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Chronic rheumatic heart disease (RHD) is the persistence of valvar dysfunction following an episode of acute rheumatic fever (ARF) or ARF recurrence. Once the inflammatory markers normalize, any persistent valve dysfunction should be termed chronic RHD. Background and Epidemiology ARF,…
Introduction Until recently, the diagnosis and evaluation of rheumatic heart disease (RHD) was purely clinical in resource-poor settings where RHD has remained endemic. The advent of portable echocardiographic technology, however, now means that this valuable diagnostic tool is more widely…