Rheumatic heart disease
Following the initial attack ARF cab be reactivated by subsequent exposure to GAS. The development of rheumatic heat disease (RHD) may occur over decades, as recurrent inflammation of the endocardium, and especially the heart valves, leads to increased fibrosis and leaflet ( flaps of the heart valves) may adhear to each other. This stenosis of the valves casus dysfunction, with regurgitation and reduced opening
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