs of damage to the musculoskeletal system (polyarthritis), and even more so to the symptoms of damage to the cardiovascular system.

When arthritis occurs, most often there is simultaneous damage to several joints, which is characterized by volatility and symmetry, and is manifested by pain, swelling and severe dysfunction of the affected joints. The most unfavorable is the appearance of heart damage, which can occur in the form of isolated myocarditis. In the case when a patient simultaneously experiences symptoms of damage to the joints and heart with a predominant damage to the valvular apparatus of the heart, rheumatism becomes a probable diagnosis of the disease. To confirm or exclude it, it is necessary to conduct a comprehensive laboratory and instrumental examination - until the results are obtained, the patient is prescribed the same therapy as for the treatment of proven rheumatism.

Heart damage due to angina

Signs of heart damage include increased fatigue, lethargy, weakness, increased temperature, and a sharp decrease in tolerance to normal household stress.

If treatment is not prescribed and carried out in a timely manner in full, an active process occurs on the inner membrane lining the heart cavity - the endocardium, which leads to the formation of heart defects. In this case, the primary lesion most often affects the mitral valve, located between the left atrium and the left ventricle, with the formation of valve stenosis (narrowing) or insufficiency. Damage to the aortic valve occurs somewhat less frequently, and its insufficiency develops more often than stenosis. Damage to the tricuspid (tricuspid) valve, which separates the right atrium and right ventricle, as a primary lesion occurs very rarely and is often detected only after the formation of a heart defect. Damage to the pulmonary valves almost never occurs. In addition, the development of combined and associated acquired heart defects is possible, the prognosis of which is always worse than with an isolated lesion.

That is why doctors insist that any sore throat, even if it is mild, requires mandatory antibiotic therapy, the course of which must be completed in full.

3 comments

oh, but my throat hurts and my tonsils seem to be swollen... and I don’t have time for sick leave... what should I do?((

Marie, Tonsilotren always helps me in such cases. It is safe because... homeopathic, does not harm health and has a gentle effect on a sore throat. Relieves pain and swelling. I haven’t found a better remedy for treating sore throat.

I don't get sick often at all. But somehow I was frozen and the clinic diagnosed me with bronchitis. The doctor prescribed Azitral. After taking the first tablet during the day, I felt better by the evening. And so in a few days everything passed quickly, and I was able to return to work.

Source: http://lechimsya-prosto.ru/oslozhneniya-i-posledstviya-pri-angine

Complications after a sore throat - heart

Sore throat is a serious disease in terms of possible consequences if treated incorrectly or untimely. If there are complications after a sore throat, the heart is the most likely target for the inflammatory process.

In this case, serious diseases such as:

  • rheumatic myocarditis;
  • rheumatic mitral heart disease;
  • rheumatic aortic mitral heart disease;
  • many other complications after angina on the heart.

Complications after a sore throat - the heart is under attack

Why does the heart suffer first as a result of complications after a sore throat? This is due to the pathological anatomy of the structure of the circulatory system of the human body. When a complication occurs after a sore throat, the heart is not protected from this blow.

With the blood flow, the bacterial component is carried into the tissue of the heart muscle, and first a focus of inflammation is formed there, which causes rheumatic myocarditis, the symptoms of which may appear several months after the onset of the disease. In the future, rheumatic heart disease may develop; the medical history in this case always contains a recent history of tonsillitis.

Rheumatic myocarditis, symptoms and prevention

Rheumatic myocarditis, the symptoms of which may appear several weeks after a sore throat, is manifested primarily by weakness, fatigue and unpleasant sensations in the heart area.

If you are diagnosed with myocarditis, the consequences of which may be irreversible for your health, you should immediately begin effective treatment. Very often it is myocarditis, the consequences of which are not immediately felt, that is the cause of such a serious disease as rheumatic mitral heart disease.

