Syphilis heart problem symptoms?
summary
Syphilitic heart disease is caused by no complete cure after suffering from syphilis, which often occurs 10-20 years after suffering from syphilis. Syphilitic heart disease refers to Treponema pallidum entering the outer layer of aorta, leading to arteritis, aortic aneurysm, coronary artery aneurysm, coronary artery stenosis and aortic insufficiency, and causing the corresponding clinical manifestations. Syphilis heart problem symptoms? Let's study and discuss with you.
Syphilis heart problem symptoms?
First of all: untreated patients, the vast majority of syphilitic aortoarteritis, most of them asymptomatic, some patients have retrosternal discomfort or dull pain. With the enlargement of aorta, the boundary of voiced sound above the percussion heart widened, the second sound in aortic valve area enhanced, and mild systolic murmur could be heard.
Secondly: mild cases may be asymptomatic, severe cases may be due to a large number of aortic regurgitation combined with coronary artery stenosis, resulting in reduced coronary blood flow, angina pectoris, and gradually appear left heart failure.
Finally, the boundary of heart murmur enlarged to the left and down, and the systolic and diastolic blowing murmurs could be heard in the second intercostal space of the right sternum or in the third and fourth intercostal space of the left sternum, especially in the second intercostal space of the right sternum. Due to the dilation of the aortic root, the diastolic blowing murmur is the loudest in the second intercostal space on the left edge of the sternum and propagates to the apex of the heart.
matters needing attention
1. Before the occurrence of syphilitic cardiovascular disease, the use of antibiotics is the most effective method to treat Treponema pallidum infection and prevent long-term damage. When simple syphilitic aortoarteritis is found, adequate treatment should be given to prevent the progression of the disease. The prognosis is mostly good. 2. The curative effect of Treponema pallidum treatment is not ideal. If the Treponema pallidum continues to be positive after treatment and the disease does not improve, it may indicate that the infection of Treponema pallidum still exists and must be treated repeatedly.
