True about Rheumatic carditis –
Rheumatic carditis

Seen in 40-60% of patients
Usually seen within 3 weeks.
It is a pancarditis involving all the three layers ---> Myocardium, endocardium & Pericardium.
Rheumatic carditis is the only manifestation of acute RF that has the potential to cause long term disability and death.
The diagnosis of rheumatic carditis requires presence of one of the following.

o Organic cardiac murmurs not present previously.            o Cardiomegaly
o Congestive heart failure                                                         o Pericarditis
Only endocarditis
Only myocarditis
Only Pericarditis
Pancarditis