In order for myocarditis to occur, the reasons must be sufficiently compelling. The most common cause is myocarditis, the causes of which are untreated sore throat or other inflammatory disease. If proper antibacterial therapy is not carried out during the treatment of a bacterial infection, then the microbes subsequently adapt in the human body and begin to affect vital organs.

Complications of myocarditis are usually expressed in the formation of such a defect as rheumatic aortic mitral heart disease. If myocarditis is not treated, the consequences will not be long in coming.

Rheumatic heart disease - case history

In practice, whenever rheumatic heart disease is diagnosed, the patient's medical history is critical. The fact is that rheumatic heart disease, the medical history of which indicates a possible complication after a sore throat, can be treated conservatively. In this case, the time when rheumatic mitral heart disease or rheumatic aortic mitral heart disease formed is of particular importance.

If the period after the occurrence of a complication after a sore throat on the heart has passed quite short, then a special treatment regimen can be used, in which the main focus is the elimination of the bacterial component and restorative therapy.

Any rheumatic heart defects, the treatment of which is not started promptly and in full, almost always leads to disability. If you have been diagnosed with rheumatic heart disease, treatment should begin immediately. In this case, special attention is paid to the factor of complete elimination of the inflammatory process.

You should know that rheumatic aortic mitral heart disease or rheumatic mitral heart disease,

Like many others, they are nothing more than defects in the heart valve leaflets. This can lead not only to cardiovascular failure, but also to sudden death of the patient.

Remember that you cannot carry a sore throat on your legs. At the first symptoms, strict bed rest should be established. Drinking plenty of fluids, properly selected antibiotics, anti-inflammatory therapy - all these are decisive factors. Do not allow complications after a sore throat, your heart must be protected!

Source: http://zdravstvuy.info/?p=187

How does angina affect the heart?

Many people are treated for tonsillitis (acute tonsillitis) on their own or not treated at all, underestimating the severity of this pathology, or rather its possible consequences. If competent therapy is prescribed, which is carried out in a timely manner from start to finish, then no serious complications after a sore throat develop. Under the influence of certain factors, numerous serious complications can develop after tonsillitis, the treatment of which is much more difficult and longer than the underlying disease. Why do complications develop, and how can they be avoided?

Causes of sore throat and its consequences

The cause of tonsillitis is the pathological effect of microbes on the mucous membrane of the nasopharynx, which occurs under the influence of risk factors:

  • human exposure to drafts, under air conditioning;
  • hypothermia of the body;
  • drinking cold food or drinks;
  • prolonged exposure to cold water;
  • inflammation can develop after a throat injury;
  • immune system diseases;
  • chronic severe pathologies of the endocrine and cardiovascular systems;
  • exposure to the mucous membrane of allergic microparticles.

Viruses that can cause a sore throat are:

  • adenovirus;
  • enterovirus;
  • rhinovirus;
  • herpes virus;
  • influenza and parainfluenza virus;
  • mononucleosis virus;
  • respiratory syncytial virus.

Fungi of the genus Candida are the causative agent of the disease mainly after prolonged use of antibacterial drugs. The viral form of the disease is more common and is caused mainly by the human herpes virus. The bacterial form develops most often under the influence of beta-hemolytic streptococcus.

When microbes begin their pathological effects on the body, the human immune system responds by producing antibodies that attack the microbes. The problem is that hemolytic streptococcus, unlike other pathogens, has antigens with which the bacteria adapt perfectly in the human body and are not recognized by immune cells.

Antigens are similar in structure to the cells of our body, therefore, in the fight against microbes, the immune system destroys, in addition to bacteria, its own cells.

Under certain conditions, this leads to severe consequences.

Complications after a sore throat are somehow related to the state of the immune system and the therapy taken:

  • treatment started at the wrong time;
  • illiterate medical complex;
  • incorrectly selected antibacterial agents;
  • unfinished treatment;
  • decreased resistance and reactivity of the body;
  • decreased general and local immunity.

Consequences of acute tonsillitis

Complications after tonsillitis are divided into two categories: local and general.

