Can rheumatic fever start causing heart damage years later?

Posted by rhan123 @rhan123, Jul 16, 2023

Hello everyone,

I have a question regarding rheumatic fever and the possibility of developing a heart disease.
When I was 9 I was diagnosed with a case of rheumatic fever in a country where it is practically unheard of.
I had regular ECGs and echocardiograms done for about a year after the symptoms disappeared. My last ECG was 3 years ago and was part of a regular check-up (not intended to check for Rheumatic Heart Disease). The results were always normal and did not show any damage to the heart.

I am in my early 20's now and only recently have heard about Rheumatic Heart Disease appearing decades later and being asymptomatic at first.
Now I wonder whether the tests done in my childhood could exclude the possibility of RF-related heart disease developing later in my life, since it could not be detected in the year after my diagnosis. As far as I know, my RF was not accompanied by any symptoms affecting my heart.

Thank you very much.

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@rhan123 my mom had RF at age 10 in 1938. Back then neither she nor anyone else knew anything about RF and heart damage.
When she was 36 she went to a “diet doctor” hoping to lose weight. He prescribed a stimulant and that sent her into heart failure. That was in the mid-60’s.
It was then that she learned she had a damaged valve.
She never got the tests you have had because they didn’t exist back then.

I’m not a doctor, so I think you’re better off speaking with one about your heart.

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