Rheumatic heart disease (RHD) is a chronic disease which heart muscles and valves damage due to rheumatic fever caused by Streptococcus pyogenes a group A streptococcal infection. RHD is characterized by repeated inflammation with fibrinous repair. The cardinal anatomic changes of the valve include leaflet thickening, commissural fusion, and shortening and thickening of the tendinous cords. It is caused by an autoimmune reaction to Group A β-hemolytic streptococci (GAS) that results in valvular damage. 🚀🚀 Follow @ohyesmedic on Instagram 🚀🚀 🚀🚀 Follow @ohyesmedic on Instagram 🚀🚀