  1. Local complications: abscesses, otitis media, phlegmon, laryngeal edema, bleeding from the tonsils. The consequences of this category have a clear localization, beyond which they do not go. With timely help, the outcome is favorable.
  2. Systemic complications are characterized by a chain of immunological reactions involving bacterial antigens and immune antibodies. As a result of such processes, vital organs are affected: the heart, joints, blood vessels, kidneys, blood, and brain. The most severe organic lesions: blood poisoning, meningitis, brain abscess, glomerulonephritis, rheumatism, appendicitis, pericarditis.

The most dangerous local complication of tonsillitis is laryngeal edema

Heart Danger

After a sore throat, the effects on the heart begin to appear 1-4 weeks after the symptoms of the underlying disease have disappeared. The most common heart complication is chronic tonsillitis. The following cardiac pathologies may occur:

  • Rheumatism is caused by streptococci and is characterized by an inflammatory autoimmune reaction in various organs, most often in the heart and joints. In rheumatism, one's own cells and tissues are perceived by immune cells as hostile microorganisms. Such a specific reaction gives rise to a severe and chronic course of the disease;
  • myocarditis – inflammation of the heart muscle;
  • pericarditis – inflammation of the pericardial layers (visceral and parietal);
  • arrhythmia - disturbance of the heart rhythm, interruptions in the functioning of the organ;
  • disturbances in the functioning of the heart valves, leading to defects,
  • thromboembolism due to myocarditis.

Most often, these diseases affect children from three years of age and adults up to 40 years of age.

The main symptoms of complications that angina gives to the heart:

  • rheumatic constant pain and heart murmurs;
  • shortness of breath, worsening with physical activity;
  • swelling of the limbs. Constant swelling in the legs indicates the development of heart failure;
  • cyanosis of the skin;
  • fatigue, decreased performance, weakness, sweating;
  • periodic increase in temperature to subfebrile;
  • rapid pulse;
  • pallor of the skin.

Treatment and prevention

Complications after a sore throat are treated in a hospital setting; self-medication and home treatment are completely excluded in this case.

Untimely treatment of the consequences that angina has on the heart can lead to the development of life-threatening conditions

Complex therapy includes the following activities:

  1. The patient is prescribed long-term strict bed rest for up to two months.
  2. A balanced diet with limited salty foods, liquids, vitamins, and proteins.
  3. Antibacterial therapy is aimed at combating the causative agent of infection.
  4. Non-steroidal drugs, antihistamines, glucocorticoids are prescribed to relieve inflammation and pain, and normalize body temperature.
  5. Potassium preparations improve metabolic processes and accelerate regeneration in damaged myocardium.
  6. Antiarrhythmic drugs, anticoagulants, vitamins, painkillers are included in the complex of symptomatic therapy.

The duration of treatment for heart disease due to angina is up to six months or more. The goal of therapy is to restore normal cardiac activity. Every 3 months the patient must undergo a follow-up examination.

Sore throat has a negative effect on the heart. To avoid the development of cardiac pathologies after tonsillitis, you need to promptly treat the underlying disease, follow all the doctor’s recommendations, not skip procedures, go through all stages of treatment, and strengthen your immune system.

Author: Angelina Elena

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    Heart complication after tonsillitis

    Inflammation in the larynx often leads to undesirable consequences. They occur after recovery from the disease, due to illiterate treatment or lack thereof. Often complications spread to important organs. When your heart hurts with a sore throat, you should sound the alarm. This article will show you how to deal with this consequence of tonsillitis and how to avoid it.

    Why complications arise

    The consequences of tonsillitis are rare, but no one is immune from them. Treating heart complications after a sore throat is quite difficult and will require a long period of time.

    For what reasons do consequences occur after an inflammatory process in the throat?

    • lack of therapeutic measures;
    • incorrectly selected treatment;
    • ill-prescribed antibiotics;
    • weakened immune system;
    • constant stress.

