Etiology Almost always rheumatic (immunologic sequelae of Group A Streptococcal pharyngitis) Rheumatic fever usually occurs in childhood / adolescence Murmur appears ~ 20 years later Many don’t recall childhood illness Rheumatic valve disease is more common and progresses more rapidly in developing countries
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sarahcho - (no access) - 05 HANSEN MMMD 2015-16 Valvular Heart Disease - Mitral Stenosis.pdf, p7
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