Rheumatic fever is a post streptococcal autoimmune disorder. Many of the features of rheumatic fever were described by Sydenham as early as 17th century.
Hypertension is an important risk factor for stroke, renal disease, coronary artery disease, peripheral arterial disease, LVH and congestive heart failure.
11 year old boy with CCHD detected at 2 days of age - possibilities:
TOF like physiology, single atrium, TAPVC, Pulmonary AVF,
Severe PS + ASD, R-L shunt.