    Most people do not realize how insidious a sore throat can be. Complications on the heart are provoked by a number of factors, depending on the initial state of health of the patient. Most often, consequences arise from incomplete treatment. As a rule, adults begin to lead a normal lifestyle after the symptoms of the pathology have weakened, but do not complete the treatment. Complications after a sore throat on the heart are more common in children and adolescents from 3 to 15 years old.

    The child's body is more prone to the development of all kinds of pathological processes. If a person has a predisposition to colds, he often suffers from respiratory tract ailments, and complications may arise. Such people must strictly adhere to the doctor’s recommendations and constantly take preventive measures to prevent the development of tonsillitis and other complex diseases. Tonsillitis affects the heart due to intoxication of the body, when pathogenic microbes begin to release toxins and enter the blood.

    How are the consequences of the disease affecting the heart muscle determined?

    • shortness of breath, even at rest;
    • cardiopalmus;
    • pain;
    • a cough sign appears;
    • suffocation;
    • legs swell;
    • the liver enlarges;
    • pressure drops.

    If such signs are detected, you should immediately consult a doctor. Cardiac pathology sometimes leads to a heart attack. This consequence is especially dangerous for older people.

    Heart complication after tonsillitis

    The inflammatory process in the oropharynx is a dangerous disease not only during its course, but also after recovery. It will be useful for each person to know the factors that are recognized as having a negative impact. How does tonsillitis affect the heart? Consequences after illness sometimes extend to vital organs.

    The heart begins to suffer from complications, symptoms appear 2-3 weeks after recovery. During the development of pathology, the body produces antibodies to eliminate pathogenic microorganisms. In some cases, they become enemies to health as they begin to destroy proteins. This phenomenon is called rheumatism. As a rule, this phenomenon occurs in chronic angina.

    A complication of the heart after a sore throat in the form of rheumatism is caused by the acquisition of defects that develop over 3-12 months.

    The sooner treatment begins, the higher the risk of a successful recovery. Complications of angina on the heart serve as a signal of the developing inflammatory course in the myocardium. This process is fraught with thromboembolism. Rheumatic consequences that affect a vital organ are eliminated within 1-3 months. A child’s body is able to recover from pathology faster than an adult. The older a person is, the more difficult it is to overcome the consequences without risk to health. To avoid unpleasant phenomena, you should be treated promptly for the sore throat itself. In adults, heart complications occur with the presence of certain symptoms, which can be used to determine the development of a malfunction.

    Symptoms of complications after tonsillitis

    To a greater extent, tonsillitis affects the tissues and organs of children and adolescents. Complications can be recognized by their manifestations.

    What symptoms are caused by rheumatic heart disease?

    • pain in the chest area;
    • general weakness;
    • murmurs when listening to the heart area;
    • shortness of breath appears when walking;
    • heart rate increases;

    Sometimes signs do not appear, the pathology develops asymptomatically. This condition is considered dangerous because it is not possible to identify the complication in a timely manner.

    Complications after a sore throat on the heart manifest themselves in the form of inflammation of the myocardium. This muscle serves as a “pump” for the human body.

    Inflammation in the myocardium is characterized by the following symptoms:

    • tachycardia;
    • swelling of the neck veins;
    • dyspnea;
    • swelling of the extremities (usually the legs are affected);
    • pain in the area of ​​the heart muscle.

    If the pathology is diagnosed late, there will be little chance of a successful cure. It is almost impossible to independently identify the development of consequences; medical diagnosis is necessary. How angina affects the heart will depend on the initial state of this organ. If a person had malfunctions in the functioning of vital organs before the illness, it is necessary to especially monitor their health during its course and after recovery.

    You should pay attention to the signs during the healing period. Symptoms of heart complications after a sore throat often manifest themselves clearly, it is impossible not to notice them. After the manifestations of sore throat have subsided, when the source of inflammation has been extinguished, it is worth seeing a doctor for six months until the body has fully recovered from the illness. As a rule, during this time there is a chance to notice emerging complications in time and eliminate them.

