Rheumatic heart disease
Description
- Permanent valve damage from acute rheumatic fever (usually recurrent episodes) - the chronic sequela ARF prevention exists to prevent
- Mitral valve involved in ~65-70% alone, mitral + aortic in ~25% - isolated aortic/right-sided disease is uncommon
- A disease of health inequity - concentrated in populations with limited access to primary prevention and secondary prophylaxis
6 more sections, plus exam facts
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