Precipitating Factor: Predisposing Factors:

Poverty Age: 13 (5 to 15)

Reduced access to medical
care
Cross immune response
between host and
Streptococcal Infection streptococcal antigens or
antigenic mimicry

Thickening or build-up
Rheumatic fever of connective tissues in
the heart valves

Thickening of
Chest pain
Valve leaflets

Shortness
Rheumatic Heart disease Mitral Regurgitation of breath

Fatigue

Swelling of Legs
and feet

Palpitation

Heart Failure