    Early complications on the heart muscle

    As early consequences after tonsillitis, otitis media, pneumonia, phlegmon, mediastinitis, sepsis, and bronchitis occur. Complications develop within 1-2 weeks from the moment of recovery. The organs next to the pharynx are the first to suffer. Such pathologies should be treated using complex methods: traditional treatment, folk methods and physiotherapeutic procedures will be relevant.

    When your heart hurts after a sore throat, this signals the development of late complications. They are much more difficult to treat and require more time to eliminate. As a rule, such failures are eliminated in a medical facility. In severe situations, complications are eliminated by surgery. The effect of sore throat on the heart can lead to death. This happens rarely, but it is definitely worth eliminating the pathology in time.

    Late complications from sore throat

    Late consequences of tonsillitis include acute rheumatic fever, gloerulonephritis, polyarthritis, and myocarditis. They develop 2-3 weeks after recovery. Despite the frequency of occurrence of these diseases, even experienced specialists sometimes encounter difficulties in identifying pathology. Late complications should be treated immediately after the first symptoms appear.

    How to treat heart complications

    The consequences of tonsillitis are difficult to treat, but they can be eliminated. Competent therapeutic measures are required, which only a doctor can prescribe.

    1. If the patient had problems with the eyes before the onset of the pathology, complications can affect them, serious inflammation will occur, and vision will be damaged. Treatment of such a consequence is aimed at extinguishing the source of inflammation and eliminating pathogenic microbes.
    2. When a patient experiences malfunction of the kidneys, complications affect these organs and kidney failure develops. This process must be treated with anti-inflammatory and antibacterial drugs.
    3. Some patients, after recovering from a sore throat, still have pain in the larynx, they cannot turn their neck, and the ability to speak normally is impaired. This phenomenon is called phlegmon of the neck. An antibacterial drug prescribed by a doctor can cure the consequence.
    4. When a large abscess occurs on the back of the throat, surgical intervention is necessary.
    5. Babies often develop whooping cough. The disease is treated with anti-inflammatory, bactericidal, and sometimes antibacterial drugs.

    In case of myocarditis development, complex therapy should be followed. It is important to maintain bed rest, not resort to physical activity, and eat a balanced diet. The diet should consist of foods rich in protein, vitamins and fatty acids. It is necessary to eat foods containing a lot of potassium and magnesium. If the pathology develops against the background of untreated tonsillitis, as an allergic or autoimmune reaction, the following therapeutic measures are taken:

    • taking antibacterial agents (if inflammation is caused by bacteria);
    • antifungal medications (when the causative agent of the pathology is fungi);
    • myocarditis of viral etiology is treated with antiviral drugs;
    • non-steroidal anti-inflammatory drugs;
    • immunostimulating drugs;
    • corticosteroid medications.

    These groups of drugs can reduce inflammation and relieve swelling of a vital organ. Such measures are necessary for the heart to normalize its function. In addition to the above-mentioned medications, a number of drugs are prescribed to improve the functionality of the heart.

    • glucosides;
    • coronary agents;
    • antiarrhythmic medications;
    • drugs that improve metabolism in myocardial cells.

    To speed up the normalization of the functioning of a vital organ, physiotherapeutic measures are indicated. The patient must be under the supervision of a doctor for 12 months.

    To prevent the development of complications, preventive measures should be followed. They imply proper nutrition, hardening, moderate physical activity, taking vitamins, and timely treatment of colds.

    Is it possible that there are no complications with angina?

    Tonsillitis is usually easy to treat. Subject to the recommendations of the attending physician, the disease recedes within days from the moment the fight against it begins. Violations of doctor's instructions can reduce the effectiveness of antibacterial drugs and weaken the body's protective functions. In general, if you carefully monitor your health and follow the rehabilitation period, the consequences can be avoided.

