Hi, I am Asmaul Hassan from Kolkata,India. 2 month back my wife, Rehana Sultana, was diagnosed with Rheumatic Heart Disease with mild mitral stenosis with moderate mitral regurgitation with pulmonary hypertension . Her age is 23+ and height is 5ft 7 inch. She is under the below medication- 1. Injection Pencom (after every 21 days) 2. Tab Amifru 20 3. Tab Aten 25 My question here are - q1.Is the above said disease will be cured by constant medication? q2.How many days she needs the above medication? q3.Is open heart surgery really needed in future to replace the mitral valve? Please response.
Having RHB with mild Mitral stenosis and regurgitation require life long or up to 45 yr age penicillin injection every 21 days to slow down progression and protection from recurrent rheumatic fever. Sometimes almost in 30%cases penicillin may cure the disease. She requires regular followup to assess disease progress if it becomes severe stenosis then balloon valvoplasty may be sufficient without opening chest or if regurgitation progress then valve replacement is the answer.