Rheumatic heart disease is the late, chronic stage of heart disease resulting from one or more attacks of rheumatic fever. The most important lesions are those affecting the valves, particularly the mitral and aortic, where various combinations of stenosis and incompetence can occur. In the myocardium there may be some degree of fibrosis following rheumatic myocarditis and, if severe, this seriously impairs ventricular function. Some pericardial adhesion is usually present but this is never sufficiently dense to affect ventricular function and does not progress to form constrictive pericarditis.
KeywordsFatigue Catheter Arthritis Respiration Shrinkage
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