    How to prevent complications from developing

    During the treatment of pathology, it is important to maintain bed rest. Physical activity can lead to damage to internal organs (heart, ears, kidneys and others). To avoid the consequences of tonsillitis, it is important to start treatment in a timely manner, under the supervision of a doctor. Doctors recommend adding rinsing and oropharyngeal irrigation to traditional therapy. Such measures will help reduce the symptoms of the disease and improve the general well-being of the patient. Complications may occur within 30 days from the moment tonsillitis is cured. At this time, you should give up bad habits, play sports, avoid exposure to hypothermia, and avoid stress. To restore the body's strength, it is worth taking vitamin preparations to strengthen the immune system.

    In order to prevent the development of complications after an inflammatory process in the pharynx, it is important to follow these rules.

    1. Don't let the disease take its course. Carrying the disease on your feet would be a bad idea; you should definitely stay at home and avoid contact with people, since sore throat is an infectious pathology.
    2. Antibiotics must be taken in a course; you should not stop taking them on your own.
    3. Rinsing will help enhance the medicinal effect of treatment.
    4. Drinking plenty of liquids will reduce intoxication of the body and restore water balance.

    You need to listen to your body, both during the period of illness and after recovery. It is also worth spending less time outside in cold weather and avoiding contact with sick people. Repeated colds are fraught with the development of complications that are dangerous to health.

    Source: http://yhogorlonos.com/oslozhnenie-na-serdtse-posle-anginy/

    The most dangerous complications of the heart after a sore throat

    Heart complications after a sore throat are not uncommon. Sore throat is otherwise called acute tonsillitis and it causes inflammation of the tonsils. The disease is infectious in nature and very often ends in the disease becoming chronic.

    Heart damage

    If treated incorrectly or completely absent, tonsillitis leads to the following complications:

    The heart is often affected. This is due to the body's autoimmune reaction. The myocardium and pericardial sac are affected. Against the background of angina, pericarditis, myocarditis and acute rheumatoid fever can develop. Arrhythmia and thromboembolism are less common. These complications do not occur immediately, but 1-4 weeks after acute tonsillitis.

    Etiology and pathogenesis of rheumatism

    Rheumatism often develops against the background of sore throat. Otherwise, this pathology is called Sokolsky-Buyo disease or rheumatic fever. This cardiac pathology occurs in a chronic form. Exacerbations occur in spring and autumn. The prevalence of pathology ranges from 0.3 to 3%. Mostly children aged 7 to 15 years are affected.

    The main cause of the development of this disease is streptococcal tonsillitis. This is a type of primary form of acute tonsillitis. The causative agents are beta-hemolytic streptococci. Not every person who has had a sore throat develops rheumatism. In more than 90% of cases, stable immunity develops.

    Other people experience an autoimmune reaction. Antistreptococcal antibodies are synthesized in the body. Together with microbial antigens and the complement system, they form immune complexes. They circulate through the bloodstream and settle in the heart, causing an inflammatory response. Streptococcal antigens have a cardiotoxic effect.

    The inflammatory reaction occurs in several stages. First, mucoid swelling occurs. The second stage is characterized by fibrinoid changes. In the absence of proper treatment, granulomatosis and tissue sclerosis develop. The outcome of changes in the heart muscle can be deformation of the valves. This causes the development of various acquired heart defects. Other organs (kidneys, joints) are often affected.

    Clinical manifestations of rheumatism

    A heart complication such as rheumatism has a varied clinical picture. Most often, the first symptoms appear 1-2 weeks after a sore throat. During the prodromal period, the following symptoms are observed:

    Carditis then develops. The following symptoms occur:

    Often, against the background of rheumatism, endocarditis and myocarditis develop simultaneously. Along with these symptoms, movement disorders and signs of kidney and joint damage are possible. A common consequence of this pathology is atrial fibrillation.

    Isolated myocardial damage

    Acute tonsillitis leads to inflammation of the heart muscle. This pathology is called myocarditis. It can be focal and diffuse. In the latter case, the entire heart muscle is involved in the process. Myocarditis against the background of angina can be acute, subacute and chronic. The following stages of myocardial inflammation are distinguished:

    • infectious-toxic;
    • immunological;
    • dystrophic;
    • sclerotic.

