Rheumatic valvulits , Valvular inflammation and edema is the traditional answer .A detailed Echocardiographic study from All India Institute of medical sciences New Delhi ,India which was published in circulation 1996 answers this question most authentically .
From a meticulous Echocardiographic study of about 70 patients (with both first and recurrent episodes of carditis ) the following findings were observed.
After reading this article one should be able to answer variety of questions in RHD such as
- How common is MVPS in RHD ?
- How often MR dissapear with Aspirin etc ?
- Echocardiographic correlates for care -coombs murmur ?
Reference
http://circ.ahajournals.org/content/94/1/73/T5.expansion.html
Dr.S.Venkatesan MD 
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