    With this pathology the following symptoms occur:

    • aching or paroxysmal pain in the heart area;
    • sensations of interruption in the functioning of the organ;
    • shortness of breath on exertion;
    • weakness;
    • fast fatiguability;
    • increased sweating;
    • drop in blood pressure;
    • pale skin;
    • frequent and arrhythmic pulse;
    • bulging veins in the neck area.

    With myocarditis, the size of the heart increases. If there is no treatment, heart failure develops. With diffuse myocardial damage, a cough often appears. It occurs during physical activity. In severe cases, such people develop cardiac asthma and pulmonary edema. The outcome of myocarditis is tissue sclerosis.

    Development of endocarditis

    Along with the heart muscle, angina often inflames the inner layer of the heart, which lines the valves. Endocarditis develops. The most common pathogens are streptococci and staphylococci. In endocarditis, the mitral valve is affected. It is located between the left ventricle and the left atrium. Less commonly, the function of the aortic and tricuspid valves is impaired. These structures are responsible for the unidirectional movement of blood through the heart.

    The main signs of this complication of sore throat are:

    • dyspnea;
    • heartache;
    • tachycardia;
    • changing the shape of fingers like drumsticks;
    • nail changes;
    • weakness;
    • decreased performance;
    • increase in body temperature.

    When microbes penetrate the heart, symptoms of intoxication appear. Initially, a low-grade fever occurs. Then it rises to 39-40°C. The cause of fever is the release of pyrogenic substances by bacteria. During the acute phase of endocarditis, chills are possible. It is characterized by body tremors and small seizures.

    With endocarditis, shortness of breath appears. In the early stages, it occurs during heavy physical activity. Then shortness of breath appears at rest. The person is unable to restore normal breathing rhythm. After rest, shortness of breath disappears. The causes of this symptom are fusion of the heart valves, a decrease in chamber volume and blood stagnation.

    A rare sign of endocarditis is heart pain. A constant symptom is tachycardia. Heart rate exceeds 80 beats per minute. Tachycardia with endocarditis occurs regardless of physical activity. In later stages, the nails and phalanges change. The fingers take on the appearance of drumsticks. Malfunction of the valve apparatus causes heart failure.

    Due to tissue hypoxia, the skin becomes pale. Sometimes there is a blue tint. Very often, with endocarditis, nodules and a petechial rash appear on the skin against the background of a sore throat. Ocular symptoms are sometimes observed. Due to valvular insufficiency, the functioning of the kidneys, brain, joints and other organs is disrupted.

    Inflammation of the pericardial sac

    With angina, inflammation of the pericardial sac is possible. This pathology is called pericarditis. The disease develops when bacteria spread through the blood and lymphatic vessels. The following forms of pericarditis are known:

    In the acute form of the disease, death is possible. Dry or exudative pericarditis often develops against the background of sore throat. In the latter case, effusion forms in the pericardial sac. The following symptoms are typical for dry pericarditis:

    • dull or pressing pain in the chest;
    • pericardial friction rub;
    • dry cough;
    • weakness;
    • feeling of heartbeat;
    • dyspnea.

    The pain is moderate. It grows gradually. When taking nitrates, the pain syndrome does not disappear. Dry pericarditis is characterized by shortness of breath. It intensifies with deep breathing, coughing and changing body position. In the absence of proper treatment, exudative pericarditis develops. It presents with pain, chest tightness, dysphagia, edema, nonproductive cough, and fever. Pain occurs due to tissue compression by fluid.

    Other complications

    A dangerous complication of tonsillitis is heart rhythm disturbance. Normally, in a healthy person it is sinus. This pathology includes atrial fibrillation. Most often it develops against the background of rheumatism, when the patient does not receive help. With atrial fibrillation, the atria or individual fibers contract quickly and chaotically.

    The frequency is beats per minute. This complication develops mainly in adults. Initially, attacks (paroxysms) occur, then the arrhythmia becomes constant and becomes chronic. The main symptoms are:

    • Morgagni-Adams-Stokes attacks;
    • dizziness;
    • fainting;
    • feeling of interruptions in the work of the heart;
    • shiver;
    • weakness.

    With rheumatism against the background of sore throat, in severe cases, dysfunction of the aortic valve may occur. The reason is incomplete closure of the valves. Against this background, blood from the aorta is thrown back into the left ventricle. At an early stage there are no complaints. Later the following signs appear:

    • sensation of vascular pulsation;
    • rapid heartbeat;
    • headache;
    • dizziness;
    • decreased visual acuity;
    • short-term fainting;
    • dyspnea;
    • angina-type pain;
    • noise in ears.

    Long-term consequences of tonsillitis include mitral valve stenosis. With it, the left atrioventricular orifice narrows. This pathology is often combined with mitral valve insufficiency. The main reason is rheumatism. Less commonly, stenosis develops against the background of endocarditis. With this pathology, pulmonary hypertension often occurs.

    With mitral stenosis, the outflow of blood from the left atrium into the ventricle is impaired. Over time, the load on the right ventricle increases. Hypertrophy develops. Blood circulation in the systemic circle is impaired. Symptoms are determined by the degree of stenosis. Dyspnea, cough with bloody sputum, tachycardia, dysphonia and acrocyanosis are observed. With the development of right ventricular failure, edema occurs, the liver enlarges and ascites develops.

    How to identify complications

    Instrumental studies and the results of a physical examination (auscultation) can detect cardiac pathology against the background of a sore throat. To identify the connection between symptoms and acute tonsillitis, the patient is interviewed. The medical record is carefully studied. To identify heart complications you will need:

    • Ultrasound;
    • radiography;
    • electrocardiography;
    • load and functional tests;
    • analysis for rheumatoid factor;
    • general and biochemical blood tests;
    • MRI or CT;
    • radioisotope scanning.

    The following changes indicate myocarditis:

    • increase in heart size;
    • increased levels of C-reactive protein, sialic acid and gamma globulins in the blood;
    • expansion of the cavities of the heart;
    • positive reaction of inhibition of lymphocyte migration;
    • heart rhythm disturbance.

    With stenosis of the mitral valve of the heart, the following are found:

    • reduction in the diameter of the mitral orifice,
    • enlargement of the left atrium and right ventricle,
    • right bundle branch block,
    • "cat purr"
    • clapping first heart sound,
    • diastolic murmur
    • displacement of the borders of the heart up and to the right,
    • rhythm disturbances and changes in the shape of the heart.

    The presence of rheumatism against the background of sore throat is indicated by:

    • increased titer of streptococcal antibodies,
    • positive results of bacteriological culture.

    With this pathology, the heart enlarges and the PQ interval on the electrocardiogram lengthens. An increase in ESR, C-reactive protein and leukocytosis are observed.

    How to treat complications

    Treatment tactics are determined by the underlying pathology. If there is a heart disease such as rheumatism, then drug therapy is carried out. The following medications are used:

    With myocarditis, you need to reduce physical activity. You need to drink less and stick to a salt-free diet. Etiotropic therapy is mandatory. Antibiotics are used (penicillins, cephalosporins, macrolides). NSAIDs, corticosteroids and antihistamines are often prescribed. To restore metabolic processes in the tissues of the heart, Cocarboxylase and potassium preparations are used. It is important to normalize blood pressure. When endocarditis develops against the background of tonsillitis, penicillins are prescribed in combination with aminoglycosides.

    In severe cases, heart valve replacement is required. For atrial fibrillation, drugs such as Amiodarone and Novocainamide are prescribed. Warfarin is used to prevent thrombosis. For chronic atrial fibrillation, adrenergic blockers, calcium antagonists (Verapamil), anticoagulants and cardiac glycosides are prescribed.

    Thus, angina can lead to disruption of the heart in the future. This is fraught with hemodynamic disorder and vascular insufficiency.

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